TY - JOUR
AU - E. Lammila-Escalera
AU - G. Greenfield
AU - Z. Pan
AU - D. Nicholls
AU - A. Majeed
AU - B. Hayhoe
A1 - 
AB - BACKGROUND: Medication non-adherence is a notable contributor to healthcare inefficiency, resulting in poor medication management, impaired patient outcomes, and ineffective symptom control. AIM: To summarise interventions targeting medication adherence for adults with mental-physical multimorbidity in primary healthcare settings. DESIGN AND SETTING: A systematic review of the literature - published in any language and with any country of origin - was conducted. METHOD: MEDLINE, EMBASE, PsycInfo, Web of Science, Cochrane Library, and the Cumulated Index to Nursing and Allied Health Literature - more commonly known as CINAHL - were searched for relevant studies. Data were extracted and synthesised using narrative synthesis. The Effective Practice and Organisation of Care (EPOC) taxonomy was used to classify intervention types. Risk of bias was assessed using the National Heart, Lung, and Blood Institute's quality assessment tool for controlled intervention studies. RESULTS: Eleven studies, representing 2279 patients, were included. All interventions examined were classified into one EPOC domain, namely 'delivery arrangements'. All included studies examined patients who had a physical condition and depression. Seven studies examining interventions focused on coordination of care and management of care processes reported statistically significant improvements in medication adherence that were attributed to the intervention. Four studies considering the use of information and communication technology observed no changes in medication adherence. CONCLUSION: Interventions that coordinate and manage healthcare processes may help improve patients' adherence to medication regimes in those with mental-physical multimorbidity. However, it is still necessary to better understand how digital health technology can support patients in following their medication regimes. As the growing challenges of treating multimorbidity are faced, everyone involved in health services - from providers to policymakers - must be receptive to a more integrated approach to healthcare delivery.
AD - Department of Primary Care and Public Health.; Department of Primary Care and Public Health, Imperial College London, London.
AN - 38429109
BT - Br J Gen Pract
C5 - HIT & Telehealth; Education & Workforce
CP - 744
DA - Jul
DO - 10.3399/bjgp.2023.0406
DP - NLM
ET - 20240627
IS - 744
JF - Br J Gen Pract
LA - eng
N2 - BACKGROUND: Medication non-adherence is a notable contributor to healthcare inefficiency, resulting in poor medication management, impaired patient outcomes, and ineffective symptom control. AIM: To summarise interventions targeting medication adherence for adults with mental-physical multimorbidity in primary healthcare settings. DESIGN AND SETTING: A systematic review of the literature - published in any language and with any country of origin - was conducted. METHOD: MEDLINE, EMBASE, PsycInfo, Web of Science, Cochrane Library, and the Cumulated Index to Nursing and Allied Health Literature - more commonly known as CINAHL - were searched for relevant studies. Data were extracted and synthesised using narrative synthesis. The Effective Practice and Organisation of Care (EPOC) taxonomy was used to classify intervention types. Risk of bias was assessed using the National Heart, Lung, and Blood Institute's quality assessment tool for controlled intervention studies. RESULTS: Eleven studies, representing 2279 patients, were included. All interventions examined were classified into one EPOC domain, namely 'delivery arrangements'. All included studies examined patients who had a physical condition and depression. Seven studies examining interventions focused on coordination of care and management of care processes reported statistically significant improvements in medication adherence that were attributed to the intervention. Four studies considering the use of information and communication technology observed no changes in medication adherence. CONCLUSION: Interventions that coordinate and manage healthcare processes may help improve patients' adherence to medication regimes in those with mental-physical multimorbidity. However, it is still necessary to better understand how digital health technology can support patients in following their medication regimes. As the growing challenges of treating multimorbidity are faced, everyone involved in health services - from providers to policymakers - must be receptive to a more integrated approach to healthcare delivery.
PY - 2024
SN - 0960-1643 (Print); 0960-1643
SP - e442
EP - e448+
ST - Interventions to improve medication adherence in adults with mental-physical multimorbidity in primary care: a systematic review
T1 - Interventions to improve medication adherence in adults with mental-physical multimorbidity in primary care: a systematic review
T2 - Br J Gen Pract
TI - Interventions to improve medication adherence in adults with mental-physical multimorbidity in primary care: a systematic review
U1 - HIT & Telehealth; Education & Workforce
U3 - 10.3399/bjgp.2023.0406
VL - 74
VO - 0960-1643 (Print); 0960-1643
Y1 - 2024
ER -