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    Modes of delivery for interventions to improve cardiovascular medication adherence

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    Authors
    Cutrona, Sarah L.
    Choudhry, Niteesh K.
    Fischer, Michael A.
    Servi, Amber
    Liberman, Joshua N.
    Brennan, Troyen
    Shrank, William H.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Document Type
    Journal Article
    Publication Date
    2010-12-26
    Keywords
    Antihypertensive Agents
    Cardiovascular Diseases
    Communication
    Diabetes Mellitus
    Directive Counseling
    Humans
    Hypoglycemic Agents
    Medication Adherence
    Patient Discharge
    Patient Education as Topic
    Pharmacies
    *Prescription Drugs
    Professional-Patient Relations
    Telephone
    United States
    Health Services Research
    Medicine and Health Sciences
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    Link to Full Text
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3115758/pdf/nihms295350.pdf
    Abstract
    OBJECTIVE: To determine the optimal modes of delivery for interventions to improve adherence to cardiovascular medications. STUDY DESIGN: Systematic review. METHODS: We conducted systematic searches of English-language, peer-reviewed publications in MEDLINE and EMBASE, 1966 through December 31, 2008. We selected randomized controlled trials of interventions to improve adherence to medications for preventing or treating cardiovascular disease or diabetes. Articles were classified based on mode of delivery of the main intervention as (1) person-independent interventions (mailed, faxed, or hand distributed; or delivered via electronic interface) or (2) person-dependent interventions (nonautomated phone calls, in-person interventions). RESULTS: We identified 6550 articles. Of these, 168 were reviewed in full and 51 met inclusion criteria. Among person-independent interventions (56% successful), electronic interventions were most successful (67%). Among person-dependent interventions (52% successful), phone calls showed low success rates (38%). In-person interventions at hospital discharge were more effective (67%) than clinic interventions (47%). In-person pharmacist interventions were effective when held in a pharmacy (83% successful), but were less effective in clinics (38%). CONCLUSIONS: Future medication adherence studies should explore new electronic approaches and in-person interventions at the site of medication distribution. Identifying times of increased patient receptivity to the adherence message such as hospital discharge also will be important.
    Source
    Am J Manag Care. 2010;16(12):929-42. Link to article on publisher's website
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/36863
    PubMed ID
    21348564
    Related Resources
    Link to Article in PubMed
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    UMass Chan Faculty and Researcher Publications

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