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Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations

Simon Read, James Morgan, David Gillespie, Claire Nollett, Marjorie Weiss, Davina Allen, Pippa Anderson, Heather Waterman

Patient Preference and Adherence, Volume: 14, Pages: 581 - 586

Swansea University Authors: Simon Read, Pippa Anderson

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DOI (Published version): 10.2147/ppa.s239916

Abstract

Patient adherence to medication is an ongoing concern for clinicians, obfuscating treatment efficacy and resulting in wastage of medicine, reduced clinical benefit and increased mortality. Despite this, procedural guidance on how clinicians should best engage patients regarding their medicine-taking...

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Published in: Patient Preference and Adherence
ISSN: 1177-889X
Published: Informa UK Limited 2020
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URI: https://cronfa.swan.ac.uk/Record/cronfa53508
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first_indexed 2020-02-12T19:41:01Z
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spelling 2021-09-08T13:06:15.0217447 v2 53508 2020-02-12 Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations a5fdd0f9bc9dd4b6716fc42cb1ee8a30 Simon Read Simon Read true false 128cdedfba6e5e6374fdc85d5c78c428 Pippa Anderson Pippa Anderson true false 2020-02-12 PHAC Patient adherence to medication is an ongoing concern for clinicians, obfuscating treatment efficacy and resulting in wastage of medicine, reduced clinical benefit and increased mortality. Despite this, procedural guidance on how clinicians should best engage patients regarding their medicine-taking is limited in the United Kingdom. Adherence for chronic conditions is notably complex, requiring clear education, communication and behavioural shifts to initiate and sustain daily regimens successfully. This article explores current clinician guidance on assuring patient adherence to medication within the National Health Service, comparing it to that provided for healthcare workers in the field of behavioural change. Outlining the inertia of the former and the progress of the latter, we consider what steps should be taken to address this deficit, including greater focus on patient concerns, as well as knowledge translation for healthcare professionals in future adherence research. Current United Kingdom clinical guidance for assuring patient adherence is largely outdated based on inconclusive evidence for best practice. However, efforts to encourage behavioural change in the public health setting demonstrate evidence-based success. Integrating knowledge generated around adherence behaviour and the practical application of adherence and behavioural change research, as well as funding for longer term studies with a focus on clinical outcomes may help to solidify the NICE guidance on adherence and further progress the field. This would require close involvement from patient groups and networks informing ethical aspects of study design and clinical implementation. Journal Article Patient Preference and Adherence 14 581 586 Informa UK Limited 1177-889X adherence, chronic conditions, behavioural change, clinical guidance, knowledge translation 12 3 2020 2020-03-12 10.2147/ppa.s239916 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2021-09-08T13:06:15.0217447 2020-02-12T15:34:33.4063911 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Simon Read 1 James Morgan 2 David Gillespie 3 Claire Nollett 4 Marjorie Weiss 5 Davina Allen 6 Pippa Anderson 7 Heather Waterman 8 53508__16968__5baafc0877844d5ab31f96ee71876a25.pdf 53508VOR.pdf 2020-03-30T11:52:09.7054402 Output 664641 application/pdf Version of Record true Released under the terms of a Creative Commons Attribution - Non Commercial License (CC-BY-NC). true eng https://creativecommons.org/licenses/by-nc/3.0/
title Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations
spellingShingle Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations
Simon Read
Pippa Anderson
title_short Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations
title_full Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations
title_fullStr Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations
title_full_unstemmed Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations
title_sort Chronic Conditions and Behavioural Change Approaches to Medication Adherence: Rethinking Clinical Guidance and Recommendations
author_id_str_mv a5fdd0f9bc9dd4b6716fc42cb1ee8a30
128cdedfba6e5e6374fdc85d5c78c428
author_id_fullname_str_mv a5fdd0f9bc9dd4b6716fc42cb1ee8a30_***_Simon Read
128cdedfba6e5e6374fdc85d5c78c428_***_Pippa Anderson
author Simon Read
Pippa Anderson
author2 Simon Read
James Morgan
David Gillespie
Claire Nollett
Marjorie Weiss
Davina Allen
Pippa Anderson
Heather Waterman
format Journal article
container_title Patient Preference and Adherence
container_volume 14
container_start_page 581
publishDate 2020
institution Swansea University
issn 1177-889X
doi_str_mv 10.2147/ppa.s239916
publisher Informa UK Limited
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
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hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Patient adherence to medication is an ongoing concern for clinicians, obfuscating treatment efficacy and resulting in wastage of medicine, reduced clinical benefit and increased mortality. Despite this, procedural guidance on how clinicians should best engage patients regarding their medicine-taking is limited in the United Kingdom. Adherence for chronic conditions is notably complex, requiring clear education, communication and behavioural shifts to initiate and sustain daily regimens successfully. This article explores current clinician guidance on assuring patient adherence to medication within the National Health Service, comparing it to that provided for healthcare workers in the field of behavioural change. Outlining the inertia of the former and the progress of the latter, we consider what steps should be taken to address this deficit, including greater focus on patient concerns, as well as knowledge translation for healthcare professionals in future adherence research. Current United Kingdom clinical guidance for assuring patient adherence is largely outdated based on inconclusive evidence for best practice. However, efforts to encourage behavioural change in the public health setting demonstrate evidence-based success. Integrating knowledge generated around adherence behaviour and the practical application of adherence and behavioural change research, as well as funding for longer term studies with a focus on clinical outcomes may help to solidify the NICE guidance on adherence and further progress the field. This would require close involvement from patient groups and networks informing ethical aspects of study design and clinical implementation.
published_date 2020-03-12T04:06:28Z
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