Systematic Review Examining the Behavior Change Techniques in Medication Adherence Intervention Studies Among People With Type 2 Diabetes.

IF 3.6 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Annals of Behavioral Medicine Pub Date : 2024-03-12 DOI:10.1093/abm/kaae001

Vivien Teo, John Weinman, Kai Zhen Yap

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Abstract

Background: Although previous systematic reviews have studied medication adherence interventions among people with Type 2 diabetes (PwT2D), no intervention has been found to improve medication adherence consistently. Furthermore, inconsistent and poor reporting of intervention description has made understanding, replication, and evaluation of intervention challenging.

Purpose: We aimed to identify the behavior change techniques (BCTs) and characteristics of successful medication adherence interventions among PwT2D.

Methods: A systematic search was conducted on Medline, Embase, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, and Scopus. Studies were included if they were randomized controlled trials with BCT-codable interventions designed to influence adherence to anti-diabetic medication for PwT2D aged 18 years old and above and have medication adherence measure as an outcome.

Results: Fifty-five studies were included. Successful interventions tend to target medication adherence only, involve pharmacists as the interventionist, contain "Credible source" (BCT 9.1), "Instruction on how to perform the behaviour" (BCT 4.1), "Social support (practical)" (BCT 3.2), "Action planning" (BCT 1.4), and/ or "Information about health consequences" (BCT 5.1). Very few interventions described its context, used theory, examined adherence outcomes during the follow-up period after an intervention has ended, or were tailored to address specific barriers of medication adherence.

Conclusion: We identified specific BCTs and characteristics that are commonly reported in successful medication adherence interventions, which can facilitate the development of future interventions. Our review highlighted the need to consider and clearly describe different dimensions of context, theory, fidelity, and tailoring in an intervention.

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对 2 型糖尿病患者用药依从性干预研究中行为改变技术的系统性回顾。

背景：尽管之前的系统综述研究了 2 型糖尿病患者（PwT2D）的服药依从性干预措施，但并未发现任何干预措施能持续改善服药依从性。目的：我们旨在确定行为改变技术（BCTs）以及在 2 型糖尿病患者中成功实施的服药依从性干预措施的特点：我们在 Medline、Embase、CINAHL、PsycINFO、Cochrane Central Register of Controlled Trials、Web of Science 和 Scopus 上进行了系统检索。纳入的研究均为随机对照试验，这些试验采用 BCT 编码的干预措施，旨在影响 18 岁及以上 PwT2D 抗糖尿病药物治疗的依从性，并将药物治疗依从性作为一项结果：结果：共纳入 55 项研究。成功的干预措施往往只针对服药依从性，由药剂师作为干预者，包含 "可靠来源"（BCT 9.1）、"指导如何实施行为"（BCT 4.1）、"社会支持（实际）"（BCT 3.2）、"行动规划"（BCT 1.4）和/或 "有关健康后果的信息"（BCT 5.1）。只有极少数干预措施描述了其背景、使用了理论、研究了干预结束后随访期间的依从性结果，或专门针对特定的服药障碍：我们发现了成功的坚持用药干预措施中常见的特定BCT和特征，这有助于未来干预措施的开发。我们的综述强调了考虑并明确描述干预措施的背景、理论、忠实性和定制等不同方面的必要性。

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来源期刊

Annals of Behavioral Medicine PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

7.00

自引率

5.30%

发文量

期刊介绍： Annals of Behavioral Medicine aims to foster the exchange of knowledge derived from the disciplines involved in the field of behavioral medicine, and the integration of biological, psychosocial, and behavioral factors and principles as they relate to such areas as health promotion, disease prevention, risk factor modification, disease progression, adjustment and adaptation to physical disorders, and rehabilitation. To achieve these goals, much of the journal is devoted to the publication of original empirical articles including reports of randomized controlled trials, observational studies, or other basic and clinical investigations. Integrative reviews of the evidence for the application of behavioral interventions in health care will also be provided. .