TY - JOUR
T1 - Furthering patient adherence
T2 - A position paper of the international expert forum on patient adherence based on an internet forum discussion
AU - Van Dulmen, Sandra
AU - Sluijs, Emmy
AU - Van Dijk, Liset
AU - De Ridder, Denise
AU - Heerdink, Rob
AU - Bensing, Jozien
AU - Barbui, Corrado
AU - Bender, Bruce
AU - Byrne, Nicola
AU - Connor, Jennie
AU - Devine, Elizabeth
AU - Giuffrida, Antonio
AU - Haskard, Kelly
AU - DiMatteo, Robin
AU - Haynes, Brian
AU - Iskedjian, Michael
AU - Merinder, Lars
AU - Roter, Debra
AU - Schroeder, Knut
AU - Takiya, Liza
AU - Van Dam, Henk
AU - Van Der Wal, Martje
AU - Van Eijken, Monique
AU - Vergouwen, Ton
AU - Vermeire, Etienne
AU - Wild, Matthew
AU - Yildiz, Aysegul
N1 - Funding Information:
We wish to thank the members of the international expert forum on patient adherence, Corrado Barbui (CB), Bruce Bender (BB), Nicola Byrne (NB), Jennie Connor (JC), Elizabeth Devine (ED), Antonio Giuffrida (AG), Kelly Haskard and Robin DiMatteo (KH), Brian Haynes (BH), Michael Isked-jian (MI), Lars Merinder (LM), Debra Roter (DR), Knut Schroeder (KS), Liza Takiya (LT), Henk van Dam (HvD), Martje van der Wal (MvdW), Monique van Eijken (MvE), Ton Vergouwen (TV), Etienne Vermeire (EV), Matthew Wild (MW), and Aysegul Yildiz (AY), for their valuable input and enthusiastic participation in this project. The study was funded by Netherlands Organization for Health Research and Development (ZonMw).
PY - 2008
Y1 - 2008
N2 - Background. As the problem of patient non-adherence persists and a solution appears hard to be found, it continues to be important to look for new ways to further the issue. We recently conducted a meta-review of adherence intervention studies which yielded a preliminary agenda for future research, practice and theory development in patient adherence. The objective of the present project was to find out to what extent adherence experts consider this agenda relevant and feasible. Methods. The thirty-five corresponding authors of the review studies included in the meta-review were invited to join the International Expert Forum on Patient Adherence and to participate in a four-week web-based focus group discussion. The discussion was triggered by the points on the preliminary agenda presented as propositions to which forum members could react. Two researchers analysed the transcripts and selected relevant phrases. Results. Twenty adherence experts participated. Various ideas and viewpoints were raised. After the closure of the web-site, the expert forum was asked to authorize the synthesis of the discussion, to list the propositions in order of priority and to answer a few questions on the use of the web-based focus group as a tool to obtain expert opinions. Their ranking showed that the development of simple interventions is the most promising step to take in fostering patient adherence, preferably within a multidisciplinary setting of medical, pharmaceutical, social and technical science and, not in the least, by incorporating patients' perspectives. Conclusion. For enhancing adherence, the development of simple interventions originating from a multidisciplinary perspective including patients' input, appears most promising. Disclosing patients' perspectives requires open communication about patients' expectations, needs and experiences in taking medication and about what might help them to become and remain adherent.
AB - Background. As the problem of patient non-adherence persists and a solution appears hard to be found, it continues to be important to look for new ways to further the issue. We recently conducted a meta-review of adherence intervention studies which yielded a preliminary agenda for future research, practice and theory development in patient adherence. The objective of the present project was to find out to what extent adherence experts consider this agenda relevant and feasible. Methods. The thirty-five corresponding authors of the review studies included in the meta-review were invited to join the International Expert Forum on Patient Adherence and to participate in a four-week web-based focus group discussion. The discussion was triggered by the points on the preliminary agenda presented as propositions to which forum members could react. Two researchers analysed the transcripts and selected relevant phrases. Results. Twenty adherence experts participated. Various ideas and viewpoints were raised. After the closure of the web-site, the expert forum was asked to authorize the synthesis of the discussion, to list the propositions in order of priority and to answer a few questions on the use of the web-based focus group as a tool to obtain expert opinions. Their ranking showed that the development of simple interventions is the most promising step to take in fostering patient adherence, preferably within a multidisciplinary setting of medical, pharmaceutical, social and technical science and, not in the least, by incorporating patients' perspectives. Conclusion. For enhancing adherence, the development of simple interventions originating from a multidisciplinary perspective including patients' input, appears most promising. Disclosing patients' perspectives requires open communication about patients' expectations, needs and experiences in taking medication and about what might help them to become and remain adherent.
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U2 - 10.1186/1472-6963-8-47
DO - 10.1186/1472-6963-8-47
M3 - Article
C2 - 18304337
AN - SCOPUS:41549153724
SN - 1472-6963
VL - 8
JO - BMC health services research
JF - BMC health services research
M1 - 47
ER -