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Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
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Current Cardiology Reports
Published in: Current Cardiology Reports 11/2017

01-11-2017 | Psychological Aspects of Cardiovascular Diseases (A Steptoe, Section Editor)

Improving Medication Adherence in Coronary Heart Disease

Authors: Leah L. Zullig, Katherine Ramos, Hayden B. Bosworth

Published in: Current Cardiology Reports | Issue 11/2017

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Abstract

Purpose of Review

The purpose of this review was to synthesize research findings from recently published randomized controlled trials (RCTs) targeting any phase of medication adherence, from initiation to discontinuation, among patients with coronary heart disease (CHD).

Recent Findings

We identified successful strategies and promising practices for improving medication adherence among patients diagnosed with CHD. Consistent intervention strategies included the following: (1) facilitating patient-provider communication, (2) using mHealth technologies with emphasis on two-way communication, (3) providing patient education in tandem with lifestyle and behavioral counseling, and (4) providing psychosocial support. Regarding medication adherence phases, all studies examined implementation (i.e., taking medications as prescribed over time) and one also addressed treatment initiation (i.e., beginning a new medication). None identified addressed discontinuation. Studies varied by use of objective, self-report, and a combination of outcome measures with a greater number reporting only subjective measures of adherence. Key findings remained mixed in supporting specific intervention designs or delivery formats.

Summary

This review addresses available data of promising practices for improving CHD medication adherence. Future studies are needed to examine intervention effectiveness, scalability, and durability of observed outcome effects.
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Metadata
Title
Improving Medication Adherence in Coronary Heart Disease
Authors
Leah L. Zullig
Katherine Ramos
Hayden B. Bosworth
Publication date
01-11-2017
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 11/2017
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-017-0918-y

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