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A systematic review and thematic synthesis of patients' experience of medicines adherence

Rathbone, A.; Todd, A.; Jamie, K.; Bona, M.; Banks, L.; Husband, A.

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Authors

A. Rathbone

A. Todd

M. Bona

L. Banks

A. Husband



Abstract

Background: Medicines non-adherence continues to be problematic in health care practice. After decades of research, few interventions have a robust evidence-based demonstrating their applicability to improve adherence. Phenomenology has a place within the health care research environment. Objective: To explore patients’ lived experiences of medicines adherence reported in the phenomenonologic literature. Methods: A systematic literature search was conducted to identify peer-reviewed and published phenomenological investigations in adults that aimed to investigate patients’ lived experiences of medicines adherence. Studies were appraised using the Critical Appraisal Skills Programme (CASP) Qualitative Research Tool. Thematic synthesis was conducted using a combination of manual coding and NVivo10 [QSR International, Melbourne] coding to aid data management. Results: Descriptive themes identified included i) dislike for medicines, ii) survival, iii) perceived need, including a) symptoms and side-effects and b) cost, and iv) routine. Analytic themes identified were i) identity and ii) interaction. Conclusions: This work describes adherence as a social interaction between the identity of patients and medicines, mediated by interaction with family, friends, health care professionals, the media and the medicine, itself. Health care professionals and policy makers should seek to re-locate adherence as a social phenomenon, directing the development of interventions to exploit patient interaction with wider society, such that patients ‘get to know’ their medicines, and how they can be taken, throughout the life of the patient and the prescription.

Citation

Rathbone, A., Todd, A., Jamie, K., Bona, M., Banks, L., & Husband, A. (2017). A systematic review and thematic synthesis of patients' experience of medicines adherence. Research in Social and Administrative Pharmacy, 13(3), 403-439. https://doi.org/10.1016/j.sapharm.2016.06.004

Journal Article Type Article
Acceptance Date Jun 6, 2016
Online Publication Date Jun 23, 2016
Publication Date May 1, 2017
Deposit Date Jul 26, 2016
Publicly Available Date Mar 29, 2024
Journal Research in Social and Administrative Pharmacy
Print ISSN 1551-7411
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 13
Issue 3
Pages 403-439
DOI https://doi.org/10.1016/j.sapharm.2016.06.004

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