Improving medication adherence among kidney transplant recipients: Findings from other industries, patient engagement, and behavioral economics—A scoping review:

SAGE Open Medicine

Shelley ROberlin¹ 

关键词: Kidney transplant;    medication adherence;    immunosuppressive therapy;    patient engagement;    behavioral economics;    patient behavior;   

DOI  :  10.1177/2050312115625026

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

The immune system is a powerful barrier to successful organ transplantation, but one that has been routinely thwarted through modern pharmacotherapeutics. Despite the benefits of immunosuppressive therapy, medication non-adherence leads to an increased risk of graft rejection, higher hospital utilization and costs, and poor outcomes. We conduct a scoping review following Arksey and O’Malley’s five-stage framework methodology to identify established or novel interventions that could be applied to kidney transplant recipients to improve medication adherence. As the desired outcome is a behavior (taking a pill), we assess three areas: behavioral-focused interventions in other industries, patient engagement theories, and behavioral economic principles. Search strategies included mining business, social sciences, and medical literature with additional guidance from six consultative interviews. Our review suggests that no intervention stands out as superior or likely to be more effective than any other interven...

【 授权许可】

CC BY