Document Type
Journal Article
Publication Title
OncoImmunology
Publisher
Elsevier
School
School of Nursing and Midwifery
RAS ID
35239
Funders
Edith Cowan University - Open Access Support Scheme 2020
The review is internally funded by the School of Nursing and Midwifery, Edith Cowan University.
Abstract
Background
Treatment plan adherence is recognized as a worldwide health issue, particularly important in the management of cardiovascular patients. Healthcare professionals are the primary sources of information and support for people diagnosed with CVD and those who have experienced a cardiac event, yet we know little about how healthcare professionals contribute to the process of adherence to treatment plans that aim to prevent and/or reduce disease and adverse events. Qualitative evidence that explores factors that influence adherence to treatment plans is limited.
Objective
This systematic review identified and synthesised the best available evidence on factors that influence adherence to treatment plans among people living with cardiovascular disease.
Design
Systematic review and qualitative synthesis.
Methods
Data were collected from Medline, Web of Science, CINAHL, PsychINFO, Embase- Non-Medline, Scopus, Cochrane Library, ProQuest Central (Grey Literature). Pre-defined keywords and MeSH terms were used to identify qualitative methods English-language studies published between 2001 and 2018. Quality appraisal of each paper was completed using the JBI Critical Appraisal Checklist and two reviewers extracted the data independently.
Results
Twenty-two articles were included. Eight key themes were identified that related to facilitators and barriers to adherence to treatment plans. Facilitators were identified as engaging in exercise, having support and mentorship, lifestyle modification, and the perceived value of taking medication. Barriers were identified as a perceived lack of support, concerns about taking medication, and lack of engagement in exercise and lifestyle changes.
Conclusions
The findings highlight the factors that support adherence and healthcare professionals can build on also the areas that can be targeted to support and improve adherence to treatment plans. Nurses can play an important role in enhancing the provision of information pre hospital discharge and support in the community on taking medication, the value of physical activity and dietary changes.
DOI
10.1080/2162402X.2020.1804703
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License
Comments
Zaenker, P., Prentice, D., & Ziman, M. (2020) Tropomyosin autoantibodies associated with checkpoint inhibitor myositis, OncoImmunology, 9(1), Article 1804703.
https://doi.org/10.1080/2162402X.2020.1804703