Why Current Drug Adherence Programs Fail: Addressing Psychological Risk Factors Of Nonadherence  

Oleh:

Arlt, Antje D. ; Nestoriuc, Yvonne ; Rief, Winfried

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Current Opinion in Psychiatry vol. 30 no. 05 (Sep. 2017), page 326-333.
Topik: Cognitive Impairment; Compliance; Depression; Doctor-Patient Relationship; Fear of Side-Effects; Illness Acceptance; Nonadherence
Fulltext: C16 v30 n5 p326 kelik2017.pdf (328.23KB)

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Perpustakaan FK Nomor Panggil: C16.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Purpose of review: To provide an overview of a selection of largely neglected psychological risk factors for nonadherence, and to offer new approaches to improve medication adherence. Recent findings: Current adherence research and intervention programs focus on a few risk factors for nonadherence, such as complexity of the drug regimen. In addition, other important risk factors of nonadherence are neglected or insufficiently addressed. There is good evidence for the significant role of the quality of the patient–healthcare provider relationship. Other risk factors like the individual history of nonadherence, the lack of acceptance of having a treatable disorder, fear of side-effects, comorbid depression, and cognitive impairment have been broadly neglected in adherence programs, although they offer a powerful key to improve adherence-oriented interventions. Summary: Current research on determinants of nonadherence has focused on a few risk factors, while neglecting crucial psychological predictors of nonadherence. The personalized consideration of a multiplicity of risk factors offers a new basis for the development and evaluation of interventions to better promote adherence.

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