Adherence, barriers, and facilitators for the treatment of systemic arterial hypertension : rapid review of evidenceAdhesión, obstáculos y elementos facilitadores en relación con el tratamiento de la hipertensión: revisión rápida de la evidencia
Objective: To identify strategies to increase adherence to systemic arterial hypertension (SAH) treatment and describe the barriers and facilitators for implementing these strategies in primary health care (PHC).
Method: A rapid evidence review was performed. We included systematic reviews with or without meta-analyses, published in English, Spanish or Portuguese, covering adults (age 18 to ≤ 60 years) with SAH followed in the PHC. Searches were performed in nine databases in December 2020 and updated in April 2022. The systematic reviews were assessed for methodological quality using the AMSTAR 2 tool.
Results: Fourteen systematic reviews on treatment adherence strategies and three on barriers and facilitators for implementation were included. Regarding methodological quality, one systematic review was classified as moderate, four as low, and the others as critically low. Four strategies were identified as options for health policies: actions performed by pharmacists; actions performed by non-pharmaceutical health professionals; self-monitoring, use of mobile apps, and text messages; and subsidies for the purchase of medicines. Low digital literacy, limited access to the internet, work process and incipient training were barriers for professionals. The users' educational and health literacy levels, accessibility to health services and good relationships with professionals were facilitators.
Conclusions: Positive effects of strategies related to pharmaceutical care, self-monitoring, and the use of cell phone applications and text messages were identified to increase adherence to the treatment of SAH in the context of PHC. However, for implementation purposes, it is necessary to consider barriers and facilitators, in addition to the methodological limitations of the analyzed systematic reviews.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
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| Enthalten in: |
Revista panamericana de salud publica = Pan American journal of public health - 47(2023) vom: 07., Seite e67 |
| Sprache: |
Portugiesisch |
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| Weiterer Titel: |
Adesão, barreiras e facilitadores no tratamento de hipertensão arterial: revisão rápida de evidências |
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| Beteiligte Personen: |
da Silva, Letícia Aparecida Lopes Bezerra [VerfasserIn] |
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| Links: |
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| Themen: |
English Abstract |
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| Anmerkungen: |
Date Revised 18.04.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.26633/RPSP.2023.67 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM355701820 |
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| 100 | 1 | |a da Silva, Letícia Aparecida Lopes Bezerra |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Adherence, barriers, and facilitators for the treatment of systemic arterial hypertension |b rapid review of evidenceAdhesión, obstáculos y elementos facilitadores en relación con el tratamiento de la hipertensión: revisión rápida de la evidencia |
| 246 | 3 | 3 | |a Adesão, barreiras e facilitadores no tratamento de hipertensão arterial: revisão rápida de evidências |
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| 500 | |a Date Revised 18.04.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Objective: To identify strategies to increase adherence to systemic arterial hypertension (SAH) treatment and describe the barriers and facilitators for implementing these strategies in primary health care (PHC) | ||
| 520 | |a Method: A rapid evidence review was performed. We included systematic reviews with or without meta-analyses, published in English, Spanish or Portuguese, covering adults (age 18 to ≤ 60 years) with SAH followed in the PHC. Searches were performed in nine databases in December 2020 and updated in April 2022. The systematic reviews were assessed for methodological quality using the AMSTAR 2 tool | ||
| 520 | |a Results: Fourteen systematic reviews on treatment adherence strategies and three on barriers and facilitators for implementation were included. Regarding methodological quality, one systematic review was classified as moderate, four as low, and the others as critically low. Four strategies were identified as options for health policies: actions performed by pharmacists; actions performed by non-pharmaceutical health professionals; self-monitoring, use of mobile apps, and text messages; and subsidies for the purchase of medicines. Low digital literacy, limited access to the internet, work process and incipient training were barriers for professionals. The users' educational and health literacy levels, accessibility to health services and good relationships with professionals were facilitators | ||
| 520 | |a Conclusions: Positive effects of strategies related to pharmaceutical care, self-monitoring, and the use of cell phone applications and text messages were identified to increase adherence to the treatment of SAH in the context of PHC. However, for implementation purposes, it is necessary to consider barriers and facilitators, in addition to the methodological limitations of the analyzed systematic reviews | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Hypertension | |
| 650 | 4 | |a evidence-informed policy | |
| 650 | 4 | |a health plan implementation | |
| 650 | 4 | |a review | |
| 650 | 4 | |a treatment adherence and compliance | |
| 700 | 1 | |a de Melo, Roberta Crevelário |e verfasserin |4 aut | |
| 700 | 1 | |a Toma, Tereza Setsuko |e verfasserin |4 aut | |
| 700 | 1 | |a de Araújo, Bruna Carolina |e verfasserin |4 aut | |
| 700 | 1 | |a Luquine, Cézar Donizetti |c Jr |e verfasserin |4 aut | |
| 700 | 1 | |a Milhomens, Lais de Moura |e verfasserin |4 aut | |
| 700 | 1 | |a de Bortoli, Maritsa Carla |e verfasserin |4 aut | |
| 700 | 1 | |a Barreto, Jorge Otávio Maia |e verfasserin |4 aut | |
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| 773 | 1 | 8 | |g volume:47 |g year:2023 |g day:07 |g pages:e67 |
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