RT Journal Article
T1 Selection of interventions aimed at improving medication adherence in patients with multimorbidity.
A1 González-Bueno, Javier
A1 Calvo-Cidoncha, Elena
A1 Nieto-Martín, María Dolores
A1 Pérez-Guerrero, Concepción
A1 Ollero-Baturone, Manuel
A1 Santos-Ramos, Bernardo
K1 delphi methodology
K1 medication adherence
K1 multimorbidity
K1 panel of experts
K1 systematic review
AB To select interventions aimed at improving medication adherence in patients with multimorbidity by means of a standardised methodology. A modified Delphi methodology was used to reach consensus. Interventions that had demonstrated their efficacy in improving medication adherence in patients with multimorbidity or in similar populations were identified from a literature search of several databases (PubMed, EMBASE, the Cochrane Library, Center for Reviews and Dissemination, and Web of Science). 11 experts in medication adherence and/or chronic disease scored the selected interventions for appropriateness according to three criteria: strength of the evidence that supported each intervention, usefulness in patients with multimorbidity, and feasibility of implementation in clinical practice. The final set of interventions was selected according to appropriateness and agreement based on the Delphi methodology. 566 articles were retrieved in the literature search. Nine systematic reviews were included. 33 interventions were initially selected for evaluation by the panellists. Consensus after two Delphi rounds was reached on 16 interventions. Five interventions were categorized as educational, six as behavioural and five were related to other aspects of interest. The interventions selected following a comprehensive and standardized methodology, could be used to improve medication adherence in patients with multimorbidity.
YR 2017
FD 2017-09-27
LK http://hdl.handle.net/10668/14064
UL http://hdl.handle.net/10668/14064
LA en
DS RISalud
RD Apr 7, 2025