Identification of medication-adherence barriers and strategies to increase adherence in recipients of renal transplants.
One hundred randomly selected renal transplant centers (RTCs) were surveyed concerning barriers to medication adherence by recipents of renal transplants (RTRs). Responders were asked to list factors that they believe decrease RTRs' medication adherence. Survey responses were used to develop another survey, which was mailed to a different set of 100 RTCs. Barriers identified included issues concerning the particular medication prescribed, patient knowledge and comprehension concerning how to take the medication, patients' desire or motivation to take the medication, patient-health care professional relationship, and the ability of the caregiver to deliver optimum care. Barriers that received at least a 75% agreement were given to a multidisciplinary focus group, who developed strategies to circumvent the barriers. Strategies addressing barriers are discussed.
Chisholm
Marie A
MA
University of Georgia College of Pharmacy, Augusta, USA. Mchishol@mail.mcg.edu
D000328:Adult; D004358:Drug Therapy; D005260:Female; D006302:Health Services Research; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D010349:Patient Compliance; D016032:Randomized Controlled Trials as Topic; D051437:Renal Insufficiency / Q000188:drug therapy*; D014481:United States