Moving from the Trial to the Real World: Improving Medication Adherence Using Insights of Implementation Science.

Medication nonadherence is a serious public health concern. Although there are promising interventions that improve medication adherence, most interventions are developed and tested in tightly controlled research environments that are dissimilar from the real-world settings where the majority of pat...

Descripción completa

Detalles Bibliográficos
Publicado en:Annual Review of Pharmacology & Toxicology Vol. 59; pp. 423 - 448
Autores principales: Zullig, Leah L., Deschodt, Mieke, Liska, Jan, Bosworth, Hayden B., De Geest, Sabina
Formato: review tables/charts Journal Article
Publicado: Annual Reviews Inc. Jan2019
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134051907&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 134051907
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        03621642
        26P
      jtl: Annual Review of Pharmacology & Toxicology
      issn: 03621642
      maglogo: N
    pubinfo:
      dt: Jan2019
      vid: 59
      pid: 59
      pub: Annual Reviews Inc.
      place: Palo Alto, California
    artinfo:
      ui:
        134051907
        134051907
        134051907
        10.1146/annurev-pharmtox-010818-021348
        134051907
      ppf: 423
      ppct: 25
      formats:
      tig:
        atl: Moving from the Trial to the Real World: Improving Medication Adherence Using Insights of Implementation Science.
      aug:
        au:
          Zullig, Leah L.
          Deschodt, Mieke
          Liska, Jan
          Bosworth, Hayden B.
          De Geest, Sabina
        affil: Center for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, Durham, North Carolina 27701, USA
      sug:
        subj:
          Medication Compliance
          Medical Practice
          Paradigms
          Research Personnel
          Physicians
          Policy Making
          Pharmaceutical Companies
          Health Care Delivery
      ab: Medication nonadherence is a serious public health concern. Although there are promising interventions that improve medication adherence, most interventions are developed and tested in tightly controlled research environments that are dissimilar from the real-world settings where the majority of patients receive health care. Implementation science methods have the potential to facilitate and accelerate the translation shift from the trial world to the real world. We demonstrate their potential by reviewing published, high-quality medication adherence studies that could potentially be translated into clinical practice yet lack essential implementation science building blocks. We further illustrate this point by describing an adherence study that demonstrates how implementation science creates a junction between research and real-world settings. This article is a call to action for researchers, clinicians, policy makers, pharmaceutical companies, and others involved in the delivery of care to adopt the implementation science paradigm in the scale-up of adherence (research) programs.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N