Clinical Research Unit of Nanoro, Institut de Recherche en Sciences de la Santé, Nanoro, Burkina Faso.
Infectious Diseases Research Collaboration.
Clin Infect Dis. 2023 Jul 25;77(Suppl 2):S206-S210. doi: 10.1093/cid/ciad323.
In this Viewpoint, the authors explore the determinants of patients' prescription adherence behaviors as part of FIND's Advancing Access to Diagnostic Innovation essential for Universal Health Coverage and AMR Prevention (ADIP) trials (ClinicalTrials.gov identifier: NCT04081051). Research findings from Burkina Faso, Ghana, and Uganda show that basic knowledge and understanding of prescription instructions are essential for adherence and can be improved through better communication. However, there are a range of other factors that influence adherence, some of which can be influenced through tailored communication messages from healthcare workers. These messages may contribute to changes in adherence behavior but may require other reinforcing interventions to be effective. Finally, there are some drivers of nonadherence centered around costs and time pressure that require other forms of intervention.
在本观点中,作者探讨了患者处方依从行为的决定因素,这是 FIND 的推进诊断创新以实现全民健康覆盖和抗菌药物耐药性预防(ADIP)试验的重要组成部分(ClinicalTrials.gov 标识符:NCT04081051)。来自布基纳法索、加纳和乌干达的研究结果表明,对处方说明的基本知识和理解是遵守的基础,通过更好的沟通可以提高。然而,还有一系列其他因素影响着依从性,其中一些因素可以通过医疗保健工作者的有针对性的沟通信息来影响。这些信息可能有助于改变依从行为,但可能需要其他强化干预措施才能有效。最后,有一些不依从的驱动因素集中在成本和时间压力上,这需要其他形式的干预。