دورية أكاديمية
أعرض في EDS

Effectiveness of motivational interviewing on medication adherence for the prevention of recurrent stroke or transient ischemic attack: Systematic review of randomized controlled trials.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of motivational interviewing on medication adherence for the prevention of recurrent stroke or transient ischemic attack: Systematic review of randomized controlled trials.
المؤلفون: Wandscher K; Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany., Hoffmann F; Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany., Heesen C; Institute of Neuroimmunology and Multiple Sclerosis, Center for Molecular Neurobiology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.; Department of Neurology, University Hospital Hamburg-Eppendorf, Hamburg, Germany., Thomalla G; Department of Neurology, University Hospital Hamburg-Eppendorf, Hamburg, Germany., Rahn AC; Nursing Research Unit, Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany., Helbach J; Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
المصدر: European journal of neurology [Eur J Neurol] 2024 Aug; Vol. 31 (8), pp. e16313. Date of Electronic Publication: 2024 Apr 27.
نوع المنشور: Journal Article; Systematic Review; Review
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: England NLM ID: 9506311 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-1331 (Electronic) Linking ISSN: 13515101 NLM ISO Abbreviation: Eur J Neurol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2014- > : Oxford : Wiley
Original Publication: Oxford ; New York : Rapid Communications, [1994-
مواضيع طبية MeSH: Ischemic Attack, Transient*/prevention & control , Ischemic Attack, Transient*/drug therapy , Motivational Interviewing*/methods , Randomized Controlled Trials as Topic*/methods , Medication Adherence* , Stroke*/prevention & control , Stroke*/drug therapy , Secondary Prevention*/methods, Humans ; Recurrence
مستخلص: Background and Purpose: This systematic review examines the effectiveness of motivational interviewing (MI) on medication adherence for preventing recurrent stroke and transient ischemic attack (TIA).
Methods: MEDLINE (via PubMed), CINAHL, PsycINFO, CENTRAL, and ClinicalTrials.gov were searched from inception to 12 June 2023. Randomized controlled trials comparing MI with usual care or interventions without MI in participants with any stroke type were identified and summarized descriptively. Primary outcome was medication adherence. Secondary outcomes were quality of life (QoL) and different clinical outcomes. We assessed risk of bias with RoB 2 (revised Cochrane risk-of-bias tool) and intervention complexity with the iCAT_SR (intervention Complexity Assessment Tool for Systematic Reviews).
Results: We screened 691 records for eligibility and included four studies published in five articles. The studies included a total of 2751 participants, and three were multicentric. Three studies had a high risk of bias, and interventions varied in complexity. Two studies found significantly improved medication adherence, one at 9 (96.9% vs. 88.2%, risk ratio = 1.098, 95% confidence interval = 1.03-1.17) and one at 12 months (97.0% vs. 95.0%, p = 0.026), but not at other time points, whereas two other studies reported no significant changes. No significant differences were found in QoL or clinical outcomes.
Conclusions: Evidence on MI appears inconclusive for improving medication adherence for recurrent stroke and TIA prevention, with no benefits on QoL and clinical outcomes. There is a need for robustly designed studies and process evaluations of MI as a complex intervention for people with stroke.
Registration: PROSPERO (CRD42023433284).
(© 2024 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.)
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معلومات مُعتمدة: 01GY2107 Bundesministerium für Bildung und Forschung
فهرسة مساهمة: Keywords: medication adherence; motivational interviewing; stroke; systematic review; transient ischemic attack
تواريخ الأحداث: Date Created: 20240427 Date Completed: 20240706 Latest Revision: 20240727
رمز التحديث: 20240727
مُعرف محوري في PubMed: PMC11235589
DOI: 10.1111/ene.16313
PMID: 38676444
قاعدة البيانات: MEDLINE
الوصف
تدمد:1468-1331
DOI:10.1111/ene.16313