Can Mindfulness Training Improve Medication Adherence? Integrative Review of the Current Evidence and Proposed Conceptual Model

Salmoirago‐Blotcher, Elena; Carey, Michael P.

doi:10.1016/j.explore.2017.09.010

Cited by 20 publications

(19 citation statements)

References 95 publications

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“…heart conditions, HIV [ 38 ] or schizophrenia [ 19 ]. Following the reports of some authors [ 37 , 38 ] we confirmed the relationship between medication adherence and age.…”

Section: Discussionsupporting

confidence: 86%

Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Bąk‐Sosnowska¹,

Wyszomirska²,

Daniel‐Sielańczyk³

2021

Reumatologia

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Objectives The aim of the study was to determine the relationship between medication adherence (MA) and selected psychological factors in a group of patients with rheumatoid arthritis (RA). Material and methods The cross-sectional study was conducted in four rheumatology outpatient clinics in Silesia, Poland. The tests used were the Medication Adherence Questionnaire (MAQ), the Multidimensional Health Locus of Control Scale (MHLC), the Coping Inventory for Stressful Situations (CISS), and the Mindful Attention Awareness Scale (MAAS). The analysis involved 106 adult patients diagnosed with RA at least 6 months before, who were prescribed medication, with disease at any stage and with stable comorbidities. Software was used to perform analyses of frequency, basic descriptive statistics, including the Kolmogorov-Smirnov test, Student’s t -test for independent samples, intergroup univariate variance, Pearson’s r correlation coefficient, Spearman’s rank correlation ρ coefficient, Fisher’s exact test and stepwise linear regression. Results Powerful Others Health Locus of Control (PHLC), Internal Health Locus of Control (IHLC) and age of the subjects, F (3, 102) = 8.05; p < 0.001 explained 16.8% of the variation in the adherence level for the entire group. In the group of women PHLC and IHLC, F (2, 80) = 10.04; p < 0.001 were included in the model, which explained 18.1% of variation in MA. PHLC was the most significant factor in the group of women (β = 0.55; p < 0.001) and in the entire group (β = 0.48; p < 0.001). In the group of men, Social Diversion Style (SDS), F (1, 21) = 5.81; p = 0.02 was included in the model, which explained 17.9% of the variation in the MA level. Conclusions The study identified some psychological predictors of adherence, which explained 16.8% of the variability. Factors increasing the likelihood of medication adherence in patients with rheumatoid arthritis include a strong belief in the power of others, low level of internal health locus of control, and advanced age.

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“…heart conditions, HIV [ 38 ] or schizophrenia [ 19 ]. Following the reports of some authors [ 37 , 38 ] we confirmed the relationship between medication adherence and age.…”

Section: Discussionsupporting

confidence: 86%

Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Bąk‐Sosnowska¹,

Wyszomirska²,

Daniel‐Sielańczyk³

2021

Reumatologia

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“…For healthcare providers or interventionists designing a mindfulness-based self-care intervention, this underscores the importance of including additional behavior change techniques targeting glucose testing and medication adherence to improve HbA1c. Importantly, there are additional psychological predictors of medication adherence that may be benefited by mindfulness-based intervention, including depressive symptoms, sleep disorders, and life stress (Salmoirago-Blotcher and Carey 2018). Therefore, although we did not find an association between dispositional mindfulness and medication adherence among individuals not receiving mindfulness-based intervention content, fostering state-mindfulness through training may improve adherence behavior indirectly by acting on key psychological predictors of adherence.…”

Section: Discussionmentioning

confidence: 99%

Relationships between dispositional mindfulness, health behaviors, and hemoglobin A1c among adults with type 2 diabetes

Fanning

Osborn²,

Lagotte³

et al. 2018

J Behav Med

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Examine cross-sectional relationships between dispositional mindfulness and diabetes self-care behaviors (i.e., medication adherence, diet and exercise behavior, and self-monitoring of blood glucose; SMBG), hemoglobin A1c (HbA1c, %), and body mass index (BMI; continuously and obese vs. not). Adults with type 2 diabetes (N = 148, M = 55.7 ± 10.1) who were recruited to participate in a web-based diabetes medication adherence intervention completed all assessments at enrollment. In unadjusted analyses, mindfulness was associated with better dietary habits and worse HbA1c (p < .05). After controlling for a priori covariates (demographics, years since diabetes diagnosis, and insulin status), mindfulness remained associated with better dietary behavior (p < .01) but not HbA1c. Mindfulness was not associated with medication adherence, exercise behavior, SMBG, or body mass index. We found evidence that dispositional mindfulness plays an important role in dietary behaviors, supporting the use of mindful eating techniques in diabetes self-management interventions. Fostering mindfulness may be one of several behavioral tools needed to support key self-care behaviors and improve HbA1c.

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“…Prior research has documented a relationship between mindfulness and increased adherence to medications for a variety of health conditions (Salmoirago-Blotcher & Carey, 2017), including HIV treatment adherence (Riley & Kalichman, 2015). In our prior research with HIV-infected youth in Baltimore, Maryland, mindfulness was shown to improve coping and life satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Exploring the dynamics of ART adherence in the context of a mindfulness instruction intervention among youth living with HIV in Baltimore, Maryland

Kerrigan

Grieb²,

Ellen³

et al. 2018

AIDS Care

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Youth living with HIV have sub-optimal rates of adherence to antiretroviral therapy (ART). Mindfulness instruction interventions have shown promise for improving medication adherence, but the effects and mechanisms of these interventions are still being explored among people living with HIV, including youth. In the context of a randomized controlled trial of the efficacy of a Mindfulness-Based Stress Reduction (MBSR) program on ART adherence and viral suppression among youth living with HIV, we conducted 44 iterative, semi-structured, in-depth interviews with 20 study participants (13-24 years) recruited from clinics at two academic centers in Baltimore, Maryland. Interviews explored the social context and psychosocial dynamics of ART adherence in the context of the MBSR intervention, compared with those in a control arm. We employed thematic content analysis to systematically code and synthesize textual interview data. Participants' challenges with ART adherence were often situated within an ongoing process of working to manage HIV as a stigmatized, chronic condition in addition to other intersecting social stigmas, inequalities, and stressors. Participation in the MBSR program and related group support allowed participants to non-judgmentally observe and accept difficult thoughts, feelings, and experiences associated with living with HIV and taking ART, which facilitated greater reported adherence. Mindfulness training may stimulate new perspectives and understanding, including greater self- and illness-acceptance among youth living with HIV, leading to improved HIV outcomes.

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Can Mindfulness Training Improve Medication Adherence? Integrative Review of the Current Evidence and Proposed Conceptual Model

Cited by 20 publications

References 95 publications

Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Selected psychological factors and medication adherence in patients with rheumatoid arthritis

Relationships between dispositional mindfulness, health behaviors, and hemoglobin A1c among adults with type 2 diabetes

Exploring the dynamics of ART adherence in the context of a mindfulness instruction intervention among youth living with HIV in Baltimore, Maryland

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