Witry Matthew J, LaFever Michelle, Gu Xiaomei
University of Iowa College of Pharmacy, Iowa City, Iowa.
Banner University Medical Center, Tucson, Arizona.
Am J Pharm Educ. 2017 Jun;81(5):95. doi: 10.5688/ajpe81595.
To review published educational interventions focusing on medication non-adherence. A literature search was performed of educational articles on the topic of medication adherence. Data on interventions and learning assessments were abstracted for relevant studies meeting search criteria. Twenty studies met inclusion criteria. Sixteen included pill-taking experiences with regimens of candies or placebos and varied in their inclusion of novel elements to highlight issues such as stigma, regimen complexity, and adherence measurement. Three studies involved interacting with the public. Qualitative and quantitative methods were used to assess a variety of learning outcomes. Pill-taking experiences can help future providers appreciate the complex logistics of medication-taking, but are less capable of addressing the psychosocial aspects of adherence. A promising area for learning is to interact with actual medication users to understand their experiences and perspectives.
回顾已发表的针对药物治疗不依从性的教育干预措施。对关于药物治疗依从性主题的教育文章进行了文献检索。针对符合检索标准的相关研究,提取了干预措施和学习评估的数据。二十项研究符合纳入标准。十六项研究纳入了服用糖果或安慰剂方案的服药体验,并且在纳入新元素以突出耻辱感、治疗方案复杂性和依从性测量等问题方面存在差异。三项研究涉及与公众互动。采用定性和定量方法评估各种学习成果。服药体验有助于未来的医疗服务提供者理解服药的复杂流程,但在解决依从性的心理社会方面则能力较弱。一个有前景的学习领域是与实际的药物使用者互动,以了解他们的经历和观点。