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Published in: International Journal of Clinical Pharmacy 2/2017

01-04-2017 | Commentary

Adherence as a language game

Author: Espen Skarstein Kolberg

Published in: International Journal of Clinical Pharmacy | Issue 2/2017

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Abstract

Non-adherence, i.e. medication intake behavior not corresponding with agreed recommendations, is associated with increased morbidity and death, and it has been estimated that as many as 50% of patients in developed countries are not taking their medications as prescribed. But even as efforts in improving medication adherence over the years have increased, results are inconsistent, with only a minority of clinical trials showing any improvement in both adherence and clinical outcome. Since patient education is central to promoting good medication adherence, and language is integral to education, perhaps an exploration of the meaning and use of language, using the philosophy of Ludwig Wittgenstein, is in order.
Literature
1.
go back to reference Brown MT, Bussell JK. Medication adherence: WHO cares? Mayo Clin Proc. 2011;4:304–14.CrossRef Brown MT, Bussell JK. Medication adherence: WHO cares? Mayo Clin Proc. 2011;4:304–14.CrossRef
3.
go back to reference Hugtenburg JG, Timmers L, Elders PJ, Vervloet M, van Dijk L. Definitions, variants, and causes of nonadherence with medication: a challenge for tailored interventions. Patient Prefer Adherence. 2010;10:675–82. Hugtenburg JG, Timmers L, Elders PJ, Vervloet M, van Dijk L. Definitions, variants, and causes of nonadherence with medication: a challenge for tailored interventions. Patient Prefer Adherence. 2010;10:675–82.
4.
go back to reference Currie CJ, Peyrot M, Morgan CL, Poole CD, Jenkins-Jones S, Rubin RR, et al. The impact of treatment noncompliance on mortality in people with type 2 diabetes. Diabetes Care. 2012;6:1279–84.CrossRef Currie CJ, Peyrot M, Morgan CL, Poole CD, Jenkins-Jones S, Rubin RR, et al. The impact of treatment noncompliance on mortality in people with type 2 diabetes. Diabetes Care. 2012;6:1279–84.CrossRef
5.
go back to reference Proietti M, Nobili A, Raparelli V, Napoleone L, Mannucci PM, Lip GY, et al. Adherence to antithrombotic therapy guidelines improves mortality among elderly patients with atrial fibrillation: insights from the REPOSI study. Clin Res Cardiol. 2016;11:912–20.CrossRef Proietti M, Nobili A, Raparelli V, Napoleone L, Mannucci PM, Lip GY, et al. Adherence to antithrombotic therapy guidelines improves mortality among elderly patients with atrial fibrillation: insights from the REPOSI study. Clin Res Cardiol. 2016;11:912–20.CrossRef
6.
go back to reference van Boven JF, Chavannes NH, van der Molen T, Rutten-van Mölken MP, Postma MJ, Vegter S. Clinical and economic impact of non-adherence in COPD: a systematic review. Respir Med. 2014;1:103–13.CrossRef van Boven JF, Chavannes NH, van der Molen T, Rutten-van Mölken MP, Postma MJ, Vegter S. Clinical and economic impact of non-adherence in COPD: a systematic review. Respir Med. 2014;1:103–13.CrossRef
7.
go back to reference Nieuwlaat R, Wilczynski N, Navarro T, Hobson N, Jeffery R, Keepanasseril A, et al. Interventions for enhancing medication adherence. Cochrane Database Syst Rev. 2014;11:CD000011. Nieuwlaat R, Wilczynski N, Navarro T, Hobson N, Jeffery R, Keepanasseril A, et al. Interventions for enhancing medication adherence. Cochrane Database Syst Rev. 2014;11:CD000011.
8.
go back to reference Berger PL, Luckmann T. The social construction of reality. 1st ed. London: Penguin Books; 1967. p. 49–61. ISBN 0140135480. Berger PL, Luckmann T. The social construction of reality. 1st ed. London: Penguin Books; 1967. p. 49–61. ISBN 0140135480.
9.
go back to reference Schroeder S. Wittgenstein: the way out of the flybottle. 1st ed. Cambridge: Polity Press; 2006. p. 23–104. ISBN 0745626157. Schroeder S. Wittgenstein: the way out of the flybottle. 1st ed. Cambridge: Polity Press; 2006. p. 23–104. ISBN 0745626157.
10.
go back to reference Wittgenstein L. Tractatus logico-philosophicus. 2nd ed. London: Routledge; 2001. p. 5–90. ISBN 0415254086. Wittgenstein L. Tractatus logico-philosophicus. 2nd ed. London: Routledge; 2001. p. 5–90. ISBN 0415254086.
11.
go back to reference Wittgenstein L. Tractatus logico-philosophicus. 2nd ed. London: Routledge; 2001. p. 90. ISBN 0415254086. Wittgenstein L. Tractatus logico-philosophicus. 2nd ed. London: Routledge; 2001. p. 90. ISBN 0415254086.
12.
go back to reference Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. ISBN 1405159286. Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. ISBN 1405159286.
13.
go back to reference Schroeder S. Wittgenstein: the way out of the flybottle. 1st ed. Cambridge: Polity Press; 2006. p. 121–223. ISBN 0745626157. Schroeder S. Wittgenstein: the way out of the flybottle. 1st ed. Cambridge: Polity Press; 2006. p. 121–223. ISBN 0745626157.
14.
go back to reference Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 30. ISBN 1405159286. Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 30. ISBN 1405159286.
15.
go back to reference Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 5–6. ISBN 1405159286. Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 5–6. ISBN 1405159286.
16.
go back to reference Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 5–16. ISBN 1405159286. Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 5–16. ISBN 1405159286.
17.
go back to reference Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 56. ISBN 1405159286. Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 56. ISBN 1405159286.
19.
go back to reference Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 223–490. ISBN 1405159286. Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 223–490. ISBN 1405159286.
20.
go back to reference Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 53. ISBN 1405159286. Wittgenstein L. Philosophical investigations. 4th ed. Chichester: Blackwell; 2009. p. 53. ISBN 1405159286.
Metadata
Title
Adherence as a language game
Author
Espen Skarstein Kolberg
Publication date
01-04-2017
Publisher
Springer International Publishing
Published in
International Journal of Clinical Pharmacy / Issue 2/2017
Print ISSN: 2210-7703
Electronic ISSN: 2210-7711
DOI
https://doi.org/10.1007/s11096-017-0445-3

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