The review found that multifaceted interventions , addressing several non-adherence factors , were comparatively more effective in improving medication adherence and glycaemic target in patients with T2D than single strategies .
However , interventions with similar components and those addressing similar non-adherence factors demonstrated mixed results , making it difficult to conclude on effective intervention strategies to promote adherence .
Educational strategies have remained the most popular intervention strategy , followed by behavioural , with affective components becoming more common in recent years .
There is a noticeable shift in the literature from using single to multifaceted intervention strategies addressing a range of factors impacting adherence to medications .
BACKGROUND Poor adherence to anti-diabetic medications contributes to suboptimal glycaemic control in patients with type 2 diabetes ( T2D ) .
A range of interventions have been developed to promote anti-diabetic medication adherence .
However , there has been very little focus on the characteristics of these interventions and how effectively they address factors that predict non-adherence .
In this systematic review we assessed the characteristics of interventions that aim ed to promote adherence to anti-diabetic medications .
Can Prescription Refill Feedback to Physicians Improve Patient Adherence?
Background : Although adherence to long‐term drug therapy is an important issue , the means to facilitate its assessment and improvement in clinical practice remain a challenge . Objective : To evaluate the impact of prescription refill feedback and adherence education provided to primary care physicians . Methods : We provided 83 resident and attending physicians at a university‐based general internal medicine practice with refill adherence reports on each of 340 diabetic patients . An educational session on adherence assessment and improvement techniques was held , and all physicians received a written outline on this topic . Physician attitude toward the intervention and 6‐month change in refill adherence ( doses filled/doses prescribed ) of their patient panels were assessed . A nonr and omized comparison group of patients receiving hypertension medications for whom the physicians did not receive feedback was also evaluated . Results : The overall improvement in mean refill adherence was not significant ( 83.9 % vs 86.0 % , P = 0.18 ) . The educational session was attended by 53 % of the physicians . The patient refill adherence of physicians attending the educational session improved by 5.0 % ( P < 0.0009 ) with no significant change among patients of physicians not attending the session . There was no adherence change among patients for whom physicians did not receive refill feedback data , regardless of educational session attendance . Conclusions : Patients of physicians that received refill feedback and attended an educational session improved their refill adherence . After replication of these results in a r and omized trial , broad implementation of this approach could have substantial impact from a public health perspective , given the ubiquity of prescription cl aims data
The review found that multifaceted interventions , addressing several non-adherence factors , were comparatively more effective in improving medication adherence and glycaemic target in patients with T2D than single strategies .
However , interventions with similar components and those addressing similar non-adherence factors demonstrated mixed results , making it difficult to conclude on effective intervention strategies to promote adherence .
Educational strategies have remained the most popular intervention strategy , followed by behavioural , with affective components becoming more common in recent years .
There is a noticeable shift in the literature from using single to multifaceted intervention strategies addressing a range of factors impacting adherence to medications .
BACKGROUND Poor adherence to anti-diabetic medications contributes to suboptimal glycaemic control in patients with type 2 diabetes ( T2D ) .
A range of interventions have been developed to promote anti-diabetic medication adherence .
However , there has been very little focus on the characteristics of these interventions and how effectively they address factors that predict non-adherence .
In this systematic review we assessed the characteristics of interventions that aim ed to promote adherence to anti-diabetic medications .