![]() Provide relevant, practical, and regularly updated education about medications (e.g., drug developments, side effects, impacts on social life, employment, starting a family). Provide customized tools (e.g., smartphone, alarms, diary, calendars, portable pillbox) to support organization of medication supply (e.g., prescription reminders) and dosing (e.g., personalized reminders through text messaging, alarms) to account for individual preferences.Īdvise patients to prepare a “backup” medication supply for emergencies and travel. TABLE 4 Suggested strategies to support medication-taking in solid organ transplant recipients StrategyĮstablish behavioral-based, culturally sensitive support programs to develop medication-taking behavior habits focusing on individual motivations, goal, and roles.ĭevelop problem-solving skills and action plans to address potential disruptions to medicine-taking routines (e.g., busy lifestyle, interruption of routines, forgetfulness, changing medication regime). This includes discussion on beliefs and concerns about medications and supporting informed decision-making (e.g., misinformation, side effects, family planning), regular review of medication to rationalize and simplify regimens, and access to community-based support (e.g., social worker for financial aid). We suggest routine adherence assessment and providing specific and practical solutions in a timely manner (e.g., addressing recent side effects). Shared decision-making in choosing medications to align with patient expectations and preferences may support adherence. We suggest providing relevant and updated medication information (e.g., impacts on social life, employment), medication list/allergies, and tangible feedback measures such as medicine-taking record, and relevant clinician contacts. ![]() These include a behavior-based and culturally sensitive program and problem-solving skills to establish a medicine-taking routine, and organizational tools for medication supply and dosing (e.g., personalized reminders). KEYWORDSĪbbreviations: ABC adherence taxonomy ( Ascertaining Barriers to Compliance), CINAHL ( Cumulative Index to Nursing and Allied Health Literature), COREQ ( Consolidated Criteria for Reporting Qualitative Health Research), EMERGE ( ESPACOMP Medication Adherence Reporting Guideline), ENTREQ ( Enhancing Transparency of Reporting the Synthesis of Qualitative research)īased on our findings, we have provided guidance for developing interventions for adherence and practical suggestions to support medicine-taking ( Table 4). Interventions supporting the adaptation to medicine-taking and addressing treatment burdens may improve patient satisfaction and capacities to take medications for improved outcomes. Transplant recipients take medications to preserve graft function, but dependence on medications jeopardizes their sense of normality. From 119 studies ( n = 2901), we identified six themes: threats to identity and ambitions (impaired self-image, restricting goals and roles, loss of financial independence) navigating through uncertainty and distrust (lacking tangible/perceptible benefits, unprepared for side effects, isolation in decision-making) alleviating treatment burdens (establishing and mastering routines, counteracting side effects, preparing for the unexpected) gaining and seeking confidence (clarity with knowledge, reassurance through collective experiences, focusing on the future outlook) recalibrating to a new normal posttransplant (adjusting to ongoing dependence on medications, in both states of illness and health, unfulfilled expectations) and preserving graft survival (maintaining the ability to participate in life, avoiding rejection, enacting a social responsibility of giving back). Electronic databases were searched to July 2020, and thematic synthesis was used to analyze the data. This study aimed to describe the perspectives and experiences of medicine-taking in adult solid organ transplant recipients. ![]() Medicine-taking among transplant recipients is a complex and ubiquitous task with significant impacts on outcomes.
0 Comments
Leave a Reply. |