Adherence to Long-Term Therapies - Evidence for Action
(2003; 211 pages) View the PDF document
Table of Contents
View the documentPreface
View the documentAcknowledgements
View the documentScientific writers
View the documentIntroduction
View the documentTake-home messages
Open this folder and view contentsSection I - Setting the scene
Open this folder and view contentsSection II - Improving adherence rates: guidance for countries
Open this folder and view contentsSection III - Disease-Specific Reviews
Close this folderAnnexes
Open this folder and view contentsAnnex I - Behavioural mechanisms explaining adherence
Open this folder and view contentsAnnex II - Statements by stakeholders
View the documentAnnex III - Table of reported factors by condition and dimension
View the documentAnnex IV - Table of reported interventions by condition and dimension
Open this folder and view contentsAnnex V - Global Adherence Interdisciplinary Network (GAIN)
Open this folder and view contentsWhere to find a copy of this book
 

Annex IV - Table of reported interventions by condition and dimension

 

Socioeconomic-related interventions

Health care team-/health care system-related interventions

Condition-related interventions

Therapy-related interventions

Patient-related interventions

Asthma

List-organized instructions; clear instructions about treatment for older patients

Education on use of medicines; management of disease and treatment in conjunction with patients; adherence education; multidisciplinary care; training in monitoring adherence; more intensive intervention by increasing number and duration of contacts

Patient education beginning at the time of diagnosis and integrated into every step of asthma care

Simplification of regimens; education on use of medicines; adaptations of prescribed medications; continuous monitoring and reassessment of treatment

Self-management programmes that include both educational and behavioural components; memory aids and reminders; incentives and/or reinforcements; self-monitoring

Cancer

Optimizing the cooperation between services; assessment of social needs; family preparedness; mobilization of community-based organizations

Training of health professionals on adherence; pain education component in training programmes; support to caregivers; multidisciplinary care; follow-up consultation by community nurses; supervision in home pain management; identification of the treatment goals and development of strategies to meet them

Education of the patient on adherence

Simplification of regimens; education on use of medications; giving clear instructions; clarifying misunderstandings about the recommendation of opioids; patient-tailored prescriptions; continuous monitoring and reassessment of treatment; assessment and management of side-effects; coordination of prescribing

Interventions to redress misconceptions about pain treatment and to encourage dialogue about pain control between patient and oncologist; exploration of fears (e.g. about addiction); assessment of psychological needs; education on use of medications; behavioural and motivational intervention; self-management of disease and treatment; self-management of side-effects

Depression

No information was found

Multidisciplinary care; training of health professionals on adherence; counselling provided by a primary care nurse; telephone consultation/counselling; improved assessment and monitoring of patients

Education of patients on use of medicines

Education on use of medicines; patient-tailored prescriptions; continuous monitoring and re-assessment of treatment

Counselling; relapse-prevention counselling; psychotherapy; family psychotherapy; frequent follow-up interviews; specific advice targeted at the needs and concerns of individual patients

Diabetes

Mobilization of community-based organizations; assessment of social needs; family preparedness

Multidisciplinary care; training for health professionals on adherence; identification of the treatment goals and development of strategies to meet them; continuing education; continuous monitoring and re-assessment of treatment; systems interventions: health insurance for nutrition therapy, telephone reminders to patients, chronic care models

Education on use of medicines

Patient self-management; simplification of regimens; education on use of medicines; weight reduction assistance; teaching prescribed physical activity

Behavioural and motivational interventions; assessment of psychological needs; telephone reminders to patients in order to reduce missed appointments

Epilepsy

Assessment of social and career needs

A regular, uninterrupted supply of medicines in developing countries; good patient - physician relationship; instruction by nurses and physicians about methods of incorporating drug administration into patient's daily life; training health professionals on adherence; adherence education

Education on use of medicines

Simplification of regimens; single antiepileptic therapy (monotherapy); education on use of medicines; patient-tailored prescriptions; clear instructions; use of educational materials; continuous monitoring and re-assessment of treatment

Self-management of disease and treatment; self-management of side-effects; behavioural and motivational intervention; education on adherence; providing the patients with control and choices; assessment of psychological needs; frequent follow-up interviews; memory aids and reminders

HIV/AIDS

Family preparedness; mobilization of community- based organizations; intensive education on use of medicines for patients with low levels of literacy; assessment of social needs

Good patient - physician relationship; multidisciplinary care; training of health professionals on adherence; training for health professionals in adherence education; training in monitoring adherence; training caregivers; identification of the treatment goals and development of strategies to meet them; management of disease and treatment in conjunction with the patients; uninterrupted ready availability of information; regular consultations with nurses or physicians; non-judgemental attitude and assistance; rational selection of medications

Education on use of medicines; supportive medical consultation; screening for co-morbidities; attention to mental illness, as well as abuse of alcohol and other drugs

Simplification of regimens; education of the patient on the use of medicines; assessment and management of side-effects; patient-tailored prescriptions; medications for symptoms; adherence education; continuous monitoring and re-assessment of treatment

Monitor drug and/or alcohol use; psychiatric consultation; behavioural and motivational intervention; counselling/psychotherapy; telephone counselling; memory aids and reminders; self-management of disease and treatment

Hypertension

Family preparedness; patient health insurance; uninterrupted supply of medicines; sustainable financing, affordable prices and reliable supply systems

Training in education of patients on use of medicines; good patient - physician relationship; continuous monitoring and re-assessment of treatment; monitoring adherence; non-judgemental attitude and assistance; uninterrupted ready availability of information; rational selection of medications; training in communication skills; delivery, financing and proper management of medicines; development of drugs with better safety profile by pharmaceutical industry; participation of pharmaceutical industry in patient education programmes and in developing instruments to measure adherence for patients

Education on use of medicines

Simplification of regimens

Behavioural and motivational intervention; self-management of disease and treatment; self-management of side-effects; memory aids and reminders

Tobacco smoking

Social assistance

Pharmacist mobilization; free access to nicotine-replacement therapy; frequent follow-up interviews

Therapeutic patient education; supportive psychiatric consultation

Nicotine replacement therapy; antidepressant therapy; education on use of medications; adherence education; assistance with weight reduction; continuous monitoring and reassessment of treatment; monitoring adherence

Adjunctive psychosocial treatment; behavioural intervention; assistance with weight reduction; good patient - physician relationship

Tuberculosis

Assessment of social needs; social support, housing, food tokens and legal measures; providing transport to treatment setting; peer assistance; mobilization of community-based organizations; optimizing the cooperation between services

Uninterrupted ready availability of information; flexibility in available treatment; training and management processes that aim to improve the way providers care for patients with tuberculosis; management of disease and treatment in conjunction with the patients; multidisciplinary care; intensive staff supervision; training in monitoring adherence; DOTS strategy

Education on use of medicines; provision of information about tuberculosis and the need to attend for treatment

Education on use of medications; adherence education; tailor the treatment to the needs of patients at risk of nonadherence; agreements (written or verbal) to return for an appointment or course of treatment; continuous monitoring and re-assessment of treatment

Mutual goal-setting; memory aids and reminders; incentives and/or reinforcements; reminder letters, telephone reminders or home visits for patients who fail to attend clinic

Common elements

Assessment of social needs; social support; family support and preparedness; mobilization of community-based organizations; uninterrupted supply of medicines

Multidisciplinary care; training in educating patients about adherence; good patient - provider relationship; management of disease and treatment in conjunction with the patients; more intensive intervention in terms of number and duration of contacts; adherence education; training in monitoring adherence; uninterrupted ready availability of information

Education on use of medicines

Simplification of regimens; adherence education; education on use of medicines; patient-tailored prescriptions; continuous monitoring and re-assessment of treatment; monitoring adherence

Mutual goal-setting; incentives and/or reinforcements; behavioural and motivational intervention; counselling/psychotherapy; assessment of psychological needs; self-management of the disease and treatment that includes both educational and behavioural components; memory aids and reminders

 

DOTS, Directly observed therapy, short course.

 

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