Restricted accessResearch articleFirst published online 2021-1
Acceptability of the Medication Adherence for Patients Support intervention to improve adherence to patients prescribed medications for hypertension or comorbidities,as an adjunct to primary care: A qualitative study
Tailored interventions delivered via text and voice messages can improve adherence to multiple medications. However, no such intervention has been developed in the UK primary-care setting. We conducted focus groups with 12 patients with hypertension, type 2 diabetes, or both conditions, presumed to be non-adherent and recruited from deprived neighborhoods, to assess the acceptability and inform the development of an intervention to provide ongoing support for adherence, as an adjunct to primary-care consultations. Patients recommended ways to improve the tailored content and delivery of the intervention; like highly interactive messages to report both medication taking and determinants of medication adherence.
BarberN (2002) Should we consider non-compliance a medical error?Quality & Safety in Health Care11(1): 81–84.
2.
BraunVClarkeV (2012) Thematic analysis. In: CooperHCamicPMLongDL, et al (eds) APA Handbook of Research Methods in Psychology, Vol. 2. Research Designs: Quantitative, Qualitative, Neuropsychological, and Biological. Washington, DC: American Psychological Association, pp. 57–71.
3.
CassellAEdwardsDHarshfieldA, et al. (2018) The epidemiology of multimorbidity in primary care: A retrospective cohort study. The British Journal of General Practice : The Journal of the Royal College of General Practitioners68(669): e245–e251.
4.
ClarkCESmithLFTaylorRS, et al (2010) Nurse led interventions to improve control of blood pressure in people with hypertension: a systematic review and meta-analysis. BMJ341: C3995. DOI: 10.1136/bmj.c3995
5.
DarkerCDFrenchDP (2009) What sense do people make of a theory of planned behaviour questionnaire? A think-aloud study. Journal of Health Psychology14(7): 861–871.
6.
FarmerAHardemanWHughesD, et al. (2012) An explanatory randomised controlled trial of a nurse-led, consultation-based intervention to support patients with adherence to taking glucose lowering medication for type 2 diabetes. BMC Family Practice13: 30.
7.
FarnsworthJBoonB (2010) Analysing group dynamics within the focus group. Qualitative Research10(5): 605–624.
8.
FerranniniECushmanWC (2012) Diabetes and hypertension: The bad companions. The Lancet280: 601–610.
9.
FrenchDPCookeRMcleanN, et al. (2007) What do people think about when they answer theory of planned behaviour questionnaires? A “think aloud” study. Journal of Health Psychology12(4): 672–687.
10.
GlynnLGMurphyAWSmithSM, et al (2010) Interventions used to improve control of blood pressure in patients with hypertension. Cochrane Database of Systematic Reviews17(3): CD005182.
11.
HalkierB (2010) Focus groups as social enactments: Integrating interaction and content in the analysis of focus group data. Qualitative Research10: 71–89.
12.
HollandsGJFrenchDPGriffinSJ, et al. (2016) The impact of communicating genetic risks of disease on risk-reducing health behaviour: Systematic review with meta-analysis. BMJ352: i1102.
13.
KassavouASuttonS (2016) Developing and Pre-Testing a Tailored Interactive Voice Response (IVR) Intervention to Support Adherence to Anti-Hypertensive Medications: A Research Protocol. Cambridge: University of Cambridge.
14.
KassavouASuttonS (2018) Automated telecommunication interventions to promote adherence to cardio-metabolic medications: Meta-analysis of effectiveness and meta-regression of behaviour change techniques. Health Psychology Review12(1): 25–42.
15.
KassavouASuttonS (2017) Reasons for non–adherence to cardiometabolic medications, and acceptability of an interactive voice response intervention in patients with hypertension and type 2 diabetes in primary care: a qualitative study. BMJ Open7(8): e015597.
16.
KassavouAHougthonVEdwardsS, et al. (2018). Development and piloting of a highly tailored text and voice messaging intervention to support adherence to antihypertensive medications within the primary care setting. BMJ Open.
17.
LaurantMvan der BiezenMWijeresN, et al (2018) Nurses as substitutes for doctors in primary care. Cochrane Database of Systematic Reviews7: CD001271.
18.
McManusRJMantJFranssenM, et al. (2018) Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): An unmasked randomised controlled trial. The Lancet391(10124): 949–959.
19.
MazzagliaGAmbrosioniEAlacquaM, et al. (2009) Adherence to antihypertensive medications and cardiovascular morbidity among newly diagnosed hypertensive patients. Circulation120(16): 1598–1605.
20.
MohanAVRileyMBBoyingtonDR, et al. (2013) Illustrated medication instructions as a strategy to improve medication management among Latinos: A qualitative analysis. Journal of Health Psychology18(2): 187–197.
21.
National Institute for health and Clinical Excellence (2009) Medicines adherence: Involving patients in decisions about prescribed medicines and supporting adherence (Clinical Guideline 76). Available at: https://www.nice.org.uk/guidance/CG76
NieuwlaatRWilczynskiNNavarroT, et al. (2014) Interventions for enhancing medication adherence. The Cochrane Database of Systematic Reviews11(11): CD000011.
25.
PantuzzaLLCeccatoMSilveiraMR, et al. (2017) Association between medication regimen complexity and pharmacotherapy adherence: A systematic review. European Journal of Clinical Pharmacology73(11): 1475–1489.
26.
PoulterNPrabhakaranDCaulfiedM (2015) Hypertension. The Lancet386: 801–812.
27.
RothmanABaldwinAHertelPF (2013) Self-regulation and behaviour change: Disentangling behaviour initiation and behavioural maintenance. In: VohsKBaumeisterR (eds) Handbook of Self-Regulation. Research, Theory and Applications (2nd edn). New York: Guilford, pp. 106–122.
28.
SchroederKFaheyTEbrahimS (2004) Interventions for improving adherence to treatment in patients with high blood pressure in ambulatory settings. Cochrane Database of Systematic Reviews2004(3): CD004804.
29.
SmithDHO’Keeffe-RosettiMOwen-SmithAA, et al. (2016) Improving adherence to cardiovascular therapies: An economic evaluation of a randomized pragmatic trial. Value in Health19(2): 176–184.
30.
SuttonS (2015) Stage theories. In: NormanM (ed.) Predicting and Changing Health Behaviour: Research and Practice With Social Cognition Models. Buckingham: Open University Press, pp. 279.
31.
York Health Economics Consortium and The School of Pharmacy, University of London (2010) Evaluation of the scale, causes and costs of waste medicines. Available at http://discovery.ucl.ac.uk/1350234/
