Key result
COM-B psychological model provides theory-driven solutions to address ~50% medication non-adherence in long-term anticoagulation.
Why the study?
How can the COM-B psychological model be utilized to understand and improve adherence to long-term anticoagulation therapy?
How can the COM-B psychological model be utilized to understand and improve adherence to long-term anticoagulation therapy?
This review provides a behavioral framework (COM-B model) to understand and address the significant problem of non-adherence to long-term anticoagulation therapy.
Answers are grounded in this paper and cite their sources.
COM-B framework may inform adherence strategies in long-term anticoagulation; leaves open prospective validation before practice change.
Adherence to medication, commonly reported as being 50% in chronic diseases, is of great concern in healthcare. Medication non-adherence is particularly apparent in chronic diseases, where treatment is often preventative and may provide little or no symptomatic relief or feedback for the patient. A lot of research has been undertaken to describe the extent of non-adherence to long-term anticoagulation therapy, particularly with vitamin K antagonists and more recently with direct oral anticoagulants. However, the literature is scarce with respect to describing adherence to anticoagulation in terms of the behavioural aspects that influence medicine use. Utilizing the COM-B (capability, opportunity, motivation and behaviour) psychological model of non-adherence, we present the available evidence, not only in terms of describing the extent of the non-adherence problem, but also describing why patients do not adhere, offering theory-driven and evidence-based solutions to improve long-term adherence to chronic anticoagulation therapy. Lessons learned are not only applicable within the field of anticoagulation but throughout haematology.
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Bartoli-Abdou et al. (2016) conducted a review in chronic diseases requiring anticoagulation. long-term anticoagulation therapy was evaluated. Medication non-adherence, commonly reported as 50% in chronic diseases, is analyzed using the COM-B psychological model to offer theory-driven solutions for long-term anticoagulation therapy.
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