Assessment of adherence to medication for cardiovascular diseases: measurement tools

Cardiovasc J Afr. 2019;30(2):113-119. doi: 10.5830/CVJA-2018-050. Epub 2019 Jan 23.

Abstract

The effectiveness of treatment and prevention of chronic illnesses can be optimised with adherence to medication treatment. This is very often assessed by means of a self-report. However, the challenge here is to choose the most suitable questionnaire or the one that is best overall in a given situation. The aim of this systematic review was to assess existing self-reported medication adherence scales, which measure adherence to treatment for cardiovascular disease. The review demonstrated that relatively few disease-specific adherence scales exist. Generic questionnaires and those specific to adherence to hypertension treatment are the most numerous. Questionnaires specifically measuring adherence to anti-haemorrhage treatment for atrial fibrillation are particularly necessary and noticeably absent. The two most important aspects that need to be taken into account when selecting the most appropriate scale in a given context are the subject of the measurement (what) and the method of validation (how).

Keywords: adherence; cardiovascular disease; measurement; questionnaires.

Publication types

  • Systematic Review

MeSH terms

  • Anticoagulants / administration & dosage
  • Antihypertensive Agents / administration & dosage
  • Atrial Fibrillation / drug therapy
  • Cardiovascular Agents / administration & dosage*
  • Cardiovascular Diseases / drug therapy*
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / physiopathology
  • Drug Administration Schedule
  • Heart Failure / drug therapy
  • Humans
  • Hypertension / drug therapy
  • Medication Adherence*
  • Reproducibility of Results
  • Self Report*
  • Time Factors

Substances

  • Anticoagulants
  • Antihypertensive Agents
  • Cardiovascular Agents