Improving medication adherence in chronic obstructive pulmonary disease: a systematic review
Adherence to medication among individuals with chronic obstructive pulmonary disease (COPD) is suboptimal and has negative impacts on survival and health care costs. No systematic review has examined the effectiveness of interventions designed to improve medication adherence. Electronic databases Me...
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Veröffentlicht in: | Respiratory research 2013-10, Vol.14 (1), p.109-109 |
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description | Adherence to medication among individuals with chronic obstructive pulmonary disease (COPD) is suboptimal and has negative impacts on survival and health care costs. No systematic review has examined the effectiveness of interventions designed to improve medication adherence. Electronic databases Medline and Cochrane were searched using a combination of MeSH and keywords. Eligible studies were interventions with a primary or secondary aim to improve medication adherence among individuals with COPD published in English. Included studies were assessed for methodological quality using the Effective Practice and Organisation of Care (EPOC) criteria. Of the 1,186 papers identified, seven studies met inclusion criteria. Methodological quality of the studies was variable. Five studies identified effective interventions. Strategies included: brief counselling; monitoring and feedback about inhaler use through electronic medication delivery devices; and multi-component interventions consisting of self-management and care co-ordination delivered by pharmacists and primary care teams. Further research is needed to establish the most effective and cost effective interventions. Special attention should be given to increasing patient sample size and using a common measure of adherence to overcome methodological limitations. Interventions that involve caregivers and target the healthcare provider as well as the patient should be further explored. |
doi_str_mv | 10.1186/1465-9921-14-109 |
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No systematic review has examined the effectiveness of interventions designed to improve medication adherence. Electronic databases Medline and Cochrane were searched using a combination of MeSH and keywords. Eligible studies were interventions with a primary or secondary aim to improve medication adherence among individuals with COPD published in English. Included studies were assessed for methodological quality using the Effective Practice and Organisation of Care (EPOC) criteria. Of the 1,186 papers identified, seven studies met inclusion criteria. Methodological quality of the studies was variable. Five studies identified effective interventions. Strategies included: brief counselling; monitoring and feedback about inhaler use through electronic medication delivery devices; and multi-component interventions consisting of self-management and care co-ordination delivered by pharmacists and primary care teams. Further research is needed to establish the most effective and cost effective interventions. Special attention should be given to increasing patient sample size and using a common measure of adherence to overcome methodological limitations. Interventions that involve caregivers and target the healthcare provider as well as the patient should be further explored.</description><identifier>ISSN: 1465-9921</identifier><identifier>ISSN: 1465-993X</identifier><identifier>EISSN: 1465-993X</identifier><identifier>EISSN: 1465-9921</identifier><identifier>DOI: 10.1186/1465-9921-14-109</identifier><identifier>PMID: 24138097</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Anti-Inflammatory Agents - administration & dosage ; Anti-Inflammatory Agents - therapeutic use ; Asthma ; Bronchodilator Agents - administration & dosage ; Bronchodilator Agents - therapeutic use ; Care and treatment ; Chronic obstructive pulmonary disease ; Compliance ; Decision making ; Diagnosis ; Drugs ; Economic aspects ; Health care ; Health care industry ; Health care reform ; Humans ; Intervention ; Lung diseases, Obstructive ; Medical care, Cost of ; Medication Adherence ; Nebulizers and Vaporizers ; Ordination ; Patient compliance ; Patient education ; Patient outcomes ; Pharmacists ; Pulmonary Disease, Chronic Obstructive - drug therapy ; Quality of life ; Respiratory agents ; Review ; Self Care ; Studies ; Treatment Outcome</subject><ispartof>Respiratory research, 2013-10, Vol.14 (1), p.109-109</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Bryant et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Bryant et al.; licensee BioMed Central Ltd. 2013 Bryant et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b617t-de94c74fd886b3a5c292c71224617aa965af0f089fdfcd0520ba2b8d107341e63</citedby><cites>FETCH-LOGICAL-b617t-de94c74fd886b3a5c292c71224617aa965af0f089fdfcd0520ba2b8d107341e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4015036/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4015036/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24138097$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bryant, Jamie</creatorcontrib><creatorcontrib>McDonald, Vanessa M</creatorcontrib><creatorcontrib>Boyes, Allison</creatorcontrib><creatorcontrib>Sanson-Fisher, Rob</creatorcontrib><creatorcontrib>Paul, Christine</creatorcontrib><creatorcontrib>Melville, Jessica</creatorcontrib><title>Improving medication adherence in chronic obstructive pulmonary disease: a systematic review</title><title>Respiratory research</title><addtitle>Respir Res</addtitle><description>Adherence to medication among individuals with chronic obstructive pulmonary disease (COPD) is suboptimal and has negative impacts on survival and health care costs. No systematic review has examined the effectiveness of interventions designed to improve medication adherence. Electronic databases Medline and Cochrane were searched using a combination of MeSH and keywords. Eligible studies were interventions with a primary or secondary aim to improve medication adherence among individuals with COPD published in English. Included studies were assessed for methodological quality using the Effective Practice and Organisation of Care (EPOC) criteria. Of the 1,186 papers identified, seven studies met inclusion criteria. Methodological quality of the studies was variable. Five studies identified effective interventions. Strategies included: brief counselling; monitoring and feedback about inhaler use through electronic medication delivery devices; and multi-component interventions consisting of self-management and care co-ordination delivered by pharmacists and primary care teams. Further research is needed to establish the most effective and cost effective interventions. Special attention should be given to increasing patient sample size and using a common measure of adherence to overcome methodological limitations. Interventions that involve caregivers and target the healthcare provider as well as the patient should be further explored.</description><subject>Anti-Inflammatory Agents - administration & dosage</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Asthma</subject><subject>Bronchodilator Agents - administration & dosage</subject><subject>Bronchodilator Agents - therapeutic use</subject><subject>Care and treatment</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Compliance</subject><subject>Decision making</subject><subject>Diagnosis</subject><subject>Drugs</subject><subject>Economic aspects</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health care reform</subject><subject>Humans</subject><subject>Intervention</subject><subject>Lung diseases, Obstructive</subject><subject>Medical care, Cost of</subject><subject>Medication Adherence</subject><subject>Nebulizers and Vaporizers</subject><subject>Ordination</subject><subject>Patient compliance</subject><subject>Patient education</subject><subject>Patient outcomes</subject><subject>Pharmacists</subject><subject>Pulmonary Disease, Chronic Obstructive - drug therapy</subject><subject>Quality of life</subject><subject>Respiratory agents</subject><subject>Review</subject><subject>Self Care</subject><subject>Studies</subject><subject>Treatment Outcome</subject><issn>1465-9921</issn><issn>1465-993X</issn><issn>1465-993X</issn><issn>1465-9921</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1Uk2LFDEQbURx19W7Jwl48dJrkk46HQ_CMvixsOBFwYMQ0kllJkt3Mibds-y_N82MoyMrOaSo9-pV1aOq6iXBl4R07VvCWl5LSUlNWE2wfFSdH1LN98fHmJKz6lnOtxgT0Qn-tDqjjDQdluK8-nE9blPc-bBGI1hv9ORjQNpuIEEwgHxAZpNi8AbFPk9pNpPfAdrOwxiDTvfI-gw6wzukUb7PE4xFwaAEOw93z6snTg8ZXhz-i-rbxw9fV5_rmy-frldXN3XfEjHVFiQzgjnbdW3faG6opEYQSlmBtZYt1w473ElnnbGYU9xr2neWYNEwAm1zUb3f627nvmxhIExJD2qb_FhGVFF7dYoEv1HruFMME46bRWC1F-h9_I_AKWLiqBZ31eJuiVQxv6i8OYyR4s8Z8qRGnw0Mgw4Q51xoEgss244W6ut_qLdxTqGYVFiMU0IYxX9Yaz2A8sHF0twsouqKN6U95kwU1uUDrPIsjN7EAM6X_EkB3heYFHNO4I6LEqyWu3potVd_O3ws-H1IzS_Ieskd</recordid><startdate>20131020</startdate><enddate>20131020</enddate><creator>Bryant, Jamie</creator><creator>McDonald, Vanessa M</creator><creator>Boyes, Allison</creator><creator>Sanson-Fisher, Rob</creator><creator>Paul, Christine</creator><creator>Melville, Jessica</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131020</creationdate><title>Improving medication adherence in chronic obstructive pulmonary disease: a systematic review</title><author>Bryant, Jamie ; McDonald, Vanessa M ; Boyes, Allison ; Sanson-Fisher, Rob ; Paul, Christine ; Melville, Jessica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b617t-de94c74fd886b3a5c292c71224617aa965af0f089fdfcd0520ba2b8d107341e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Anti-Inflammatory Agents - administration & dosage</topic><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Asthma</topic><topic>Bronchodilator Agents - administration & dosage</topic><topic>Bronchodilator Agents - therapeutic use</topic><topic>Care and treatment</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Compliance</topic><topic>Decision making</topic><topic>Diagnosis</topic><topic>Drugs</topic><topic>Economic aspects</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Health care reform</topic><topic>Humans</topic><topic>Intervention</topic><topic>Lung diseases, Obstructive</topic><topic>Medical care, Cost of</topic><topic>Medication Adherence</topic><topic>Nebulizers and Vaporizers</topic><topic>Ordination</topic><topic>Patient compliance</topic><topic>Patient education</topic><topic>Patient outcomes</topic><topic>Pharmacists</topic><topic>Pulmonary Disease, Chronic Obstructive - drug therapy</topic><topic>Quality of life</topic><topic>Respiratory agents</topic><topic>Review</topic><topic>Self Care</topic><topic>Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bryant, Jamie</creatorcontrib><creatorcontrib>McDonald, Vanessa M</creatorcontrib><creatorcontrib>Boyes, Allison</creatorcontrib><creatorcontrib>Sanson-Fisher, Rob</creatorcontrib><creatorcontrib>Paul, Christine</creatorcontrib><creatorcontrib>Melville, Jessica</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Respiratory research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bryant, Jamie</au><au>McDonald, Vanessa M</au><au>Boyes, Allison</au><au>Sanson-Fisher, Rob</au><au>Paul, Christine</au><au>Melville, Jessica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improving medication adherence in chronic obstructive pulmonary disease: a systematic review</atitle><jtitle>Respiratory research</jtitle><addtitle>Respir Res</addtitle><date>2013-10-20</date><risdate>2013</risdate><volume>14</volume><issue>1</issue><spage>109</spage><epage>109</epage><pages>109-109</pages><issn>1465-9921</issn><issn>1465-993X</issn><eissn>1465-993X</eissn><eissn>1465-9921</eissn><abstract>Adherence to medication among individuals with chronic obstructive pulmonary disease (COPD) is suboptimal and has negative impacts on survival and health care costs. No systematic review has examined the effectiveness of interventions designed to improve medication adherence. Electronic databases Medline and Cochrane were searched using a combination of MeSH and keywords. Eligible studies were interventions with a primary or secondary aim to improve medication adherence among individuals with COPD published in English. Included studies were assessed for methodological quality using the Effective Practice and Organisation of Care (EPOC) criteria. Of the 1,186 papers identified, seven studies met inclusion criteria. Methodological quality of the studies was variable. Five studies identified effective interventions. Strategies included: brief counselling; monitoring and feedback about inhaler use through electronic medication delivery devices; and multi-component interventions consisting of self-management and care co-ordination delivered by pharmacists and primary care teams. Further research is needed to establish the most effective and cost effective interventions. Special attention should be given to increasing patient sample size and using a common measure of adherence to overcome methodological limitations. Interventions that involve caregivers and target the healthcare provider as well as the patient should be further explored.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24138097</pmid><doi>10.1186/1465-9921-14-109</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anti-Inflammatory Agents - administration & dosage Anti-Inflammatory Agents - therapeutic use Asthma Bronchodilator Agents - administration & dosage Bronchodilator Agents - therapeutic use Care and treatment Chronic obstructive pulmonary disease Compliance Decision making Diagnosis Drugs Economic aspects Health care Health care industry Health care reform Humans Intervention Lung diseases, Obstructive Medical care, Cost of Medication Adherence Nebulizers and Vaporizers Ordination Patient compliance Patient education Patient outcomes Pharmacists Pulmonary Disease, Chronic Obstructive - drug therapy Quality of life Respiratory agents Review Self Care Studies Treatment Outcome |
title | Improving medication adherence in chronic obstructive pulmonary disease: a systematic review |
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