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
Hauptverfasser: Bryant, Jamie, McDonald, Vanessa M, Boyes, Allison, Sanson-Fisher, Rob, Paul, Christine, Melville, Jessica
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container_issue 1
container_start_page 109
container_title Respiratory research
container_volume 14
creator Bryant, Jamie
McDonald, Vanessa M
Boyes, Allison
Sanson-Fisher, Rob
Paul, Christine
Melville, Jessica
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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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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