Evidence map›Paper›PMID 32297271›Full record

SynthesisEuropean geriatric medicine2020

Medication adherence in the older adults with chronic multimorbidity: a systematic review of qualitative studies on patient's experience.

M Maffoni, S Traversoni, E Costa, L Midão, P Kardas, M Kurczewska-Michalak, A Giardini

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European geriatric medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Impact of COVID-19 Pandemic on Adherence to Chronic Therapies: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

M MaffoniPsychology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Istituto di Montescano (PV), Pavia, Italy.
S TraversoniPsychology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Istituto di Montescano (PV), Pavia, Italy.
E CostaPorto4Ageing-Competences Centre on Active and Healthy Ageing, University of Porto, Porto, Portugal.
L MidãoPorto4Ageing-Competences Centre on Active and Healthy Ageing, University of Porto, Porto, Portugal.
P KardasDepartment of Family Medicine, Medical University of Lodz, Lodz, Poland.
M Kurczewska-MichalakDepartment of Family Medicine, Medical University of Lodz, Lodz, Poland.
A GiardiniPsychology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Istituto di Montescano (PV), Pavia, Italy. anna.giardini@icsmaugeri.it.
Istituti Clinici Scientifici Maugeri · ITMedical University of Lodz · PLRede de Química e Tecnologia · PTUniversidade do Porto · PT

Funding

Erasmus+ Programme of the European Union - Skills4Adherence 2017-1-PL01-KA202-038672
6 · The paper itself

Abstract

purposeMedication non-adherence represents a socially relevant challenge, particularly when interlinked to multiple chronic diseases and polypharmacy. Non-adherence rates affect treatment efficacy and increase health care costs. The aim of the study was to identify factors influencing medication adherence in the older adults through a systematic review of qualitative studies on patients' experience.

methodsTwo electronic databases were searched for qualitative studies on medication adherence in chronic diseases (hypertension, heart disease, COPD, asthma) involving people aged 65 + . The systematic review was performed according to the PRISMA statement guidelines, employing theoretical frameworks of the ABC Taxonomy of patient adherence and Three Factor model of determinants of behaviour.

resultsThe initial database search identified 1234 records, of which 39 studies were considered eligible. Most of the studies focused on hypertension and were conducted in English-speaking countries. According to the ABC Taxonomy, Persistence and Implementation were the most often considered phases. Considering the Three Factor model, the most often reported themes were Information and Strategies upon being adherent. Stemming from the review findings and the patients' narratives, a new integrated model was proposed. It reports the patient's decisional flowchart describing barriers and facilitators (personal, social and environmental) to adherence.

conclusionMedication adherence is a complex and multifaceted process. The implementation of theoretical frameworks along with a patient-centred perspective may provide clinicians with useful suggestions for clinical practice, enhancing the patient's ability to adhere.

Indexed as

Medication AdherenceMultimorbidityAgedChronic DiseaseHumansPolypharmacyQualitative ResearchAdherenceChronicityMedicationMultimorbidityOlder adults

Identifiers

PMID32297271
OpenAlexW3015024443

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.