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Improving medication adherence: a framework for community pharmacy-based interventions

Overview of attention for article published in Integrated Pharmacy Research and Practice, November 2015
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Title
Improving medication adherence: a framework for community pharmacy-based interventions
Published in
Integrated Pharmacy Research and Practice, November 2015
DOI 10.2147/iprp.s93036
Pubmed ID
Authors

Janice Pringle, Kim Coley

Abstract

Evidence supports that patient medication adherence is suboptimal with patients typically taking less than half of their prescribed doses. Medication nonadherence is associated with poor health outcomes and higher downstream health care costs. Results of studies evaluating pharmacist-led models in a community pharmacy setting and their impact on medication adherence have been mixed. Community pharmacists are ideally situated to provide medication adherence interventions, and effective strategies for how they can consistently improve patient medication adherence are necessary. This article suggests a framework to use in the community pharmacy setting that will significantly improve patient adherence and provides a strategy for how to apply this framework to develop and test new medication adherence innovations. The proposed framework is composed of the following elements: 1) defining the program's pharmacy service vision, 2) using evidence-based, patient-centered communication and intervention strategies, 3) using specific implementation approaches that ensure fidelity, and 4) applying continuous evaluation strategies. Within this framework, pharmacist interventions should include those services that capitalize on their specific skill sets. It is also essential that the organization's leadership effectively communicates the pharmacy service vision. Medication adherence strategies that are evidence-based and individualized to each patient's adherence problems are most desirable. Ideally, interventions would be delivered repeatedly over time and adjusted when patient's adherence circumstances change. Motivational interviewing principles are particularly well suited for this. Providing effective training and ensuring that the intervention can be delivered with fidelity within a specified workflow process are also essential for success. Utilizing this proposed framework will lead to greater and consistent success when implementing pharmacist-led medication adherence interventions in the community pharmacy setting.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 41 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 7 17%
Student > Master 6 15%
Other 5 12%
Researcher 5 12%
Student > Bachelor 4 10%
Other 7 17%
Unknown 7 17%
Readers by discipline Count As %
Pharmacology, Toxicology and Pharmaceutical Science 10 24%
Medicine and Dentistry 5 12%
Nursing and Health Professions 4 10%
Computer Science 3 7%
Social Sciences 3 7%
Other 8 20%
Unknown 8 20%