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Home > Patient Counselling > Compliance, Concordance and Adherence

Compliance, Concordance and Adherence

National Institute for Health and Care Excellence (NICE) Guidance > Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherence

This guideline covers medicines adherence in people aged 18 and over. It recommends how to encourage adherence to medicines by supporting and involving people in decisions about their prescribed medicines. It aims to ensure that a person’s decision to use a medicine is an informed choice.

Source: nice.org.uk
Pharmacy Resource: Guidance
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Last Checked: 13/11/17 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes

This guideline covers safe and effective use of medicines in health and social care for people taking 1 or more medicines. It aims to ensure that medicines provide the greatest possible benefit to people by encouraging medicines reconciliation, medication review, and the use of patient decision aids.

Source: nice.org.uk
Pharmacy Resource: Guidance
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Last Checked: 13/11/17 Link Error: Report It

 

Royal Pharmaceutical Society Guide: Medicines Adherence

The purpose of this guidance is to help pharmacists to support patients to get involved in decision making regarding the medicines they take, improve adherence and contribute to strengthening lines of communication between healthcare professionals.

Source: rpharms.com
Pharmacy Resource: Guide
Register to Access Content: Yes - content available to members of the RPS

Last Checked: 03/04/17 Link Error: Report It

 

Adherence to treatment and developing concordance skills

Find out more information about ‘adherence to treatment and developing concordance skills’ by using the eLearning materials for ‘introduction to concordance and adherence to treatment’, ‘involving patients in treatment decisions’, and ‘concordance consultation skills’ and/or the other useful links and resources available on the left-hand side menu in each of these areas.

Source: webarchive.org.uk
Pharmacy Resource: e-Learning
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Last Checked: 23/04/15 Link Error: Report It

 

Assessing and improving adherence to prescribed medicines

Find out more information about ‘assessing and improving adherence to prescribed medicines’ by using the eLearning materials for ‘assessing adherence to treatment’, and ‘interventions to increase adherence to prescribed medicines’ and/or the other useful links and resources available on the left-hand side menu in both of these areas.

Source: webarchive.org.uk
Pharmacy Resource: e-Learning
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Last Checked: 23/04/15 Link Error: Report It

 

Medication Compliance and Persistence: Terminology and Definitions

The aim of the study is to provide guidance regarding the meaning and use of the terms “compliance” and “persistence” as they relate to the study of medication use.

Source: ispor.org
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

The Pharmacist’s Role in Medication Adherence

Medication adherence is the voluntary cooperation of the patient in taking drugs or medicine as prescribed, including timing, dosage, and frequency. The term concordance, which has developed over the past decade, is based on the patient-centered philosophy that the patient and the health care provider (HCP) play equal roles in medication decision-making.

Source: uspharmacist.com
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

A competency framework for shared decision-making with patients
Achieving concordance for taking medicines
First Edition

This framework has been produced by the Medicines Partnership Programme at NPC Plus.

This document sets out good practice for health and social care professionals in their consultations with patients about their healthcare and treatment. It describes the skills and behaviours that practitioners need to ensure that they listen effectively to patients. The competency framework will also help them to respect diversity and patient beliefs and work with patients to reach a shared agreement about treatment where this is possible.

It is intended to be used by healthcare professionals wherever healthcare is provided. Involvement in care and treatment decisions is important for all patients; for those with long term conditions as their care is ongoing and also for those with acute episodes of ill-health.

Source: webarchive.org.uk
Pharmacy Resource: Competency Framework
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Last Checked: 23/04/15 Link Error: Report It

 

Managing and Supporting Medication Adherence
A framework for the education and training of health professionals in Europe

The educational framework presented is principally aimed at the professions of medication, pharmacy and nursing in Europe, but also applies to any health professional engaging in discussions with patients about their medications.

Source: abcproject.eu
Pharmacy Resource: Framework
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Last Checked: 20/11/13 Link Error: Report It

 

Closing the Quality Gap Series: Medication Adherence Interventions: Comparative Effectiveness
Agency for Healthcare Research and Quality

This review seeks to synthesize evidence regarding the efficacy and effectiveness of interventions to improve medication adherence among adults across a broad array of chronic conditions.

Source: effectivehealthcare.ahrq.gov
Pharmacy Resource: Report
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Last Checked: 20/11/13 Link Error: Report It

 

Ascertaining Barriers for Compliance: policies for safe, effective and cost-effective use of medicines in Europe

Research results unequivocally point at non-compliance as a major barrier to realise the benefits of evidence-based treatments, both in the case of long-term treatment, as well as short-term medication, e.g. antimicrobial therapy. The lower the compliance, the poorer the outcomes, and the less cost- effective treatments become. Moreover, non-compliance is accompanied with increased health services utilisation, and increased healthcare expenditures.

Source: abcproject.eu
Pharmacy Resource: Report
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Last Checked: 20/11/13 Link Error: Report It

 

“Improving the sustainability of healthcare systems through better adherence to therapies: a multi-stakeholder approach ”

Source: pgeu.eu
Pharmacy Resource: Briefing Paper
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Last Checked: 20/11/13 Link Error: Report It

 

Adult Meducation

The American Society on Aging (ASA) and the American Society of Consultant Pharmacists (ASCP) Foundation have collaborated on the development of Adult Meducation: Improving Medication Adherence in Older Adults, a web-based program to educate ASA and ASCP members on important aspects of medication adherence in older adults.

This website contains:

  • Information on factors that influence medication adherence, barriers to adherence, and specific strategies to improve adherence
  • Tools to identify older adults at risk for medication nonadherence
  • Resources to improve medication adherence
  • Materials to educate older adults about the importance of medication adherence
  • Educational programs targeted at community-based service providers and health professionals
  • Links to other useful web resources.
Source: adultmeducation.com
Pharmacy Resource: Various
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Last Checked: 20/11/13 Link Error: Report It

 

Adherence to Long-Term Therapies: Evidence for Action

This report is part of the work of the Adherence to Long-term Therapies Project, a global initiative launched in 2001 by the Noncommunicable Diseases and Mental Health Cluster of the World Health Organization.

The main target audience for this report are policy-makers and health managers who can have an impact on national and local policies in ways that will benefit patients, health systems and societies with better health outcomes and economic efficiency. This report will also be a useful reference for scientists and clinicians in their daily work.

The main objective of the project is to improve worldwide rates of adherence to therapies commonly used in treating chronic conditions.

Source: who.int
Pharmacy Resource: Report
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Last Checked: 20/11/13 Link Error: Report It

 

“Medication Adherence”

Poor adherence affects both men and women of all ages and socioeconomic groups. As the nation continues to age, the risk of poor adherence in the elderly has become a significant concern. This group of Americans accounts for 30% for all prescription medications purchased. The regimens they take are often complex and confusing. The report also indicated that medication adherence is much higher in individuals with acute conditions compared to chronic diseases. This lesson will focus on strategies to improve adherence in chronic disease.

“Adherence Part 2: Pharmacist's Perspective”

Poor adherence to medical therapies compromises patient outcomes. According to the WHO, improving adherence to medical therapy for hypertension, hyperlipidemia, and diabetes would result in significant health and economic benefit.

Source: wfprofessional.com
Pharmacy Resource: CE / CPD / Learning
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Last Checked: 20/11/13 Link Error: Report It

 

Putting concordance into practice: core consulting skills

Wendy Clyne and David Colin-Thome discuss how concordance in medicine-taking can be achieved by applying core clinical skills

Ambivalence about medicines and how to deal with it

Wendy Clyne discusses ways to resolve medicines ambivalence to achieve concordance

Achieving concordance through use of decision-support tools

Wendy Clyne and Steve Chapman describe how decision-support tools can aid concordance

Source: eu.wiley.com
Pharmacy Resource: Journal Articles
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Last Checked: 20/11/13 Link Error: Report It

 

Targeting Adherence
Improving Patient Outcomes in Europe through Community Pharmacists’ Intervention

Therefore this paper is intended to contribute to a much-needed debate about adherence, from the perspective of European Community Pharmacists. Its main objective is to explore the potential of pharmacists to improve rates of patients’ adherence to therapies in general and most importantly to long-term therapies commonly used in treating chronic conditions and their risk factors. Concrete examples on how this is already happening throughout Europe will be provided.

Source: pgeu.eu
Pharmacy Resource: Booklet
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Last Checked: 20/11/13 Link Error: Report It

 

Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease

This issue brief addresses the root causes of poor patient medication adherence - a significant contributor to overall health care waste - and offers promising solutions to improve adherence, particularly among chronic disease patients.

Source: nehi.net
Pharmacy Resource: Publication
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Last Checked: 13/02/14 Link Error: Report It

 

Concordance, adherence and compliance in medicine taking

This report is a product of a scoping exercise commissioned by the NHS National Coordinating Centre for Service Delivery and Organisation (NCCSDO) with the following aims:

  1. Summarise current knowledge about the determinants of medication-taking.
  2. Construct a conceptual map of the area of compliance, adherence and concordance.
  3. Identify priorities for future research of relevance to the NHS, with particular emphasis on identifying what new knowledge is needed to be able to develop effective, realisable, efficient and equitable interventions to promote the appropriate use of medicines for the benefit of patients and the NHS.

The scoping exercise involved analysis of the literature, a listening exercise involving consultation with both a user group and with a group of academics, health care professionals and managers, plus feedback from an Expert Panel.

Source: nets.nihr.ac.uk
Pharmacy Resource: Report
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Last Checked: 08/11/13 Link Error: Report It

 

The Unhidden Cost of Noncompliance

Learning Objectives

After completing this activity, the participant should be better able to

  1. Describe the clinical and economic impact related to noncompliance within the managed health care setting.
  2. Explain methods, such as motivational interviewing techniques, for improving overall compliance to therapies.
  3. Specify current strategies to optimize the use of medication therapy management programs.
  4. Identify collaborative approaches that maximize available resources to improve treatment compliance outcomes.
Source: amcp.org
Pharmacy Resource: Supplement
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Last Checked: 20/11/13 Link Error: Report It

 

Medication Adherence: WHO Cares?

This review will discuss general aspects of medication adherence, using cardiovascular disease (CVD) as an example, and provide the physician with various practical strategies and resources for improving medication adherence among their patients.

Source: mayoclinicproceedings.org
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Medication Adherence

Overview of This Educational Module

  • Medication adherence
  • Burden of non-adherence
  • Effective interventions to improve adherence
  • Measuring medication adherence
  • Provider’s role in improving medication adherence
  • Tools and resources
  • Case studies
Source: cdc.gov
Pharmacy Resource: Slides
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Last Checked: 20/11/13 Link Error: Report It

 

Paying the Price: Prescription Charges and People with Long-Term Conditions
A report by the Prescription Charges Coalition

This report details the findings of an online survey which ran from 8 August – 31 October 2012 to explore the impact of prescription charges on people with long-term conditions in England in the current economic climate. Past research and experience from health professionals has identified that prescription charges have had a significant impact on medicine adherence, despite the existence of the Prescription Prepayment Certificate and exemptions for charges for those with some specific medical conditions and for those in receipt of certain state benefits. Member organisations are also contacted on a regular basis through their helplines and social media forums by individuals for whom prescription charges are an issue.

There has been considerable focus in recent years on reducing medicine wastage and improving the use of medicines. This report makes the case that prescription charges need to be considered as a key part of this work and strongly questions the economic value of preserving prescription charges for people with long-term conditions in England.

Source: prescriptionchargescoalition.org.uk
Pharmacy Resource: Report
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Last Checked: 29/10/13 Link Error: Report It

 

Clinical and Economic Advantages of Modern Dosage Forms: Improving Medication Adherence

This paper examines a substantial source of waste and inefficiency in health care: patient nonadherence with medications. The authors explain how modern drug delivery technology can improve adherence by simplifying the dosage regimen, and/or decreasing side effects.

Source: npcnow.org
Pharmacy Resource: Publication
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Last Checked: 20/11/13 Link Error: Report It

 

Drug Delivery Systems Improve Pharmaceutical Profile and Facilitate Medication Adherence

This paper delves into the issues surrounding drug delivery, and how modern medicine has continually improved how we deliver medicines to patients. The authors discuss how innovations in dosage forms and dose delivery systems across a wide range of medications offer substantial clinical advantages, including reduced dosing frequency and improved patient adherence; minimized fluctuation of drug concentrations and maintenance of blood levels within a desired range; localized drug delivery; and the potential for reduced adverse effects and increased safety.

Source: npcnow.org
Pharmacy Resource: Publication
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Last Checked: 20/11/13 Link Error: Report It

 

Counselling, Concordance, and Communication

This booklet is intended to be used as a handbook or guide to the knowledge and skills required in patient counselling in different settings. Additionally, it includes both research-based information and practical tips on providing medicines information services and learning patient counselling skills.

This booklet is targeted to a wide range of pharmacy professionals, such as pharmacy students, recent graduates, pharmacy practice professionals, pharmaceutical societies/organisations and key stakeholders involved in the design of pharmacy curricula and continuing education for practitioners.

Source: ipsf.org
Pharmacy Resource: Booklet
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Last Checked: 23/11/16 Link Error: Report It

 

Medication adherence: patient education, communication and behaviour

The goals of this article are to address (1) the reasons for non-adherence, (2) the prevalence of medication non-adherence, (3) the consequences of non-adherence, (4) patient behaviour with respect to taking medications and finally, (5) interventions to improve medication adherence.

Source: mcppnet.org
Pharmacy Resource: Journal Article
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Last Checked: 19/11/13 Last Checked: Report It

 

iAdherence: Patient Adherence Portal

Objectives

  • To build and maintain the largest database of electronically compiled drug dosing histories
  • To use novel graphics to show the many facets of reliable adherence data
  • To share a repository of published peer-reviewed studies, including related documents and expertise
  • To connect people who share a common interest in patient adherence research
Source: iadherence.org
Pharmacy Resource: Various
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Last Checked: 20/11/13 Link Error: Report It

 

The Cochrane Collaboration
Cochrane Reviews - Consumer & Communication Strategies

The Cochrane Collaboration is an international, non-profit, independent organisation, established to ensure that up-to-date, accurate information about the effects of healthcare interventions is readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions, and promotes the search for evidence in the form of clinical trials and other studies of the effects of interventions.

Source: cochrane.org
Pharmacy Resource: Systematic Reviews
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Last Checked: 17/07/15 Link Error: Report It

 

I’ve missed a dose; what should I do?

More than 80% of patients occasionally miss a dose of their medication. Health practitioners ought to plan with their patients what to do if a dose is missed. Patients believe that this plan should be a required part of the information received when a medication is prescribed and dispensed.

Source: nps.org.au
Pharmacy Resource: Journal Article
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Last Checked: 08/08/16 Link Error: Report It

 

Devon Medication Concordance Assessment Tool

This tool is linked to the Single Assessment Process and designed to help health and social care professionals take a structured approach to assessing an individuals’ problems with their medicine.

Source: devon.gov.uk
Pharmacy Resource: Assessment Tool
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Last Checked: 06/12/13 Link Error: Report It

 

Health Literacy
Report from an RCGP-led health literacy workshop

Research highlighted by the RCGP shows how 43% of UK adults fail to fully understand information that contains text, such as signs in hospital, leaflets and health guides, while one in three adults fails to understand numerical information presented to them.

Health professionals can sometimes overestimate the health literacy of their patients, and patients can feel too embarrassed to ask questions. In addition, doctors often supplement verbal information with a leaflet, presuming that it can be read. This can lead to distress and a lack of understanding for patients.

Source: rcgp.org.uk
Pharmacy Resource: Report
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Last Checked: 01/08/14 Last Checked: Report It

 

Health Literacy: Statistics At-A-Glance

Research shows that most consumers need help understanding health care information; regardless of reading level, patients prefer medical information that is easy to read and understand. For people who don’t have strong reading skills, however, easy-to-read health care materials are essential.

Source: npsf.org
Pharmacy Resource: Factsheet
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Last Checked: 04/11/14 Last Checked: Report It

 

Rapid Estimate of Adult Literacy in Medicine revised, shorter version (REALM-R)

The REALM-R is a brief screening instrument used to assess an adult patient’s ability to read common medical words. It is designed to assist medical professionals in identifying patients at risk for poor literacy skills. The REALM-R is a word recognition test – not a reading comprehension instrument.

Source: ahrq.gov
Pharmacy Resource: Test
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Last Checked: 20/11/13 Last Checked: Report It

 

Effects of Religious and Personal Beliefs on Medication Regimen Design

Several religions, including Hinduism, Judaism, and Islam, prohibit the consumption of swine and bovine products. More than 1000 medications contain inactive ingredients derived from these sources.

Poverty, distance, and language are the primary reasons patients fail to seek medical attention. However, there is another difficult barrier many patients face: More than 1000 medications contain inactive ingredients derived from pork or beef, the consumption of which is prohibited by several religions.

Source: healio.com
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Alphabetical Glossary of Animal Substances

Source: vegetarian.org.uk
Pharmacy Resource: Factsheet
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Last Checked: 18/08/15 Link Error: Report It

 

Is there a calcium and vitamin D preparation which is suitable for a vegetarian or vegan?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

Proprietary calcium and vitamin D preparations contain calcium and colecalciferol or calcium and ergocalciferol.

Source: evidence.nhs.uk
Pharmacy Resource: Medicines Question and Answer
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Last Checked: 20/11/13 Link Error: Report It

 

Medicines management during ramadan

With the Islamic month of Ramadan approaching, this article explains its impact on Muslim patients and the advice pharmacists can give them, with particular focus on diabetes

Source: pharmaceutical-journal.com
Pharmacy Resource: Journal Article
Register to Access Content: Yes - content available to members of the RPS and paid subscribers

Last Checked: 31/07/14 Link Error: Report It

 

GP guide to managing patients who wish to fast during Ramadan

This article considers the advice that patients should receive before they take the decision to fast during Ramadan and how their dosage regimens may need to be modified.

Source: eu.wiley.com
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Optimising Medicines Use During Ramadan Films

Community Pharmacy West Yorkshire have produced three films on optimising medicines use during Ramadan. The aim is to help address how community pharmacy teams can support patients to use their medicines and promote health and wellbeing during Ramadan.

Helping pharmacy teams support patients during the Holy Month of Ramadan

Medicines use during the Holy Month of Ramadan - Information for pharmacy teams

Medicines use during the Holy Month of Ramadan - Information for patients

Source: cpwy.org
Pharmacy Resource: Videos
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Last Checked: 25/06/15 Link Error: Report It

 

Ramadan and your Diabetic patient: A resource pack for Healthcare Professionals

Source: nhsggc.org.uk
Pharmacy Resource: Resource Pack
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Last Checked: 20/11/13 Link Error: Report It

 

Recommendations for Management of Diabetes During Ramadan

In this revised document, we continue to avoid use of the terms “indications” or “contraindications” for fasting because fasting is a spiritual issue for which patients make their own decision after receiving appropriate advice from religious teachings and from health care providers. However, we emphasize that fasting, especially among patients with type 1 diabetes with poor glycemic control, is associated with multiple risks.

Source: care.diabetesjournals.org
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Medication Adherence: The Real Problem When Treating Chronic Conditions

When counseling about medication adherence for the three major disease states—diabetes, hypertension, and hyperlipidemia—it is important to educate the patient about the consequences of not appropriately treating these conditions, which can result in heart attack, heart failure, stroke, paralysis, and potentially permanent and devastating alterations to their quality of life. Pharmacists must paint a picture of the situation and remind patients why they are taking the medication in the first place.

Source: uspharmacist.com
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Medication Adherence in Cardiovascular Disease

Patients with high adherence rates have a significantly lower risk of cardiovascular events compared with those with low adherence rates.

Source: circ.ahajournals.org
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Medication Adherence in Chronic Cardiovascular Disease

Source: cdc.gov
Pharmacy Resource: Slides
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Last Checked: 20/11/13 Link Error: Report It

 

American Society of Hypertension Position Paper: Adherence and Persistence With Taking Medication to Control High Blood Pressure

Source: ash-us.org
Pharmacy Resource: Position Paper
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Last Checked: 20/11/13 Link Error: Report It

 

Combination therapy in hypertension

It is within this context that the American Society of Hypertension presents this Position Paper on Combination Therapy for Hypertension. It will address the scientific basis of combination therapy, present the pharmacologic rationale for choosing specific drug combinations, and review patient selection criteria for initial and secondary use. The advantages and disadvantages of single pill (fixed) drug combinations, and the implications of recent clinical trials involving specific combination strategies will also be discussed.

Source: ashjournal.com
Pharmacy Resource: Position Paper
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Last Checked: 20/11/13 Link Error: Report It

 

European Society of Hypertension Newsletter
Patient Compliance in the Treatment of Arterial Hypertension

Source: eshonline.org
Pharmacy Resource: Newsletter
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Last Checked: 18/08/15 Link Error: Report It

 

The Use of Single Pill Combination Treatments in Patients with Hypertension
Statement from the British Hypertension Society September 2012

In 2004, the British Hypertension Society (BHS) guidelines stated that “when no disadvantages of cost exist, fixed-drug combinations are recommended”. More recently, the 2006 & 2011 NICE guidelines produced in collaboration with the BHS did not discuss the use of fixed-drug combinations (FDCs) because it did not fall within the pre-specified NICE remit. In anticipation of a further set of BHS guidelines this statement is to update the BHS position with regard to the use of FDCs.

Source: bhsoc.org
Pharmacy Resource: Statement
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Last Checked: 20/11/13 Link Error: Report It

 

Predictive Validity of a Medication Adherence Measure in an Outpatient Setting

This study examines the psychometric properties and tests the concurrent and predictive validity of a structured, self-reported medication adherence measure in patients with hypertension.

Source: eu.wiley.com
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Asthma Adherence
A Guide for Health Professionals

In developing this practical guide the National Asthma Council (NAC) aims to assist those involved in asthma care to understand more about adherence and the factors affecting it, both as a patient issue and an asthma management issue.

Source: nationalasthma.org.au
Pharmacy Resource: Guide
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Last Checked: 20/11/13 Link Error: Report It

 

Compliance, Adherence, and Concordance: Implications for Asthma Treatment

This article will review the underlying reasons for patient nonadherence and describe the role played by clinicians in promoting optimal medicine management.

Source: journal.publications.chestnet.org
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Improving Adherence in the Treatment of Type 2 Diabetes

This article will provide a succinct overview of the problem of nonadherence, an appraisal of its impact on the management of diabetes, and a common sense approach to improving compliance by choosing the medication most likely to promote adherence.

Source: uspharmacist.com
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Improving Patient Adherence

This article reviews studies documenting the extent of and factors related to adherence problems among patients with diabetes. Recommendations are made for improving patient adherence, with an emphasis on adopting a collaborative model of care and skillful use of behavioral change strategies.

Source: clinical.diabetesjournals.org
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Improving the Effectiveness of Drugs in Epilepsy Through Concordance

Compliance with a prescribed medicine regimen is a ubiquitous problem not confined to the treatment of asymptomatic conditions. Despite this, the poor compliance in patients with epilepsy is somewhat surprising given that patients are aware of the serious consequences in terms of seizures and even death. In this context it is important that we look for ways to improve epilepsy patients’ adherence to the prescribed medication as a way of improving outcome.

Source: acnr.co.uk
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Medication Compliance: Epilepsy.com/Professionals

Learning Objectives

  • To teach healthcare providers how to explain to patients the importance of taking epilepsy medications as prescribed, including obtaining appropriate refills. “Medications don’t work unless patients take them.”
  • To teach healthcare providers how to apply medication compliance and persistence skills to help patients evaluate daily compliance with their medication regimen and obtaining refills.
  • To teach healthcare providers how to evaluate patients' medication taking in relation to seizures and adverse effects
Source: epilepsy.com
Pharmacy Resource: Learning
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Last Checked: 20/11/13 Link Error: Report It

 

Faculty of Sexual and Reproductive Healthcare Clinical Guidance On Missed Pill Recommendations

Source: fsrh.org
Pharmacy Resource: Guidance
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Last Checked: 20/11/13 Link Error: Report It

 

Missed Hormonal Contraceptives: New Recommendations

This committee opinion has been reviewed by the Social and Sexual Issues Committee and reviewed and approved by the Executive of the Society of Obstetricians and Gynaecologists of Canada.

Source: sogc.org
Pharmacy Resource: Commitee Opinion
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Last Checked: 20/11/13 Link Error: Report It

 

 

Boosting Adherence and Managing Antiretroviral Drug Adverse Events: The Role of the Community Pharmacist

  • DHHS Guidelines for the Use of Antiretroviral Agents in Patients with HIV-1
  • Infection Antiretroviral Drug Interactions and Adverse Side Effects
  • The Role of the Pharmacist in Improving Adherence to HIV Therapy
Source: utasip.com
Pharmacy Resource: Articles
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Last Checked: 20/11/13 Link Error: Report It

 

Adherence
Children's HIV Association

Pill Swallowing Factsheet
Protocol To Enhance Adherence
Taking Meds Factsheet
You and Your Medicine

Source: chiva.org.uk
Pharmacy Resource: Guidelines
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Last Checked: 17/08/15 Link Error: Report It

 

Patient Adherence to Tuberculosis Treatment

In this module, you will learn how to help patients adhere to a TB treatment regimen. When medical treatment is complicated or lasts for a long time, as in the treatment for TB disease, patients often do not take their medication as instructed.

Source: cdc.gov
Pharmacy Resource: Module
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Last Checked: 20/11/13 Link Error: Report It

 

Monitoring Opioid Adherence in Chronic Pain Patients: Tools, Techniques, and Utility

This paper provides a review of the numerous monitoring approaches that have been described in the literature and addresses the benefits and limitations of these techniques and tools. The complex nature of the problem of drug misuse and abuse is discussed, and while no single monitoring technique can fully address this complex issue, we describe how multiple approaches to adherence monitoring may be employed to sustain the prudent use of opioids for the treatment of chronic pain.

Source: painphysicianjournal.com
Pharmacy Resource: Journal Article
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Last Checked: 19/10/15 Link Error: Report It

 

Compliance with treatment in osteoporosis patients

This article reviews the trends of compliance and persistence with bisphosphonate therapy in patients with osteoporosis in the ‘real world’ setting.

Source: racgp.org.au
Pharmacy Resource: Journal Article
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Last Checked: 20/11/13 Link Error: Report It

 

Compliance and Persistence with Osteoporosis Therapies

Objectives:

  • Recognize the critical problem of low compliance and persistence with osteoporosis medications.
  • Identify the most common reasons for nonpersistence and noncompliance with fracture-reduction medication.
  • Explain the consequences of noncompliance and nonpersistence with osteoporosis medications.
  • Recognize signs of noncompliance and nonpersistence in patients in your care.
  • Implement strategies for improving patient medication compliance and persistence.
Source: nof.org
Pharmacy Resource: Clinical Update
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Last Checked: 20/11/13 Link Error: Report It

 

Staying Power: Closing The Adherence Gap In Osteoporosis

Staying Power: Closing The Adherence Gap In Osteoporosis provides a summary of the international evidence available on the impact of non-adherence.

By highlighting the social, financial and personal implications that arise when people fail to adhere to treatment in the long-term, the survey and report raises awareness of the real cost of this crucial issue and reprioritises lack of adherence so it is given the attention it deserves.

Source: iofbonehealth.org
Pharmacy Resource: Report, Questions Guide and Patient Flyer
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The Adherence Gap: Why Osteoporosis Patients Don’t Continue With Treatment

A European report highlighting the gap between the beliefs of people with osteoporosis and the perceptions of their physicians

This 2005 survey, carried out for IOF by IPSOS Health, aimed to understand the reasons why women with osteoporosis do not stay on treatment.

Source: iofbonehealth.org
Pharmacy Resource: Report
Register to Access Content: No

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Improving compliance with oral methotrexate guidelines

This Patient Safety Alert reissues guidance to the NHS in England and Wales to reduce the risk of patient harm associated with the incorrect dosing frequency of oral methotrexate.

Improving compliance with oral methotrexate guidelines - Patient Safety Alert
Making sure you take oral methotrexate safely- Patient Briefing
Oral methotrexate tablets - IT requirement specification
Oral methotrexate patient information leaflet & dosage record booklet
Towards the safer use of oral methotrexate

Source: npsa.nhs.uk
Pharmacy Resource: Alert
Register to Access Content: No

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