Why the study?
Polypharmacy presents challenges to patient medication self-management, motivating an exploration of self-management processes from the perspectives of patients and healthcare providers to identify barriers and facilitators.
What are the barriers and facilitators to effective medication self-management in patients with polypharmacy from the perspectives of patients and healthcare providers?
What are the barriers and facilitators to effective medication self-management in patients with polypharmacy from the perspectives of patients and healthcare providers?
Enhancing medication literacy, social support, and integrating medication management into daily life are key elements to assist patients with polypharmacy self-management.
Guides targeted polypharmacy self-management via medical, support, emotional, and role domains; extends TEDSS framework validation in systematic reviews.
Purpose: Polypharmacy presents many challenges to patient medication self-management. This study aims to explore the self-management processes of medication in polypharmacy from the perspectives of both patients and healthcare providers, which can help identify barriers and facilitators to effective management. Methods: A systematic review of qualitative studies was performed by searching seven databases: PubMed, Web of Science, Cochrane Library, Embase, CINAHL, PsycINFO, and MEDLINE, from their establishment until August 2024. The Critical Appraisal Skills Programme (CASP) tool was employed to evaluate the quality of the studies included. The extracted data were then analysed thematically and integrated into The Taxonomy of Everyday Self-management Strategies (TEDSS) framework. Results: A total of 16 studies were included, involving 403 patients and 119 healthcare providers. Patient management measures were mapped into TEDSS framework, including categories such as medical management, support-oriented domains, and emotional and role management. Conclusion: Enhancing patients’ proactive health awareness, improving medication literacy, balancing lifestyle adjustments with medication therapy, dynamically reviewing and optimizing medications, strengthening patients’ social support networks, and helping patients integrate medication management into their daily life are the key elements that can effectively assist patients in self-managing their medications. Future interventions to improve patient medication self-management ability should be designed for these issues. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/ , identifier CRD42024524742.
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Jin et al. (2024) studied this question.
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