Concordance: a concept analysis

Schlenk

Journal of Advanced Nursing

et al. 2015

Section: Discussionmentioning

confidence: 97%

Section: Limitations Of the Studymentioning

confidence: 99%

The role of social support on the relationship of depressive symptoms to medication adherence and self‐care activities in adults with type 2 diabetes

Schlenk

Journal of Advanced Nursing

et al. 2015

Int J Mental Health Nurs

“…The reasons for this might be because different methods of measurement explore different components of medication adherence (Lehmann et al 2014) or that particularly subjective instruments do not measure the same concepts of adherence (Kikkert et al 2008). This is hardly surprising, as the conceptual definition of the terms 'compliance', 'adherence', and 'concordance' vary and partly overlap, resulting in methodological weaknesses (Bissonnette 2008;Snowden et al 2014;Vrijens et al 2012). According to the original definitions, 'compliance' is the extent to which a person's behaviour coincides with medical or health advice (Vrijens et al 2012), while 'adherence' emphasizes the therapeutic alliance established between the patient and the professional and their agreed decision-making (Horne 2006).…”

Section: Discussionmentioning

confidence: 99%

Does adherence therapy improve medication adherence among patients with schizophrenia? A systematic review

Hegedüs

Kozel

2014

Non-adherence to medication is highly prevalent in patients with schizophrenia. Adherence therapy aims to improve medication adherence of these patients by applying techniques of cognitive behavioural therapy, psycho-education, and motivational interviewing. Even though adherence therapy is frequently discussed and researched, its effectiveness is still uncertain. This paper aims to review the effectiveness of adherence therapy on the medication adherence of patients with schizophrenia. To this end, six electronic databases were systematically searched for randomized, controlled trials on adherence therapy from January 2002 to March 2013. Four trials met the inclusion criteria and were incorporated into the review. The findings suggest that adherence therapy does not improve patients' medication adherence in comparison to treatment as usual or a control intervention. However, all the studies reviewed showed high-adherence ratings at baseline. Thus, further well-designed studies that target adherence therapy to patients who are non-adherent to their medication are needed for a more profound understanding of its effectiveness. In addition, if adherence therapy is aimed not only at improving medication adherence, but also to reach an agreement whereby the patient's decision not to take his medication is accepted, the shared decision-making process needs to be assessed as well.

“…). This framework has been used previously by the authors to systematically analyse complex literature and illuminate discrete elements of social processes such as how, where and why a concept may occur (Snowden, Martin, Mathers, & Donnell, ). It is not the purpose of this review to conduct a full concept analysis.…”

Section: Introductionmentioning

confidence: 99%

A systematic review on the factors associated with positive experiences in carers of someone with cancer

Young

Snowden

2016

Eur J Cancer Care

The aim of this review was to identify the factors associated with positive experiences in non-professional carers of someone with a cancer diagnosis. A systematic search of the following electronic databases was undertaken: Cochrane Library, CINAHL, PsycINFO, SocINDEX and Medline. Literature was searched using terms relating to cancer, caring and positive experiences. Additional records were identified through a manual search of relevant reference lists. The search included studies published in English from 1990-June 2015. Two raters were involved in data extraction, quality appraisal, coding, synthesis, and analysis. Evolutionary concept analysis was used as a guiding framework in order to focus on attributes associated with positive experiences. Fifty two articles were included in this review. Analysis identified four overarching attributes: 'gender', 'personal resources', 'finding meaning' and 'social context'. Despite the challenges associated with caring this combination of internal and external factors enabled some carers to report positive experiences related to caring. This knowledge may be clinically helpful when designing supportive interventions. Strengths and limitations of these claims are discussed. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 IntroductionInformal carers are people who undertake care work for kin or friends on an unpaid basis.The increasingly important role that carers play in society and the need to provide personalised support services is recognised within international health and social care policy (Departement of Health, 2014). Despite this recognition, literature that specifically focuses on the role of the carer within the cancer field remains sparse (Fletcher et al, 2012). There is even less literature associated with the positive outcomes of caring.The physical, emotional, financial and social impact of caring for an individual with cancer can be considerable (Hudson, 2008). Certain external factors appear to be associated with carer burden and distress such as being single, unemployed or supporting someone in treatment (Chambers et al., 2012). Internal psychological responses, such as coping style, may help to minimize distress (Butow et al., 2014). Predictors of distress therefore involve an interrelationship between known caregiving stressors such as socio-demographic factors and characteristics of the carer. Positive aspects of caregivingThe relationship between positive affect in adaptation and resilience has been documented (Fredrickson, 2001). Yet, researchers predominately examine anxiety and distress in carers of someone with cancer (Roberts et al., 2013). Compared to research on burden and other negative outcomes there is little research associated with positive psychological outcomes.For example, a meta-analysis of 78 studies in the field of family care indicated that 57 use...