Providing physicians with feedback on medication adherence for people with chronic diseases taking long-term medication

Abstract

Across nine studies, we observed little or no evidence that provision of feedback to physicians regarding their patients adherence to prescribed medication improved medication adherence, patient outcomes, or health resource use. Feedback about medication adherence may improve processes of care, but due to the small number of studies assessing this outcome and high risk of bias, we cannot draw firm conclusions on the effect of feedback on this outcome. Future research should use a clear, standardised definition of medication adherence and cluster-randomisation to avoid the risk of contamination.

Recommendations for the assessment and optimization of adherence to disease-modifying drugs in chronic inflammatory rheumatic diseases: A process based on literature reviews and expert consensus

“…Shared decision making is still an ongoing subject of research. Overall, we felt interventions to improve drug adherence were disappointing at the group level, as has been also found by other authors (11,18,21,38,46,47). There are several potential explanations: perhaps interventions are not targeting the right patients; perhaps the interventions are not sufficiently tailored.…”

“…Thus, providing physicians with feedback on medication adherence has the potential to prompt changes that improve their patients' adherence to prescribed medications. A recent Cochrane review did not evidence improvements in patient outcomes in studies with provision of feedback to physicians regarding their patients' adherence to prescribed medication (11). However, the group felt that being aware of adherence and communicating about this issue with patients was key.…”

“…Thus, better assessment of non-adherence would be useful. Adherence to treatment can be assessed by several methods, direct (such as blood tests) and indirect (such as questionnaires) (11).…”

What is the clinical value of mHealth for patients?

“…App-based behavior change interventions are also available to address long-term non-adherence with prescribed pharmacological treatments for chronic illnesses, which is estimated to be as high as 50%. 12 Common reasons for non-adherence that can be addressed through an app include forgetfulness, lack of understanding of side effects, and perceptions of lack of efficacy. 13 A recent review identified 704 apps on the app store utilizing behavioral strategies to enhance medication adherence through alerts, reminders, and logs.…”

Role of mhealth in the management of Tuberculosis: A new approach to improve adherence

“…Even though the main problem is to attain continuing advancements in the clinical framework along with enduring course results by using the mentioned gadgets are still to be explored. Mobile application established behavioural change interference helps us to locate noncompliance in chronic diseases, which is estimated to be as high as 50% (Zaugg et al, 2018). Amnesia, incomprehension of mechanism of after effects, and impression of ineffectiveness drugs which are considered to be the most common reasons for medication non-adherence can be adequately addressed with the help of a mobile app.…”