A systematic review of community-based interventions to improve oral chronic disease medication regimen adherence among individuals with substance use disorder

Clements, Karen M.; Hydery, Tasmina; Tesell, Mark A.; Greenwood, Bonnie C.; Angelini, Michael C.

doi:10.1016/j.drugalcdep.2018.03.039

Cited by 14 publications

(10 citation statements)

References 53 publications

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“…The medications adherence metric Proportion of Days Covered (PDC) is an indirect measure for reporting health outcomes [ 41 ]. Community pharmacists have been shown to positively improve this metric, leading to health improvement [ 42 , 43 ]. However very few contracts are linked to positive revenue surrounding PDC [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

et al. 2020

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Background: Pharmacists are positioned as an accessible source of patient care services (PCS). Despite the adversity community pharmacies continue to face, the expanding opportunity of offering PCS continues to be a pathway forward. Objective: To identify community pharmacists’ perceptions to deliver PCS within an enhanced service network. Methods: One-on-one semi-structured phone interviews were conducted as part of a mixed-methods approach. Interview transcripts were analyzed using a consensus codebook to draft thematic findings. Participants were recruited from an electronic survey targeting community pharmacists from the New York chapters of the Community Pharmacy Enhanced Services Network (CPESN). Results: Twelve pharmacists were interviewed with four main themes identified. The majority of study participants were pharmacy owners (92%) devoting an average of 15 h/week to PCS and 8 h/week addressing social barriers. The main themes identified include: (1) perceptions of pharmacy profession, (2) reimbursement models and sustainability of PCS, (3) provision of patient care services, and (4) how PCS address social determinants of health. Conclusions: Offering PCS opportunities for patients is a direction many community pharmacists have embraced and are working to succeed. Ongoing research is needed focusing on community pharmacists’ self-perceptions of the clinical impact and role they hold in an evolving healthcare system.

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Section: Discussionmentioning

confidence: 99%

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

et al. 2020

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“…The question of how OAL-HIV who use drugs manage these comorbidities and, relatedly, polypharmacy, and how different substances might have unique interactions with specific comorbidities in this population remains largely unanswered in the literature. Furthermore, while many studies have reported adverse impacts of substance use on non-adherence to medications, including ART, among PLHIV, knowledge remains limited on the mechanisms linking substance use with medication and treatment regimens among OALHIV [7,24,25]. Research that explores how older adults manage HIV alongside other co-occurring health conditions in the context of substance use is warranted.…”

Section: Discussionmentioning

confidence: 99%

Addressing treatment and care needs of older adults living with HIV who use drugs

Chayama

McNeil

2020

J Intern AIDS Soc

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Introduction Older adults living with HIV (OALHIV; ≥50 years) who use drugs face unique needs and challenges that compromise their health and wellbeing due to the structural and environmental barriers they experience, in addition to being disproportionately affected by comorbidities. Nevertheless, research on this population is limited and work is needed to tailor and optimize their care and services. The purpose of this commentary is to address the key research gaps pertaining to OALHIV who use drugs. Discussion We identified four key research gaps specific to OALHIV who use drugs. Gap 1: Increased understanding of how older adults manage HIV alongside comorbidities in the context of substance use is critical to optimize their care management. Gap 2: More information on the geriatric characteristics of OALHIV who use drugs and the need and role of harm reduction in geriatric care is necessary for the provision of appropriate and effective care. Gap 3: Greater knowledge around the adoption of harm reduction and case manager approaches in various care facilities is essential to ensure equitable access to care for OALHIV who use drugs. Gap 4: Improved understanding of barriers to high‐quality palliative care among OALHIV who use drugs is important to enhance quality of life across their life course. Conclusions Addressing the identified gaps in literature will lead to a more fulsome understanding of the issues encountered by OALHIV who use drugs and inform the development and implementation of strategies that address disparities at the intersection of HIV, substance use and ageing.

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“…Many studies have reported relationships between substance use and non-adherence to medications (52) including non-adherence to ART (53). For example, one study of OPLWH examined the relationship between ART non-adherence (number of days when ART was skipped) and days when study participants used alcohol, marijuana, cocaine/crack, opiates, amyl nitrite (poppers), and other drugs.…”

Section: Co-morbidities Of Oplwhmentioning

confidence: 99%

Substance Use Among Older People Living With HIV: Challenges for Health Care Providers

Deren

Cortes

Dickson

et al. 2019

Front. Public Health

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Older people living with HIV (OPLWH) have higher rates of substance use (tobacco, alcohol, and other drugs) than their HIV-negative peers. Addressing health care needs of OPLWH who use substances is more challenging than for those who do not: they are highly impacted by comorbid conditions, substance use can interact with other medications (including antiretroviral therapy-ART) and reduce their effectiveness, and substance use has been associated with reduced adherence to ART and increased risky behaviors (including sexual risks). People who use substances also suffer disparities along the HIV continuum of care, resulting in lower viral suppression rates and poorer health outcomes. They are especially impacted by stigma and stress, which have implications for HIV treatment and care. Recommendations for health care providers working with OPLWH who use substances include: (1) the need to screen and refer for multiple associated conditions, and (2) training/continuing education to enhance care management and maximize health outcomes.

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A systematic review of community-based interventions to improve oral chronic disease medication regimen adherence among individuals with substance use disorder

Cited by 14 publications

References 53 publications

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

Community Pharmacists’ Perceptions of Patient Care Services within an Enhanced Service Network

Addressing treatment and care needs of older adults living with HIV who use drugs

Substance Use Among Older People Living With HIV: Challenges for Health Care Providers

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