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Therapeutic adherence in patients with chronic non-communicable diseases: diabetes, hypertension and obesity
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Sep 21, 2021
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2021-09-21 (1)
Keywords:
barriers to adherence, chronic diseases, diabetes, obesity, hypertension
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Abstract
Background. Chronic non-communicable diseases, particularly diabetes, hypertension and obesity, are diseases whose prevalence worldwide and in Mexico have taken on pandemic dimensions, since, despite the different clinical models of care applied, which are mainly based on nutritional and pharmacological treatments and lifestyle change recommendations, prevalence continues to grow. Identifying patient and health system barriers that affect the- rapeutic adherence for disease control will allow the development the development of programs with greater effectiveness and efficiency. Objective: To carry out a review on the barriers of Therapeutic Adherence of patients with diabetes, hypertension and obesity in first level care clinics. Method: Bibliographic review, searching the PubMed, Science Direct, Springer, Virtual Health Library (VHL) and Google Scholar databases. Three types of primary sources were reviewed: systematic reviews, clinical trials, and review articles. For the search strategy, the terms Therapeutic adherence, barriers to therapeutic adherence, chronic non-communicable diseases, diabetes, obesity, and hypertension were used. The period selected for the bibliographic review is from 2005 to 2020. Results: There are different barriers to compliance with therapeutic adherence that do not allow the control of the disease. These barriers may be specific to the patient, but also specific to the health system that provides the service, emphasizing the role of physicians in educating and guiding the patient regarding their disease and helping to adhere to it. To identify these barriers, there are different instruments, which have been designed for different diseases, so to select the appropriate one, the disease and the profile of the population in which the questionnaire will be applied must be considered.
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Mendoza Reyes, R. (2021). Therapeutic adherence in patients with chronic non-communicable diseases: diabetes, hypertension and obesity. Medicina Y Ética, 32(4), 897–945. https://doi.org/10.36105/mye.2021v32n4.01
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2. Organización Mundial de la Salud. Pruebas para la acción. Adherencia a los tratamientos de largo plazo: pruebas para la acción. 2004; 1-41. Disponible en: https://www.paho.org/hq/dmdocuments/2012/WHO-Adherence-Long-Term-Thera- pies-Spa-2003.pdf
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5. Organización Mundial de la Salud. Informe mundial sobre la diabetes. Organización Mundial de la Salud. Ginebra, Suiza. 2016. Disponible en: https://apps.- who.int/iris/bitstream/handle/10665/254649/9789243565255-spa.pdf;jsessionid=- 9CA627F8305F6AD241701BFE3C79D268?sequence=1 https://doi.org/10.1590/s1020-49891998001000018
6. Organización Panamericana de la Salud. Un enfoque integrado sobre la prevención y el control de las enfermedades crónicas. Organización Mundial de la Salud. Washington, D.C. Estados Unidos. 2007. Disponible en: http://bvsper.pa- ho.org/texcom/nutricion/reg-strat.pdf https://doi.org/10.1590/s0036-36342002000100014
7. Organización Mundial de la Salud. Determinantes sociales de la salud en la Región de las Américas. Salud en las Américas. 2017. Disponible en: https:// www.paho.org/salud-en-las-americas-2017/uh-determinants-es.html https://doi.org/10.21149/spm.v58i5.8182
8. Ortega CJJ, Sánchez HD, Rodríguez MOA, Ortega LJM. Adherencia terapéutica: un problema de atención médica. Acta Médica. 2018; 16(3): 226-232. Disponible en: https://www.medigraphic.com/pdfs/actmed/am-2018/am183h.pdf
9. Pisano González MM, González Pisano A. La modificación de los hábitos y la adherencia terapéutica, clave para el control de la enfermedad crónica. Enferme- ría Clínica. 2014; 24(1): 59-66. https://doi.org/10.1016/j.enfcli.2013.10.006
10. Jay S, Litt IF, Durant RH. Compliance with therapeutic regimens. Journal of Adolescent Health Care. 1984; 5(2): 124-136. https://doi.org/10.1016/S0197-0070(84)80012-1
11. DiMatteo MR, Haskard KB, Williams SL. Health beliefs, disease severity, and patient adherence: A meta-analysis. Medical Care. 2007; 45(6): 521-528. https://doi.org/10.1097/mlr.0b013e318032937e
12. Conthe P, Márquez Contreras E, Aliaga Pérez A, Barragán García B, Fernán- dez de Cano Martín MN, González Jurado M, et al. Adherencia terapéutica en la enfermedad crónica: estado de la situación y perspectiva de futuro. Revista Clíni- ca Española. 2014; 214(6): 336-344. https://doi.org/10.1016/j.rce.2014.03.008
13. Horne R, Weinman J, Barber N, Elliott R, Morgan M, Cribb A, et al. Concor- dance, adherence and compliance in medicine taking. London, U. K. 2005. Disponible en: https://www.researchgate.net/publication/271443859_Concordance_ Adherence_and_Compliance_in_Medicine_Taking
14. Ibarra O, Ramón B, Verdugo M. Lo que debes saber sobre la adherencia al tratamiento. Boehringer Ingelheim (SEFH) SE de FH editors. Barcelona, España: Euromedice Vivactis. 2017; 194. Disponible en: https://www.sefh.es/bibliotecavir- tual/Adherencia2017/libro_ADHERENCIA.pdf https://doi.org/10.1016/s1130-6343(08)76284-6
15. Burgess E, Hassmén P, Pumpa KL. Determinants of adherence to lifestyle in- tervention in adults with obesity: A systematic review. Clinical Obesity. 2017; 7(3): 123-135. https://doi.org/10.1111/cob.12183
16. Neiman AB, Ruppar T, Ho M, Garber L, Weidle PJ, Hong Y, et al. CDC Grand Rounds: Improving medication adherence for chronic disease management. Inno- vations and opportunities. Vol. 66, MMWR. Morb Mortal Wkly Rep. 2017. https://doi.org/10.15585/mmwr.mm6645a2
17. Chan AHY, Horne R, Hankins M, Chisari C. The Medication Adherence Report Scale: A measurement tool for eliciting patients’ reports of nonadherence. British Journal of Clinical Pharmacology. 2020; 86(7): 1281-1288. https://doi.org/10.1111/bcp.14193
18. Nam S, Chesla C, Stotts NA, Kroon L, Janson SL. Barriers to diabetes mana- gement: Patient and provider factors. Diabetes Research and Clinical Practice. 2011; 93(1): 1-9. https://doi.org/10.1016/j.diabres.2011.02.002
19. Paduch A, Kuske S, Schiereck T, Droste S, Loerbroks A, Sørensen M, et al. Psychosocial barriers to healthcare use among individuals with diabetes mellitus: A systematic review. Primary Care Diabetes. 2017; 11(6): 495-514. https://doi.org/10.1016/j.pcd.2017.07.009
20. Devine F, Edwards T, Feldman SR. Barriers to treatment: Describing them from a different perspective. Patient Preference and Adherence. 2018; 12: 129-133. https://doi.org/10.2147/ppa.s147420
21. Tavares NUL, Bertoldi AD, Mengue SS, Arrais PSD, Luiza VL, Oliveira MA, et al. Factors associated with low adherence to medicine treatment for chronic disea- ses in brazil. Revista de Saude Publica. 2016; 50(suppl 2): 1s-11s. https://doi.org/10.1590/s1518-8787.2016050006150
22. Reach G, Pellan M, Crine A, Touboul C, Ciocca A, Djoudi Y. Holistic psychoso- cial determinants of adherence to medication in people with type 2 diabetes. Dia- betes and Metabolism. 2018; 44(6): 500-507. https://doi.org/10.1016/j.diabet.2018.06.001
23. Cea-Calvo L, Marín-Jiménez I, De Toro J, Fuster-RuizdeApodaca MJ, Fernández G, Sánchez-Vega N, et al. Association between non-adherence behaviors, pa- tients’ experience with healthcare and beliefs in medications: a survey of patients with different chronic conditions. Current Medical Research and Opinion. 2020; 36(2): 293-300. https://doi.org/10.1080/03007995.2019.1676539
24. Ramírez García MC, Anlehu Tello A, Rodríguez León A. Factores que influyen en el comportamiento de adherencia del paciente con Diabetes Mellitus Tipo 2. Horizonte Sanitario. 2019; 18(3): 383-392.
25. Mansyur CL, Rustveld LO, Nash SG, Jibaja-Weiss ML. Social factors and ba- rriers to self-care adherence in Hispanic men and women with diabetes. Patient Education and Counseling. 2015; 98(6): 805-810. https://doi.org/10.1016/j.pec.2015.03.001
26. World Health Organization. Preparing a health care workforce for 21st century: the challenge of chronic conditions. Ginebra, Suiza; 2005. Disponible en: https:// apps.who.int/iris/handle/10665/43044
27. Rodríguez Chamorro MA, García-Jiménez E, Amariles P, Rodríguez Chamorro A, José Faus M. Revisión de tests de medición del cumplimiento terapéutico utili- zados en la práctica clínica. Atención Primaria. 2008; 40(8): 413-417. https://doi.org/10.1157/13125407
28. Pagés-Puigdemont N, Valverde-Merino MI. Methods to assess medication adherence. Ars Pharmaceutica. 2018; 59(3): 163-172. Disponible en: https:// scielo.isciii.es/pdf/ars/v59n3/2340-9894-ars-59-03-163.pdf https://doi.org/10.30827/ars.v59i3.7387
29. Rodríguez Chamorro MA, García-Jiménez E, Busquets Gil A, Rodríguez Chamorro A, Pérez Merino EM, Faus Dáder MJ, et al. Herramientas para identificar el incumplimiento farmacoterapéutico desde la farmacia comunitaria. Pharmaceuti- cal Care España. 2009; 11(4): 183-191.
30. Limaylla ML, Ramos NJ. Métodos indirectos de valoración del cumplimiento terapéutico. Ciencia e Investigación 2016. Facultad de Farmacia y Bioquímica. 2016; 19(2): 95-101. Disponible en: https://revistasinvestigacion.unmsm.edu.pe- index.php/farma/article/view/13635/12039 https://doi.org/10.15381/ci.v19i2.13635 31. Cohen JL, Mann DM, Wisnivesky JP, Horne R, Leventhal H, Musumeci-Szabó TJ, et al. Assessing the validity of self-reported medication adherence among inner-city asthmatic adults: The Medication Adherence Report Scale for Asthma. Annals of Allergy, Asthma and Immunology. 2009; 103(4): 325-331. https://doi.org/10.1016/S1081-1206(10)60532-7
32. Fialko L, Garety PA, Kuipers E, Dunn G, Bebbington PE, Fowler D, et al. A lar- ge-scale validation study of the Medication Adherence Rating Scale (MARS). Schi- zophrenia Research. 2008; 100(1-3): 53-59. https://doi.org/10.1016/j.schres.2007.10.029
33. Lemay J, Waheedi M, Al-Sharqawi S, Bayoud T. Medication adherence in chronic illness: Do beliefs about medications play a role? Patient Preference and Adherence. 2018; 12: 1687-1698. https://doi.org/10.2147/ppa.s169236
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