不坚持抗发作药物:我们学到了什么,下一步可以做什么?
1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
Expert review of pharmacoeconomics & outcomes research
|April 27, 2024
概括
治疗的药物坚持干预措施显示出不同的结果. 未来的研究应该专注于更好的依从度测量,干预设计和透明报告,以改善结果.
科学领域:
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 不遵守抗发作药物 (ASM) 显著增加患者的死亡率,发病率和医疗费用.
- 提高药物坚持的有效策略对于改善管理和患者的治疗结果至关重要.
研究的目的:
- 审查2010年1月至2024年2月期间发表的针对的药物坚持增强干预措施 (MAEI) 的随机对照试验 (RCT).
- 通过使用GUIDED和TIDieR检查清单来评估干预开发和描述的报告质量.
- 为了评估不同类型的MAEIs对的坚持率的影响.
主要方法:
- 对评估的MAEIs的18个RCT进行系统审查.
- 使用GUIDED和TIDieR标准评估干预发展和描述的充分性.
- 干预措施的分类为教育,行为或混合方法.
主要成果:
- MAEIs对制的影响是混合的,有6项研究报告没有显著差异,7项报告干预组的改善.
- 报告质量对于干预措施的开发和描述往往是不够的.
- 采用了教育,行为和混合干预措施,具有不同的坚持结果.
结论:
- 目前用于的MAEIs显示了对药物坚持不一致的影响.
- 在MAEI发展,描述和影响测量的报告中存在重大缺陷.
- 未来的研究必须优先发展特异性坚持措施,优化干预设计,提高报告透明度.
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