Tailored Interventions to Improve Medication Adherence for Cardiovascular Diseases

Abstract

Over the past half-century, medical research on cardiovascular disease (CVD) has achieved a great deal; however, medication adherence is unsatisfactory. Nearly 50% of patients do not follow prescriptions when taking medications, which limits the ability to maximize their therapeutic effects and results in adverse clinical outcomes and high healthcare costs. Furthermore, the effects of medication adherence interventions are disappointing, and tailored interventions have been proposed as an appropriate way to improve medication adherence. To rethink and reconstruct methods of improving medication adherence for CVD, the literature on tailored interventions for medication adherence focusing on CVD within the last 5 years is retrieved and reviewed. Focusing on identifying nonadherent patients, detecting barriers to medication adherence, delivering clinical interventions, and constructing theories, this article reviews the present state of tailored interventions for medication adherence in CVD and also rethinks the present difficulties and suggests avenues for future development.

Non-Persistence With Antiplatelet Medications Among Older Patients With Peripheral Arterial Disease

“…Adherence to antiplatelet medication represents the basic requirement for successful treatment of PAD patients. Although medications used in treatment of CV diseases have improved significantly, adherence to these medications remains unsatisfactory ( Xu et al, 2020 ). The issue of medication adherence is particularly relevant in case of asymptomatic conditions (e.g., treatment of CV risk factors) ( Burnier, 2019 ).…”

Improving medication adherence in patients with hypertension through pharmacist-led telehealth services

“…5,7,8,11,12 Furthermore, these articles demonstrated the benefits of having pharmacists involved to improve medication adherence via telehealth. 1,9,10 These articles studied similar populations, interventions, and telehealth methods making the comparison of this review congruent. Analyzed studies can be further reviewed in Table 1.…”

“…According to the Centers of Medicare and Medicaid Services, a patient that is adherent to his/her medication(s) takes the prescribed regimen correctly at least 80% of the time. 1 Studies have demonstrated that pharmacist's involvement enhances patient adherence. 2 Telehealth allows healthcare workers to access populations in rural areas or individuals who may not have the ability to physically see a provider.…”

“…According to the Centers of Medicare and Medicaid Services, a patient that is adherent to his/her medication(s) takes the prescribed regimen correctly at least 80% of the time. 1 Studies have demonstrated that pharmacist's involvement enhances patient adherence. 2…”

The Influence of Selected Psychological Factors on Medication Adherence in Patients with Chronic Diseases

“…Managers of health centers can support the organization of support groups and group training, such as mindfulness or stress management. Many studies support the effectiveness of such interventions in improving medication adherence [ 28 , 58 ].…”