Pilot of a pharmacist-delivered habit-based intervention to support medication adherence in primary care.

IF 2.8 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Research in Social & Administrative Pharmacy Pub Date : 2025-09-06 DOI:10.1016/j.sapharm.2025.09.003

Matthew Witry, James Hoehns, L Alison Phillips

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引用次数: 0

Abstract

Purpose: Informed by the Extended Common Sense Model, this study aimed to pilot a pharmacist-led intervention to promote medication adherence through habit formation compared to standard education.

Procedures: Patients new to medication were recruited in two phases. During Phase 1, the pharmacist provided standard education (control). In Phase 2, the pharmacist added a habit-formation component by completing a habit worksheet with patients. Surveys measuring medication beliefs, habit strength, and adherence were completed at baseline and 100 days later. Cues from the habit worksheets were coded and analyzed.

Findings: The habit intervention group (N = 17) showed no significant difference from the control group (N = 16) in medication-taking habit strength (p = 0.37) or self-reported adherence (MARS-5) (p = 0.47) at follow-up. Habit strength was the only significant predictor of adherence (MARS-5)(p = 0.02), while necessity beliefs predicted missed doses (p = 0.03).

Conclusion: High levels of habit strength and adherence may result from high baseline adherence levels. Further research should target patients with known non-adherence or without established medication routines.

Clinical trial: # NCT06230978.

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药剂师提供的以习惯为基础的干预试验，以支持初级保健中的药物依从性。

目的：根据扩展常识模型，本研究旨在试点药剂师主导的干预措施，与标准教育相比，通过养成习惯来促进药物依从性。程序：分两个阶段招募新用药患者。在第一阶段，药剂师提供标准教育（对照）。在第二阶段，药剂师通过与患者一起完成习惯工作表来增加习惯形成的成分。测量用药信念、习惯强度和依从性的调查在基线和100天后完成。习惯工作表中的提示被编码和分析。结果：随访时，习惯干预组（N = 17）与对照组（N = 16）在服药习惯强度（p = 0.37）、自我报告依从性（MARS-5）（p = 0.47）方面均无显著差异。习惯强度是依从性的唯一显著预测因子（MARS-5）（p = 0.02），而必要性信念预测错过剂量（p = 0.03）。结论：高水平的习惯强度和依从性可能源于高基线依从性水平。进一步的研究应针对已知的不依从性或没有既定药物常规的患者。临床试验：# NCT06230978。

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来源期刊

Research in Social & Administrative Pharmacy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.20

自引率

10.30%

发文量

225

审稿时长

47 days

期刊介绍： Research in Social and Administrative Pharmacy (RSAP) is a quarterly publication featuring original scientific reports and comprehensive review articles in the social and administrative pharmaceutical sciences. Topics of interest include outcomes evaluation of products, programs, or services; pharmacoepidemiology; medication adherence; direct-to-consumer advertising of prescription medications; disease state management; health systems reform; drug marketing; medication distribution systems such as e-prescribing; web-based pharmaceutical/medical services; drug commerce and re-importation; and health professions workforce issues.