预防不坚持用药:支持早期参与治疗的干预框架。

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2024-08-05 DOI:10.1080/17437199.2024.2385525
Sarah Chapman, Lisbeth Frostholm, Trudie Chalder, Christopher Graham, Annette de Thurah, Tess van Leeuwen, Majbritt Mostrup Pedersen, Tina Carstensen, John Weinman
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引用次数: 0

摘要

摘要不遵医嘱用药现象十分普遍,导致了本可避免的发病率、死亡率和医疗系统的负担。本文提出了一种预防不遵医嘱用药的方法。我们考虑了患者服药初期不坚持用药的普遍性和决定因素方面的现有证据,并将这些证据与潜在的干预机会相联系。许多患者在拿到新药处方后不久就停止服药,而且常常不取药。通过习惯养成和症状体验等过程,早期不坚持用药的模式与后来的不坚持用药相关联。已知的不依从性预测因素可能在患者开始接受新治疗前就已存在,此时患者的生活和身份会因疾病而受到干扰。医护人员通常会在这个时候与患者接触。我们认为可以通过以下方式预防不坚持用药:在人群层面;通过优化处方流程;通过对存在早期障碍的患者进行低强度和高强度干预。我们举例说明了在实践中采用这种方法可能需要的具体干预措施和工具,并提出了研究的新方向,以促进早期用药,防止不坚持用药。
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Preventing medication nonadherence: a framework for interventions to support early engagement with treatment.

ABSTRACTMedication nonadherence is common and results in avoidable morbidity, mortality, and burdens on healthcare systems. This paper proposes a preventative approach to medication nonadherence. We consider existing evidence on the prevalence and determinants of nonadherence early in a patient's medication-taking journey, and map these to potential opportunities for intervention. Many patients stop taking a new medication soon after they are prescribed it, often not collecting the medication. Early patterns of nonadherence are linked to later nonadherence via processes such as habit formation and symptom experiences. Known predictors of nonadherence may be present before someone starts a new treatment, when patients experience disruption to their lives and identity due to illness. Healthcare professionals typically have contact with patients around this time. We argue that it may be possible to prevent medication nonadherence: at the population level; by optimising the prescription process; and through low- and high-intensity interventions for patients with identified early barriers. We give examples of specific interventions and tools that might be needed to operationalise this approach in practice and propose new directions for research to promote early engagement with medication to prevent nonadherence.

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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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