How do elderly outpatients manage polypharmacy including DOAC - A qualitative analysis highlighting a need for counselling

Albert, Valérie; Baumgartner, Pascal C.; Hersberger, Kurt E.; Arnet, Isabelle

doi:10.1016/j.sapharm.2021.07.027

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…They found that 4 weeks of electronic monitoring revealed deviant behavior, such as missed doses and cognitive difficulties. In particular, pharmacist home visits may be an appropriate format to support patients in understanding and optimizing their medication management at every stage [83]. Further research is now needed to assist practitioners in interpreting the recorded data and, ultimately, to support clinical decision-making [48].…”

Section: Time4medmentioning

confidence: 99%

Innovative Approaches to Enhance and Measure Medication Adherence in Chronic Disease Management: A Review

Gackowski,

Jasińska-Stroschein,

Osmałek

et al. 2024

Med Sci Monit

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Medication non-adherence is a problem that affects up to 50% of patients with chronic diseases. The result is a failure to achieve therapeutic goals and an increased burden on the healthcare system. It is, therefore, highly appropriate to develop models to assess patient adherence to prescribed therapy. To date, there are many methods for doing this. However, several tools have been developed that subjectively or objectively, directly or indirectly, assess the level of patient adherence. Electronic medication packaging devices are among the most rapidly evolving methods of measuring adherence. Other emerging technologies include the use of artificial intelligence algorithms and ingestible biosensors. The former is being used to create applications for mobile phones and laptops. The latter appears to be the least susceptible to the risk of overestimating adherence but remains very expensive. Here, we present recent developments in measuring patient adherence, and provide details of achievements in objective methods for assessing adherence, such as electronic monitoring devices, video-observed therapy, and ingestible biosensors. A dedicated section on using artificial intelligence and machine learning in adherence measurement and reviewing questionnaires and scales used in specific diseases is also included. Methods are discussed along with their advantages and potential limitations. This article aimed to review current measures and future initiatives to improve patient medication adherence.

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Section: Time4medmentioning

confidence: 99%

Innovative Approaches to Enhance and Measure Medication Adherence in Chronic Disease Management: A Review

Gackowski,

Jasińska-Stroschein,

Osmałek

et al. 2024

Med Sci Monit

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Barriers and facilitators for adherence to direct oral anticoagulants in patients with atrial fibrillation: A qualitative approach

Capiau,

Grymonprez,

Scheire

et al. 2023

Thrombosis Research

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Description of self-care behaviours in patients with non-valvular atrial fibrillation on oral anticoagulant therapy: a scoping review

Magon,

Hendriks,

Conte

et al. 2024

European Journal of Cardiovascular Nursing

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Aim The primary aim of this scoping review was to explore and categorise the medication-related self-care behaviours exhibited by patients with non-valvular atrial fibrillation (NVAF) who are on oral anticoagulant (OAC) therapy. Methods and Results A scoping review was performed, and the systematic search of the literature yielded an initial 887 records. After deduplication and screening, 61 studies were included in the analysis, ranging from 2003 to 2023. The studies represented a wide geographical distribution and diverse methodologies. The results identified 16 self-care behaviours: a higher focus of the included literature on self-care monitoring (60.65% of studies), followed by self-care management and self-care maintenance (each 16.39%). These behaviours ranged from regular blood testing to consulting healthcare providers and lifestyle changes. The results also highlighted the relationship between treatment satisfaction, self-efficacy, and adherence. Several studies emphasised the critical role of healthcare providers in influencing medication adherence. Furthermore, patient knowledge, quality of life, and psychological factors were identified as key elements affecting self-care behaviours. Conclusion The review provides a comprehensive landscape of medication-related self-care behaviors among NVAF patients on OAC therapy. It underscores the predominance of self-care monitoring behaviours and the critical roles of healthcare providers, psychological factors, and patient knowledge in influencing these behaviours. The findings also highlight the necessity for an integrated, patient-centred approach to improving self-care and self-management in OAC treatment. Future research should focus on addressing the identified gaps, including the relative lack of studies on lifestyle modification, emotional well-being, and technology-assisted interventions. Registration This review is part of a broader project and is documented at ClinicalTrials.gov (NCT05820854).

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How do elderly outpatients manage polypharmacy including DOAC - A qualitative analysis highlighting a need for counselling

Cited by 4 publications

References 20 publications

Innovative Approaches to Enhance and Measure Medication Adherence in Chronic Disease Management: A Review

Innovative Approaches to Enhance and Measure Medication Adherence in Chronic Disease Management: A Review

Barriers and facilitators for adherence to direct oral anticoagulants in patients with atrial fibrillation: A qualitative approach

Description of self-care behaviours in patients with non-valvular atrial fibrillation on oral anticoagulant therapy: a scoping review

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