A review of published studies of patients' illness perceptions and medication adherence: lessons learned and future directions.

摘要: Abstract Background Patients who seek medical care and are prescribed medication may choose to either accept or not the prescriber’s recommendations use medication. The Common Sense Model (CSM) is one behavioral model that can help researchers practitioners identify patients’ illness perceptions drive their decisions. Objective This article reviews published research evaluated impact of representations (as defined in CSM) with adherence. Methods A narrative review representation adherence was conducted. Articles were searched using MEDLINE, PreMEDLINE, evidence-based medicine reviews, International Pharmaceutical Abstracts databases search terms adherence, compliance, perception, self-regulation theory, common-sense model. Results Eleven studies identified compared (or perception) Each factor, exception coherence, directly indirectly impacted Illness identity, where symptoms used label a health condition, even asymptomatic conditions such as hypertension. Patient age, disease culture patient response perceptions. Recommendations for future (1) longitudinal evaluate cause-effect relationships between (2) study early experiences illness, (3) recruit patients nonadherent, (4) clinical outcome measures addition self-report measures, (5) include age Conclusions Although CSM well-known behavior model, its explain has been limited cross-sectional across various conditions. Further needed elucidate which better engage communicate patients.