Improving medication adherence in hypertensive patients: A scoping review

Pinho, Simão; Cruz, Mariana; Ferreira, Filipa; Ramalho, André; Sampaio, Rute

doi:10.1016/j.ypmed.2021.106467

Cited by 13 publications

(7 citation statements)

References 96 publications

(78 reference statements)

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“…12,16,50,51 We documented how IFA adherence programs in 4 low-and middle-income countries (LMICs) responded to the prevailing strengths and weaknesses of existing ANC services and prioritized relevant factors based on assessments and formative studies and used evidence-based frameworks. 49,52,53 Although countries aligned their ANC guidelines with global recommendations on IFA supplementation prior to intervention, we noted gaps in implementing them effectively. 11 Supply-side health system elements have dominated the literature on IFA adherence frameworks and interventions.…”

Section: Discussionmentioning

confidence: 97%

Comprehensive Approach for Improving Adherence to Prenatal Iron and Folic Acid Supplements Based on Intervention Studies in Bangladesh, Burkina Faso, Ethiopia, and India

et al. 2023

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Background: The World Health Organization recommends daily iron and folic acid (IFA) supplementation during pregnancy, but consumption remains low, and high prevalence of anemia among pregnant women (PW) persists. Objectives: This study aims to (1) examine factors at the health system, community, and individual levels, which influence adherence to IFA supplements; and (2) describe a comprehensive approach for designing interventions to improve adherence based on lessons learned from 4 country experiences. Methods: We conducted literature search, formative research, and baseline surveys in Bangladesh, Burkina Faso, Ethiopia, and India and applied health systems strengthening and social and behavior change principles to design interventions. The interventions addressed underlying barriers at the individual, community, and health system levels. Interventions were further adapted for integration into existing large-scale antenatal care programs through continuous monitoring. Results: Key factors related to low adherence were lack of operational protocols to implement policies, supply chain bottlenecks, low capacity to counsel women, negative social norms, and individual cognitive barriers. We reinforced antenatal care services and linked them with community workers and families to address knowledge, beliefs, self-efficacy, and perceived social norms. Evaluations showed that adherence improved in all countries. Based on implementation lessons, we developed a program pathway and details of interventions for mobilizing health systems and community platforms for improving adherence. Conclusion: A proven process for designing interventions to address IFA supplement adherence will contribute to achieving global nutrition targets for anemia reduction in PW. This evidence-based comprehensive approach may be applied in other countries with high anemia prevalence and low IFA adherence.

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Section: Discussionmentioning

confidence: 97%

Comprehensive Approach for Improving Adherence to Prenatal Iron and Folic Acid Supplements Based on Intervention Studies in Bangladesh, Burkina Faso, Ethiopia, and India

et al. 2023

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“…A revisão de escopo de Pinho et al ( 33 ) apontou efeitos positivos das intervenções de educação na adesão ao tratamento farmacológico de pessoas com HAS; contudo, esses autores não informam quais profissionais promoveram a ação educativa e, ainda, muitos estudos demonstraram a falta de efeito desse tipo de intervenção. Com relação a automonitoramento, aplicativos de celular e mensagens de texto, os resultados positivos que foram descritos são semelhantes aos encontrados na presente síntese de evidências.…”

Section: Discussionunclassified

Adesão, barreiras e facilitadores no tratamento de hipertensão arterial: revisão rápida de evidências

Silva

Melo

Toma

et al. 2023

Revista Panamericana De Salud Pública

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Objetivo. Identificar estratégias para aumentar a adesão ao tratamento de hipertensão arterial sistêmica (HAS) e descrever as barreiras e os facilitadores para implementação dessas estratégias na atenção primária à saúde (APS). Métodos. Foi realizada uma revisão rápida de evidências. Foram incluídas revisões sistemáticas, com ou sem metanálises, publicadas em inglês, espanhol ou português, que avaliaram adultos (18 a ≤ 60 anos) com HAS acompanhados na APS. As buscas foram realizadas em nove bases de dados em dezembro de 2020 e atualizadas em abril de 2022. As revisões sistemáticas incluídas foram avaliadas quanto à qualidade metodológica por meio da ferramenta AMSTAR 2. Resultados. Foram incluídas 14 revisões sistemáticas sobre estratégias de adesão ao tratamento e três sobre barreiras e facilitadores para implementação. A qualidade metodológica foi moderada em uma revisão sistemática, baixa em quatro e criticamente baixa nas demais. Quatro estratégias foram identificadas como opções para políticas de saúde: ações realizadas por farmacêuticos; ações realizadas por profissionais não farmacêuticos; automonitoramento, uso de aplicativos de celular e mensagens de texto; e oferta de subsídios para aquisição de medicamentos. O baixo letramento digital, o acesso limitado à internet, processos de trabalho e formação incipiente foram barreiras para os profissionais. Foram facilitadores o nível educacional e de letramento em saúde dos usuários, a acessibilidade aos serviços de saúde e o bom relacionamento com os profissionais. Conclusões. Identificaram-se efeitos positivos de estratégias relacionadas à atenção farmacêutica, automonitoramento e uso de aplicativos de celular e mensagem de texto para aumentar a adesão ao tratamento da HAS no âmbito da APS. Porém, para fins de implementação, é preciso considerar barreiras e facilitadores, além das limitações metodológicas das revisões sistemáticas analisadas.

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“…To prevent disease relapse, maintaining behavioral changes is crucial. Adherence to lifestyle interventions presents a particular challenge for future programs (Pinho et al, 2021), while Ried Larsen et al (2019 highlighted the need for "further studies on maintaining lifestyle changes." Adherence is defined as "…the extent to which a person's behavior-taking medication, following a diet, and/or implementing lifestyle changes-aligns with agreed recommendations from a healthcare provider…" (Paulter et al, 2020: p.2) Tan et al (2022) found that health-related motivations are determinants of self-care behavior for the prevention of hypertension in a Malaysian community.…”

Section: Literature Reviewmentioning

confidence: 99%

Motivational Factors in Adherence among Elderly with Diabetes and Hypertension

Liu,

Dahlan,

Mohd Fahmi Teng

et al. 2024

E-BPJ

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This qualitative study aims to explore the motivational factors in adherence among the elderly with diabetes and hypertension from the perspectives of patients and health professionals in China. Semi-structured face-to-face interviews were conducted. Thematic analysis of the interview transcripts unveiled eight master themes, including vicarious experiences, health beliefs, self-efficacy, feedback on health outcomes, the desire for improved health and longevity, understanding of diseases, perceived personal deterioration in health conditions, external regulation, and support. This study emphasizes the need for comprehensive strategies that align with the motivations of older individuals facing the dual challenges of diabetes and hypertension in China.

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Improving medication adherence in hypertensive patients: A scoping review

Cited by 13 publications

References 96 publications

Comprehensive Approach for Improving Adherence to Prenatal Iron and Folic Acid Supplements Based on Intervention Studies in Bangladesh, Burkina Faso, Ethiopia, and India

Comprehensive Approach for Improving Adherence to Prenatal Iron and Folic Acid Supplements Based on Intervention Studies in Bangladesh, Burkina Faso, Ethiopia, and India

Adesão, barreiras e facilitadores no tratamento de hipertensão arterial: revisão rápida de evidências

Motivational Factors in Adherence among Elderly with Diabetes and Hypertension

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