Chronic conditions and behavioural change approaches to medication adherence: rethinking clinical guidance and recommendations

Read, Simon, Morgan, James ORCID: https://orcid.org/0000-0002-8920-1065, Gillespie, David ORCID: https://orcid.org/0000-0002-6934-2928, Nollett, Claire ORCID: https://orcid.org/0000-0001-6676-4933, Weiss, Marjorie ORCID: https://orcid.org/0000-0001-8065-4108, Allen, Davina ORCID: https://orcid.org/0000-0002-6729-7502, Anderson, Pippa and Waterman, Heather ORCID: https://orcid.org/0000-0001-7052-2734 2020. Chronic conditions and behavioural change approaches to medication adherence: rethinking clinical guidance and recommendations. Patient Preference and Adherence 14 , pp. 581-586. 10.2147/PPA.S239916

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Abstract

Patient adherence to medication is an ongoing concern for clinicians, obfuscating treatment efficacy and resulting in wastage of medicine, reduced clinical benefit, and increased mortality. Despite this, procedural guidance on how clinicians should best engage patients regarding their medicine-taking is limited in the United Kingdom. Adherence for chronic conditions is notably complex, requiring clear education, communication, and behavioural shifts to initiate and sustain daily regimens successfully. This article explores current clinician guidance on assuring patient adherence to medication within the National Health Service, comparing it to that provided for healthcare workers in the field of behavioural change. Outlining the inertia of the former and the progress of the latter, we consider what steps should be taken to address this deficit, including greater focus on patient concerns, as well as knowledge translation for healthcare professionals in future adherence research. Current United Kingdom clinical guidance for assuring patient adherence is largely outdated based on inconclusive evidence for best practice. However, efforts to encourage behavioural change in the public health setting demonstrate evidence-based success. Integrating knowledge generated around adherence behaviour and the practical application of adherence and behavioural change research, as well as funding for longer-term studies with a focus on clinical outcomes, may help to solidify the NICE guidance on adherence and further progress the field. This would require close involvement from patient groups and networks informing ethical aspects of study design and clinical implementation.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Centre for Trials Research (CNTRR) Healthcare Sciences Medicine Optometry and Vision Sciences Pharmacy
Subjects:	H Social Sciences > H Social Sciences (General) R Medicine > RA Public aspects of medicine R Medicine > RE Ophthalmology R Medicine > RM Therapeutics. Pharmacology R Medicine > RS Pharmacy and materia medica
Publisher:	Dove Medical Press
ISSN:	1177-889X
Funders:	Health and Care Research Wales
Related URLs:	Publisher
Date of First Compliant Deposit:	13 March 2020
Date of Acceptance:	4 February 2020
Last Modified:	07 May 2023 07:23
URI:	https://orca.cardiff.ac.uk/id/eprint/130347

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