Pillbox intervention fidelity in medication adherence research: A systematic review.

Abstract:

BACKGROUND:Pillboxes are widely available, have evidence of effectiveness, but translating pillboxes in self-management interventions requires an understanding of intervention components. PURPOSE:To review components of intervention design, interventionist training, delivery, receipt, enactment, and targeted behaviors in adherence studies. METHODS:Five multidisciplinary databases were searched to find reports of controlled trials testing pillboxes and medication adherence interventions in adults managing medications. Details of treatment fidelity, that is, design, training, delivery, receipt, and enactment, were abstracted. FINDINGS:A total of 38 articles reporting 40 studies were included. Treatment fidelity descriptions were often lacking, especially reporting receipt and enactment, important for both control and intervention groups. Clearly reported details are needed to avoid making assumptions when translating evidence. CONCLUSION:These findings serve as a call to action to explicitly state intervention details. Lack of reported intervention detail is a barrier to translating which components of pillboxes work in influencing medication adherence behaviors and outcomes.

journal_name

Nurs Outlook

journal_title

Nursing outlook

authors

Bartlett Ellis RJ,Knisely MR,Boyer K,Pike C

doi

10.1016/j.outlook.2016.12.011

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

464-476

issue

4

eissn

0029-6554

issn

1528-3968

pii

S0029-6554(17)30027-1

journal_volume

65

pub_type

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