Interventions on Improving Medication Adherence in Malaysia: A Mini Review
Medication non-adherence is a global issue. Past review on the interventions to improve medication adherence provided little practical implications for healthcare professionals and policy makers in Malaysia, due to the substantive differences across studies. Hence, this review attempted to evalu...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
InPharm Association
2019
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/30048/1/Interventions%20on%20Improving%20Medication.pdf http://ir.unimas.my/id/eprint/30048/ https://www.jyoungpharm.org/sites/default/files/JYoungPharm-11-2-122.pdf |
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| Summary: | Medication non-adherence is a global issue. Past review on
the interventions to improve medication adherence provided little practical
implications for healthcare professionals and policy makers in Malaysia,
due to the substantive differences across studies. Hence, this review attempted
to evaluate the interventions on improving medication adherence
conducted in Malaysia, to generate some insights and recommendations
for future interventions. Method: Search of past literatures from Google
Scholar, PubMed, MEDLINE, EBSCO, PsycINFO, CINAHL (via EBSCO)
with search strategy: “medication adherence or medication compliance”
[Mesh] AND “intervention” [Mesh] AND “Malaysia” AND English [lang-
Lang] was conducted on September 28, 2016. The framework of judging
methodological quality used by Zwikker and colleagues was employed. Results
and Discussion: A total of 28 articles were identified. Studies which
were not conducted using Malaysia population, not measuring medication
adherence, without intervention on medication adherence, non-prospective
and non-experimental design were omitted. Hence, 9 articles were
retained for further evaluation. Eight out of the nine prospective randomized
controlled studies were found to be low-quality studies. Overall, interventions
that were pharmacist led, physician led, adoption of automated
text messaging reminder and improvised medication labelling were found
to be effective. Conclusion: This review provides valuable insights on contemporary
interventions to improve medication adherence conducted in
Malaysia. It is suggested that multifaceted approach with involvement of
different healthcare professionals should be encouraged to synergize the
strengths of each profession and to further enhance the effectiveness of
interventions. |
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