IDEAS home Printed from https://ideas.repec.org/a/sae/medema/v31y2011i1p121-129.html
   My bibliography  Save this article

Adherence and Decision Aids

Author

Listed:
  • Peep F. M. Stalmeier

Abstract

Background . Patient adherence to medication or lifestyle interventions is a serious concern. Interventions to improve adherence exist, but their effects are usually small. Several authors suggested that decision aids may positively affect adherence. Objective . This presentation examines the role of decision aids in adherence research through development of a model and a narrative review. Methods and Results . I: A model was developed to organize pathways relating decision aids and adherence. There is clinical evidence for these pathways, suggesting that decision aids may potentially improve adherence. The model is helpful when considering measures to study decision aids and adherence. II: A narrative review of decision aids and adherence was done. A systematic search resulted in 11 randomized studies. Two studies, both in the hypertension management domain, were positive. Shortcomings were identified regarding the range of adherence measures, the sample size, and the study design. It is argued that outcomes for the option “nonadherent†behavior should be described explicitly in the decision aid to inform patients about the costs and benefits of nonadherent behavior. Conclusions . A relation between decision aids and adherence is plausible in view of the psychological and medical literature. A systematic search showed that experimental evidence relating decision aids and adherence is inconclusive. Rigorous trials on this topic are worthwhile. Such trials should employ adequate sample sizes, multiple adherence measures, and a control arm delivering usual care. The decision aid should describe the option “being nonadherent†and its outcomes.

Suggested Citation

  • Peep F. M. Stalmeier, 2011. "Adherence and Decision Aids," Medical Decision Making, , vol. 31(1), pages 121-129, January.
    • Handle: RePEc:sae:medema:v:31:y:2011:i:1:p:121-129
    DOI: 10.1177/0272989X10370487
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0272989X10370487
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0272989X10370487?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Rost, Kathryn & Carter, William & Inui, Thomas, 1989. "Introduction of information during the initial medical visit: Consequences for patient follow-through with physician recommendations for medication," Social Science & Medicine, Elsevier, vol. 28(4), pages 315-321, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Richard L. Street JR & Becky Voigt, 1997. "Patient Participation in Deciding Breast Cancer Treatment and Subsequent Quality of Life," Medical Decision Making, , vol. 17(3), pages 298-306, July.
    2. Budych, Karolina & Helms, Thomas M. & Schultz, Carsten, 2012. "How do patients with rare diseases experience the medical encounter? Exploring role behavior and its impact on patient–physician interaction," Health Policy, Elsevier, vol. 105(2), pages 154-164.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:medema:v:31:y:2011:i:1:p:121-129. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.