Historique
Périodique
Adherence to pharmacotherapy in patients with alcohol and opioid dependence
(Suivi du traitement de patients dépendant à l'alcool et aux opioïdes.)
Auteur(s) :
WEISS, R. D.
Année
2004
Page(s) :
1382-1392
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
90
Domaine :
Drogues illicites / Illicit drugs
Note générale :
Addiction, 2004, 99, (11), 1382-1392
Note de contenu :
tabl.
Résumé :
FRANÇAIS :
L'étude est fondée sur une revue de la littérature anglosaxone relative au suivi du traitement chez des patients dépendant de l'alcool et des opioïdes et présentant divers troubles chroniques organiques ou mentaux. Les différentes stratégies possibles pour améliorer le suivi sont discutées : celles applicables par le médecin prescripteur, celles faisant appel à des renforceurs extérieurs, tels l'implication d'un membre de la famille ou une amélioration des contingences.
ENGLISH :
Aims: An important factor that has thus far limited the effectiveness of pharmacotherapies for patients with alcohol and opioid dependence is poor adherence to medication regimens. This paper presents a review of issues related to medication adherence in patients with these substance use disorders. Design and methods: A literature review was conducted of English language publications relating to medication adherence among patients with alcohol or opioid dependence. Findings The paper places the topic in the context of adherence difficulties among patients with a variety of chronic medical and psychiatric illnesses. Difficulties measuring adherence are discussed, and strategies to improve medication adherence are reviewed. These include specific interventions that prescribing clinicians can implement in their individual meetings with patients; the use of external reinforcers, such as positive and negative contingencies, and involvement of family members or significant others; and specific prescribing and dosing practices that may improve adherence. Conclusions: As the use of pharmacotherapy for substance-dependent patients increases, rigorous and innovative approaches to encourage medication adherence should be sought. (Author' s abstract)
L'étude est fondée sur une revue de la littérature anglosaxone relative au suivi du traitement chez des patients dépendant de l'alcool et des opioïdes et présentant divers troubles chroniques organiques ou mentaux. Les différentes stratégies possibles pour améliorer le suivi sont discutées : celles applicables par le médecin prescripteur, celles faisant appel à des renforceurs extérieurs, tels l'implication d'un membre de la famille ou une amélioration des contingences.
ENGLISH :
Aims: An important factor that has thus far limited the effectiveness of pharmacotherapies for patients with alcohol and opioid dependence is poor adherence to medication regimens. This paper presents a review of issues related to medication adherence in patients with these substance use disorders. Design and methods: A literature review was conducted of English language publications relating to medication adherence among patients with alcohol or opioid dependence. Findings The paper places the topic in the context of adherence difficulties among patients with a variety of chronic medical and psychiatric illnesses. Difficulties measuring adherence are discussed, and strategies to improve medication adherence are reviewed. These include specific interventions that prescribing clinicians can implement in their individual meetings with patients; the use of external reinforcers, such as positive and negative contingencies, and involvement of family members or significant others; and specific prescribing and dosing practices that may improve adherence. Conclusions: As the use of pharmacotherapy for substance-dependent patients increases, rigorous and innovative approaches to encourage medication adherence should be sought. (Author' s abstract)
Affiliation :
Alcohol and Drug Abuse Tretment Program, McLean Hosp., 115 Mill Street, Belmont, MA 02478-9106
Etats-Unis. United States.
Etats-Unis. United States.