Valentin Ritschl
2020 EULAR points to consider for the prevention, screening, assessment and management of non-adherence to treatment in people with rheumatic and musculoskeletal diseases for use in clinical practice
Ritschl, Valentin; Stamm, Tanja A; Aletaha, Daniel; Bijlsma, Johannes W J; B�hm, Peter; Dragoi, Razvan Gabriel; Dures, Emma; Est�vez-L�pez, Fernando; Gossec, Laure; Iagnocco, Annamaria; Marques, Andrea; Moholt, Ellen; Nudel, Michal; Van Den Bemt, Bart J F; Viktil, Kirsten; Voshaar, Marieke; de Thurah, Annette; Carmona, Loreto
Authors
Tanja A Stamm
Daniel Aletaha
Johannes W J Bijlsma
Peter B�hm
Razvan Gabriel Dragoi
Emma Dures Emma2.Dures@uwe.ac.uk
Professor in Rheumatology and Self-management
Fernando Est�vez-L�pez
Laure Gossec
Annamaria Iagnocco
Andrea Marques
Ellen Moholt
Michal Nudel
Bart J F Van Den Bemt
Kirsten Viktil
Marieke Voshaar
Annette de Thurah
Loreto Carmona
Abstract
Background Non-adherence to treatment could preclude reaching an optimal outcome. Thirty to 80% of patients with rheumatic and musculoskeletal diseases (RMDs) do not adhere to the agreed treatment. Objectives The objective was to establish points to consider (PtCs) for the prevention, screening, assessment and management of non-adherence to (non-)pharmacological treatments in people with RMDs. Methods An EULAR task force (TF) was established, and the EULAR standardised operating procedures for the development of PtCs were followed. The TF included healthcare providers (HCPs), comprising rheumatologists, nurses, pharmacists, psychologists, physiotherapists, occupational therapists and patient-representatives from 12 European countries. A review of systematic reviews was conducted in advance to support the TF in formulating the PtCs. The level of agreement among the TF was established by anonymous online voting. Results Four overarching principles and nine PtCs were formulated. The PtCs reflect the phases of action on non-adherence. HCPs should assess and discuss adherence with patients on a regular basis and support patients to treatment adherence. As adherence is an agreed behaviour, the treatment has to be tailored to the patients' needs. The level of agreement ranged from 9.5 to 9.9 out of 10. Conclusions These PtCs can help HCPs to support people with RMDs to be more adherent to the agreed treatment plan. The basic scheme being prevent non-adherence by bonding with the patient and building trust, overcoming structural barriers, assessing in a blame-free environment and tailoring the solution to the problem.
Citation
Ritschl, V., Stamm, T. A., Aletaha, D., Bijlsma, J. W. J., Böhm, P., Dragoi, R. G., …Carmona, L. (2021). 2020 EULAR points to consider for the prevention, screening, assessment and management of non-adherence to treatment in people with rheumatic and musculoskeletal diseases for use in clinical practice. Annals of the Rheumatic Diseases, 80(6), 707-713. https://doi.org/10.1136/annrheumdis-2020-218986
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 26, 2020 |
Online Publication Date | Dec 18, 2020 |
Publication Date | Jun 1, 2021 |
Deposit Date | Jun 10, 2021 |
Publicly Available Date | Jun 10, 2021 |
Journal | Annals of the Rheumatic Diseases |
Print ISSN | 0003-4967 |
Electronic ISSN | 1468-2060 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 80 |
Issue | 6 |
Pages | 707-713 |
DOI | https://doi.org/10.1136/annrheumdis-2020-218986 |
Public URL | https://uwe-repository.worktribe.com/output/6841045 |
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2020 EULAR points to consider for the prevention, screening, assessment and management of non-adherence to treatment in people with rheumatic and musculoskeletal diseases for use in clinical practice
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Licence
http://creativecommons.org/licenses/by-nc/4.0/
Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0/
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