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The New England Journal of Medicine Aug 2005
Review
Topics: Adolescent; Child; Chronic Disease; Drug Administration Schedule; Drug Therapy; HIV Infections; Humans; Hypertension; Mental Disorders; Patient Compliance
PubMed: 16079372
DOI: 10.1056/NEJMra050100 -
International Journal of Radiation... Apr 2019Protraction of radiation therapy courses can lead to lower cancer control and cancer-specific survival rates. The requirement for daily, consecutive radiation treatments...
PURPOSE
Protraction of radiation therapy courses can lead to lower cancer control and cancer-specific survival rates. The requirement for daily, consecutive radiation treatments coupled with the complexities of multimodality cancer care and quality assurance can occasionally lead to missed patient appointments or clinical inefficiency. To determine whether an automated text messaging (short message service [SMs]) platform could improve patient compliance with scheduled radiation therapy delivery, we created an automated SMS platform to send daily reminders of radiation therapy appointments.
METHODS AND MATERIALS
An automated SMS text messaging program was used from July 2016 to January 2017 to deliver daily appointment time reminders to patients on an elective basis. Automated text messages were sent 2 hours before treatment appointments with appointment-specific information. We analyzed for compliance with radiation therapy appointments for patients who elected to receive SMS reminders versus those who did not.
RESULTS
Multivariate analysis of >37,000 encounters involving ∼3400 patients demonstrated that of the factors considered, nonreceipt of SMS appointment reminders had a strong association with 15- to 60-minute tardiness (odds ratio [OR], 1.25; 95% confidence interval [CI], 1.13-1.38; P < .0001), >60-minute tardiness (OR, 1.56; 95% CI, 1.34-1.82; P < .0001) and no-shows (OR, 6.77; 95% CI, 5.45-8.41; P < .0001). Other demographic factors associated with decreased compliance included being early in a radiation therapy course, having an appointment earlier in the day, younger age, and male sex. Receipt of an SMS message did not correlate with overall treatment package time.
CONCLUSIONS
Receipt of text messages correlates with compliance for radiation therapy appointments. Prospective randomized trials would be required to determine conclusively whether SMS is an effective intervention for improving compliance in populations at risk for being late to or missing radiation therapy appointments.
Topics: Adolescent; Adult; Age Factors; Aged; Appointments and Schedules; Child; Child, Preschool; Female; Health Services Accessibility; Humans; Male; Middle Aged; Multivariate Analysis; No-Show Patients; Odds Ratio; Patient Compliance; Radiotherapy; Reminder Systems; Retrospective Studies; Sex Factors; Texas; Text Messaging; Time Factors; Young Adult
PubMed: 30508618
DOI: 10.1016/j.ijrobp.2018.11.050 -
Fertility and Sterility Dec 1994To review the literature and attempt to define patient compliance with hormonal replacement therapy and physician prescription of these therapies. (Review)
Review
OBJECTIVE
To review the literature and attempt to define patient compliance with hormonal replacement therapy and physician prescription of these therapies.
DESIGN
Review of selected literature.
SETTING
Population studies and clinical trials.
PATIENTS
Postmenopausal and postcastration women.
INTERVENTIONS
Hormone replacement regimens.
MAIN OUTCOME MEASURES
Descriptions and compliance by patients.
RESULTS
In addition to the effective control of vasomotor hot flushes and atrophic genital changes in postmenopausal women, it is now well established that the long-term use of estrogen replacement therapy (ERT) or hormone replacement therapy (HRT) with estrogen and/or progestin offers prophylaxis against osteoporosis and cardiovascular arteriosclerotic disease, notably myocardial infarction. However, despite such documentation of benefit, it is estimated that < 20% of postmenopausal women in the United States have ever had ERT or HRT prescribed, < 40% of those for whom such treatment has been prescribed will continue it after 1 year, and that overall, > 70% of those for whom it has been prescribed are not compliant. It appears that this lack of prescription and compliance are the function of both physician and patient considerations. This paper presents reasons for such actions and reviews ways in which use can be improved.
Topics: Estrogen Replacement Therapy; Female; Humans; Patient Compliance; Practice Patterns, Physicians'; Women's Health
PubMed: 7958011
DOI: No ID Found -
Journal of Nursing Scholarship : An... 2003
Topics: Chronic Disease; Global Health; Humans; Needs Assessment; Patient Compliance; World Health Organization
PubMed: 14562485
DOI: No ID Found -
Australasian Psychiatry : Bulletin of... Jun 2019This paper outlines the use of psychodynamic psychotherapy as an adjunct to treatment as usual for addressing challenging behaviours in a patient with schizophrenia...
OBJECTIVES
This paper outlines the use of psychodynamic psychotherapy as an adjunct to treatment as usual for addressing challenging behaviours in a patient with schizophrenia under the care of a community mental health team (CMHT) in South Australia.
METHODS
Ms P suffered from schizophrenia and demonstrated challenging behaviours in the context of being administered depot medication under a community treatment order (CTO). Multiple attempts at addressing non-compliance and consistently disruptive behaviour through conventional methods had failed. Consequently, the novel approach of fortnightly psychodynamic psychotherapy sessions was trialled for 5 months, augmenting treatment as usual.
RESULTS
Psychodynamic psychotherapy proved effective for this patient. With treatment, she showed an improved compliance and overall engagement. Additionally, consequent to regularly receiving medication, her mental state improved and hospitalisations decreased.
CONCLUSIONS
Further research could lead to a better understanding of how and in what contexts, psychodynamic therapy and psychodynamic thinking can be utilised in the public health system.
Topics: Community Mental Health Services; Female; Humans; Middle Aged; Patient Compliance; Psychotherapy, Psychodynamic; Schizophrenia; South Australia
PubMed: 30763113
DOI: 10.1177/1039856219828168 -
Current Opinion in Nephrology and... May 1994Results of treatment in clinical practice and in randomized trials are usually improved when patients actually take their medications as prescribed. This is particularly... (Review)
Review
Results of treatment in clinical practice and in randomized trials are usually improved when patients actually take their medications as prescribed. This is particularly important in chronic diseases such as hypertension and renal impairment, in which specific, recurrent, troubling symptoms are unlikely to be remedied with therapy. Compliance with medication often parallels appointment adherence, which also improves long-term outcomes. Factors that improve compliance include culturally sensitive patient education and attitude about the disease undergoing treatment; patient-specific reminders (eg, computed medication reminders and charts); medical regimens that minimize the frequency, inconvenience, and number of pills taken; and positive physician attitude regarding therapy.
Topics: Antihypertensive Agents; Drug Monitoring; Humans; Hypertension; Patient Compliance; Patient Education as Topic; Social Support
PubMed: 7922252
DOI: No ID Found -
The Canadian Journal of Neurological... Jun 2002As in many other chronic conditions, adherence to prophylactic treatment in migraine is probably poor. In chronic diseases, compliance at one year does not exceed 50%.... (Review)
Review
As in many other chronic conditions, adherence to prophylactic treatment in migraine is probably poor. In chronic diseases, compliance at one year does not exceed 50%. That could explain the low therapeutic gain seen with migraine preventive medications. It also renders difficult the evaluation of clinical trials on migraine prophylaxis since in most of these trials compliance is not properly assessed. From the patients' perspective, there are several factors that could explain poor adherence to recommended treatments. Essentially, these factors are the expression of the patients' subjective perception of their disease and potential remedies in a context of a positive patient-physician relationship. When migraine prophylactic treatment is considered, patients should be informed of the natural history of their disease and a diagnosis of an accelerated form of migraine should be confirmed. Prophylactic treatment at best would reduce by 50% the frequency of migraine attacks. In most studies, however, the therapeutic gain is in the order of 30-40%. Treatment should be instituted for a minimum time of two to three months and if effective maintained for 6-12 months. The outcome of prophylaxis can rarely be determined in a prospective way. The choice of prophylactic regimens remains empirical, often based on the physician's experience and perception of the mechanism of migraine. A better adherence to prophylactic treatment of migraine could possibly improve outcomes but current methods of improving adherence for chronic health problems are mostly complex and not very effective.
Topics: Humans; Migraine Disorders; Patient Compliance
PubMed: 12139086
DOI: 10.1017/s0317167100001931 -
Archives of Orthopaedic and Trauma... Feb 2024This study was designed to investigate influencing factors of out-of-hospital anticoagulation therapy compliance among patients undergoing major orthopaedic surgeries.
PURPOSE
This study was designed to investigate influencing factors of out-of-hospital anticoagulation therapy compliance among patients undergoing major orthopaedic surgeries.
METHODS
A cross-sectional, descriptive study was conducted from July 2022 to February 2023 among outpatients who underwent major orthopedic surgery in our hospital. Patients (n = 200) were surveyed using the General Information Questionnaire, the General Self-Efficacy Scale, the Specificity of Medication-Taking Beliefs Scale, and the Morisky Medication Adherence Scale. Factors that influenced patient compliance were also determined using univariate and multivariate regression analyses.
RESULTS
One hundred eighty-three valid questionnaires were returned, the compliance with outpatient anticoagulation therapy among patients undergoing major orthopaedic surgeries was good in 56.3% (103/183) of all cases and poor in 43.7% (80/183). Multivariate logistic regression analysis showed that medication duration, adverse effects, self-efficacy and medication beliefs influenced adherence to out-of-hospital anticoagulation therapy in patients undergoing major orthopedic surgery (P < 0.05).
CONCLUSIONS
Poor compliance with out-of-hospital anticoagulation therapy in patients undergoing major orthopedic surgery is mainly associated with a long course of medication, adverse reactions, low self-efficacy and low medication beliefs. Healthcare staff should strengthen post-discharge anticoagulation management based on relevant influencing factors to enhance patient compliance.
Topics: Humans; Outpatients; Medication Adherence; Cross-Sectional Studies; Aftercare; Patient Discharge; Orthopedic Procedures; Anticoagulants
PubMed: 37898976
DOI: 10.1007/s00402-023-05106-3 -
Emerging Infectious Diseases Mar 2016A recent innovation to help patients adhere to daily tuberculosis (TB) treatment over many months is video (or virtually) observed therapy (VOT). VOT is becoming...
A recent innovation to help patients adhere to daily tuberculosis (TB) treatment over many months is video (or virtually) observed therapy (VOT). VOT is becoming increasingly feasible as mobile telephone applications and tablet computers become more widely available. Studies of the effectiveness of VOT in improving TB patient outcomes are being conducted.
Topics: Antitubercular Agents; Directly Observed Therapy; Humans; Patient Compliance; Smartphone; Tuberculosis; Webcasts as Topic
PubMed: 26891363
DOI: 10.3201/eid2203.151620 -
PLoS Medicine Jul 2007Tuberculosis (TB) is a major contributor to the global burden of disease and has received considerable attention in recent years, particularly in low- and middle-income... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Tuberculosis (TB) is a major contributor to the global burden of disease and has received considerable attention in recent years, particularly in low- and middle-income countries where it is closely associated with HIV/AIDS. Poor adherence to treatment is common despite various interventions aimed at improving treatment completion. Lack of a comprehensive and holistic understanding of barriers to and facilitators of, treatment adherence is currently a major obstacle to finding effective solutions. The aim of this systematic review of qualitative studies was to understand the factors considered important by patients, caregivers and health care providers in contributing to TB medication adherence.
METHODS AND FINDINGS
We searched 19 electronic databases (1966-February 2005) for qualitative studies on patients', caregivers', or health care providers' perceptions of adherence to preventive or curative TB treatment with the free text terms "Tuberculosis AND (adherence OR compliance OR concordance)". We supplemented our search with citation searches and by consulting experts. For included studies, study quality was assessed using a predetermined checklist and data were extracted independently onto a standard form. We then followed Noblit and Hare's method of meta-ethnography to synthesize the findings, using both reciprocal translation and line-of-argument synthesis. We screened 7,814 citations and selected 44 articles that met the prespecified inclusion criteria. The synthesis offers an overview of qualitative evidence derived from these multiple international studies. We identified eight major themes across the studies: organisation of treatment and care; interpretations of illness and wellness; the financial burden of treatment; knowledge, attitudes, and beliefs about treatment; law and immigration; personal characteristics and adherence behaviour; side effects; and family, community, and household support. Our interpretation of the themes across all studies produced a line-of-argument synthesis describing how four major factors interact to affect adherence to TB treatment: structural factors, including poverty and gender discrimination; the social context; health service factors; and personal factors. The findings of this study are limited by the quality and foci of the included studies.
CONCLUSIONS
Adherence to the long course of TB treatment is a complex, dynamic phenomenon with a wide range of factors impacting on treatment-taking behaviour. Patients' adherence to their medication regimens was influenced by the interaction of a number of these factors. The findings of our review could help inform the development of patient-centred interventions and of interventions to address structural barriers to treatment adherence.
Topics: Humans; Outcome Assessment, Health Care; Patient Compliance; Qualitative Research; Tuberculosis
PubMed: 17676945
DOI: 10.1371/journal.pmed.0040238