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Lookup NU author(s): Dr Adam Rathbone,
Dr Adam Todd,
Professor Andy Husband
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© 2016 Elsevier Inc. Background Medicines non-adherence continues to be problematic in health care practice. After decades of research, few interventions have a robust evidence-based demonstrating their applicability to improve adherence. Phenomenology has a place within the health care research environment. Objective To explore patients’ lived experiences of medicines adherence reported in the phenomenonologic literature. Methods A systematic literature search was conducted to identify peer-reviewed and published phenomenological investigations in adults that aimed to investigate patients’ lived experiences of medicines adherence. Studies were appraised using the Critical Appraisal Skills Programme (CASP) Qualitative Research Tool. Thematic synthesis was conducted using a combination of manual coding and NVivo10 [QSR International, Melbourne] coding to aid data management. Results Descriptive themes identified included i) dislike for medicines, ii) survival, iii) perceived need, including a) symptoms and side-effects and b) cost, and iv) routine. Analytic themes identified were i) identity and ii) interaction. Conclusions This work describes adherence as a social interaction between the identity of patients and medicines, mediated by interaction with family, friends, health care professionals, the media and the medicine, itself. Health care professionals and policy makers should seek to re-locate adherence as a social phenomenon, directing the development of interventions to exploit patient interaction with wider society, such that patients ‘get to know’ their medicines, and how they can be taken, throughout the life of the patient and the prescription.
Author(s): Rathbone AP, Todd A, Jamie K, Bonam M, Banks L, Husband AK
Publication type: Review
Publication status: Published
Journal: Research in Social and Administrative Pharmacy
Print publication date: 01/05/2017
Online publication date: 23/06/2016
Acceptance date: 02/04/2016
ISSN (electronic): 1551-7411
Publisher: Elsevier Inc.