4.3 Review

Nurse-led interventions to enhance adherence to chronic medication: systematic review and meta-analysis of randomised controlled trials

Journal

EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY
Volume 69, Issue 4, Pages 761-770

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00228-012-1419-y

Keywords

Medication adherence; Compliance; Interventions; Nurse-led; Electronic monitoring; Chronic illness

Ask authors/readers for more resources

Non-adherence to chronic medication remains an important problem with vast consequences and without solutions to date. Nurses are well positioned to provide adherence care, yet currently represent an underutilised force in improving adherence and outcomes. This review aims to synthesise the effect of nurse-led interventions on adherence to chronic medication. Using Review Manager software, a meta-analysis was conducted. The search term medication adherence was combined with random* and nurse in PubMed and ISI Web of Knowledge. Retrieved articles' reference lists were hand searched. Included were randomised controlled trials on nurse-led interventions, aiming to improve chronic medication adherence. Articles were to be in English and published from 2006 to 2011. Quality was assessed using an adapted version of the CONSORT tool. Ten studies met the selection criteria, seven of which were on HIV-positive patients. Their quality was acceptable to high. Counselling was the intervention most frequently assessed, mostly given face-to-face, but also in groups and via electronic messages. All interventions enhanced adherence. Of the five studies reporting adherence as mean percentage of adherence, pooled mean differences were +5.39 (1.70-9.07) (short term) and +9.49 (4.68-14.30) (long term), favouring the intervention groups. Of the studies reporting adherence dichotomously, odd's ratios were 1.55 (1.04-2.29) (short term) and 1.87 (1.35-2.61) (long term). The longer counselling was effectuated, the better the results. Counselling appears to be an effective approach that nurses can use to supplement other methods, building a multifaceted strategy to enhance adherence. Tackling non-adherence seems to demand continuous efforts and follow-up.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.3
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Substance Abuse

Factors associated with alcohol consumption among early adolescents in a province in Eastern region of Thailand: a cross-sectional analysis

Trakulwong Luecha, Lieve Peremans, Suwanna Junprsert, Bart Van Rompaey

Summary: This cross-sectional study aimed to investigate the factors associated with alcohol consumption among early adolescents in Thailand. The findings suggest that older age, positive attitude towards alcohol consumption, direct observation of friends and community members drinking, parents storing alcohol at home, and exposure to alcohol advertising are positively associated with current drinking among adolescents. Male gender appears to have an inverse association with current drinking.

JOURNAL OF ETHNICITY IN SUBSTANCE ABUSE (2022)

Review Nursing

Nurses' responsibilities and tasks in pharmaceutical care: A scoping review

Elyne De Baetselier, Tinne Dilles, Hilde Feyen, Filip Haegdorens, Laura Mortelmans, Bart Van Rompaey

Summary: This study aims to provide an overview of responsibilities and tasks of nurses in pharmaceutical care. Seven main responsibilities were identified, including management of medication therapy and adverse effects, promoting medication adherence, and assisting patients in medication self-management.

NURSING OPEN (2022)

Article Nursing

Flemish midwives' perspectives on supporting women during the transition to motherhood - A Q-methodology study

Laura Van den Branden, Natacha Van de Craen, Luka Van Leugenhaege, Eveline Mestdagh, Olaf Timmermans, Bart Van Rompaey, Yvonne J. Kuipers

Summary: This study aimed to reveal midwives' distinct perspectives about midwifery support of women in their transition process during the continuum from pregnancy to one-year postpartum. The study identified two distinct perspectives, job-focused midwife and woman-focused midwife, on supporting women in transition to motherhood.

MIDWIFERY (2022)

Article Multidisciplinary Sciences

Understanding pharmaceutical care and nurse prescribing in Spain: A grounded theory approach through healthcare professionals' views and expectations

Manuel Lillo-Crespo, Jorge Riquelme-Galindo, Elyne De Baetselier, Bart Van Rompaey, Tinne Dilles

Summary: This study aimed to increase understanding of the role of nurses in pharmaceutical care in Spain. The results showed that nurses are primarily responsible for population's pharmaceutical care, while other professionals rely on them to provide quality healthcare. However, more consensus is needed nationwide in terms of nurses' training and communication among different professionals within healthcare organizations to achieve appropriate integrated care into practice.

PLOS ONE (2022)

Article Nursing

Role of resilience in healthcare workers' distress and somatization during the COVID-19 pandemic: A cross-sectional study across Flanders, Belgium

Erik Franck, Eva Goossens, Filip Haegdorens, Nina Geuens, Michael Portzky, Tinneke Tytens, Tinne Dilles, Katrien Beeckman, Olaf Timmermans, Stijn Slootmans, Bart Van Rompaey, Peter Van Bogaert

Summary: This study in Belgium found that during the COVID-19 pandemic, the level of psychological resilience among healthcare workers was closely related to distress and somatization symptoms. Individuals with higher resilience were less likely to experience distress and somatization symptoms. Those with higher educational levels had lower levels of distress and somatization symptoms, while physicians had the lowest risk.

NURSING OPEN (2022)

Article Environmental Sciences

Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers

Elke Loots, Josee Leys, Shara Proost, Manuel Morrens, Inge Glazemakers, Tinne Dilles, Bart Van Rompaey

Summary: This study explored the perspectives of hospitalised patients with schizophrenia or bipolar disorder and their healthcare providers on medication self-management. The results showed that regular monitoring and follow-ups were considered essential for medication self-management. All stakeholders believed that patient, nursing staff, and psychiatrist should be involved in the process. Most patients found medication self-management during hospitalisation to increase their confidence and satisfaction. The findings imply that medication self-management can have positive effects on the recovery process.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2022)

Article Nursing

Nurse students' competences in interprofessional pharmaceutical care in Europe: Cross-sectional evaluation

Elyne De Baetselier, Nienke E. Dijkstra, Luis M. Batalha, Paulo A. Carvalho Ferreira, Izabela Filov, Vigdis A. Grondahl, Jana Heczkova, Ann K. Helgesen, Jo Hirdle, Sue Jordan, Petros Kolovos, Gero Langer, Sabina Licen, Manuel Lillo-Crespo, Alba Malara, Hana Padysakova, Mirko Prosen, Dorina Pusztai, Bence Raposa, Jorge Riquelme-Galindo, Jana Rottkova, Carolien G. M. Sino, Francesco Talarico, Styliani Tziaferi, Bart Van Rompaey, Tinne Dilles

Summary: This study assessed the pharmaceutical care competences of nursing students at different educational levels. It found that final-year nursing students had relatively low knowledge scores, suggesting that some students may be insufficiently prepared in certain areas. Most students considered themselves skilled to perform pharmaceutical care and had positive attitudes towards their participation in pharmaceutical care.

NURSE EDUCATION IN PRACTICE (2022)

Article Geriatrics & Gerontology

Certified Nursing Assistants? Perspectives on Delirium Care

Kelly Sabbe, Naomi Aerts, Roos van der Mast, Bart Van Rompaey

Summary: This qualitative study explores the perspectives of certified nursing assistants (CNAs) on delirium through interviews with seven CNAs. The findings highlight the importance of delirium training for CNAs in providing care for residents with delirium.

JOURNAL OF GERONTOLOGICAL NURSING (2023)

Article Nursing

The attitude of healthcare providers towards medication self-management in hospitalized patients diagnosed with schizophrenia or bipolar disorders

Elke Loots, Tinne Dilles, Sarah Hadouchi, Bart Van Rompaey, Manuel Morrens

Summary: This study aimed to investigate the willingness and attitude of psychiatric healthcare providers toward medication self-management (MSM) in patients with schizophrenia or bipolar disorder during hospitalization. The results showed that 86% of the healthcare providers were willing to engage in MSM during hospitalization and regularly evaluating patients' ability regarding MSM was considered an important condition.

JOURNAL OF PSYCHIATRIC AND MENTAL HEALTH NURSING (2023)

Article Nursing

Digital adaptability competency for healthcare professionals: a modified e

Roxanne Bleijenbergh, Eveline Mestdagh, Olaf Timmermans, Bart Van Rompaey, Yvonne J. Kuipers

Summary: This study aims to establish items of the digital adaptability competency for healthcare professionals. Through an exploratory modified e-Delphi study, the authors identified 29 items related to the digital adaptability competency of healthcare professionals.

NURSE EDUCATION IN PRACTICE (2023)

Article Public, Environmental & Occupational Health

Perceived barriers, benefits, facilitators, and attitudes of health professionals towards type 2 diabetes management in Oujda, Morocco: a qualitative focus group study

Usman Sani Dankoly, Dirk Vissers, Souad Ben El Mostafa, Abderrahim Ziyyat, Bart Van Rompaey, Paul Van Royen, Abdellatif Maamri

Summary: In Morocco, the majority of T2D treatment focuses on medication and there is a lack of coaching towards healthier lifestyles. This study examines healthcare professionals' perspectives on the barriers and benefits of an integrated care approach to T2D management in Oujda.

INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH (2023)

Article Substance Abuse

The theory of planned behavior used to explain alcohol drinking among young adolescents in Thailand: a qualitative study

Trakulwong Luecha, Bart Van Rompaey, Lieve Peremans

Summary: This study used the theory of planned behavior to explore alcohol drinking behavior. A qualitative interview methodology was employed with early adolescents in Thailand. The findings suggest that attitude and subjective norms have the most influence on underage drinking.

JOURNAL OF SUBSTANCE USE (2023)

Article Public, Environmental & Occupational Health

On cloud nine? Maternal emotional wellbeing six weeks up to one year postpartum-A cross-sectional study

Laura Van den Branden, Natacha Van de Craen, Luka Van Leugenhaege, Roxanne Bleijenbergh, Eveline Mestdagh, Olaf Timmermans, Bart Van Rompaey, Yvonne J. Kuipers

Summary: This study aimed to increase knowledge about mothers' emotional wellbeing and the influencing factors. Results showed that 63.9% of the participants reported reduced emotional wellbeing. Mothers with reduced emotional wellbeing were more likely to have psychological problems. Emotional wellbeing was negatively associated with satisfaction, comprehensibility, and positively associated with bonding, manageability, problem solving, and avoidance.

SEXUAL & REPRODUCTIVE HEALTHCARE (2023)

Article Medicine, General & Internal

Delirium in Home Care: A Case Report

Kelly Sabbe, Roos Van Der Mast, Bart Van Rompaey

Summary: Delirium is a challenging medical problem, particularly in the home care setting, and greatly affects both patients and family caregivers. This report describes a case of delirium in an older home-bound man and offers strategies for detecting and managing delirium in a home care setting.

CUREUS JOURNAL OF MEDICAL SCIENCE (2023)

Article Nursing

Attitudes of patients with schizophrenia spectrum or bipolar disorders towards medication self-management during hospitalisation

Elke Loots, Tinne Dilles, Bart Van Rompaey, Manuel Morrens

Summary: Most psychiatric patients are willing to self-manage their medication during hospitalization, especially under specific conditions such as being motivated to take their medication correctly and understanding the benefits of their medication.

JOURNAL OF CLINICAL NURSING (2023)

No Data Available