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New Perspectives in Science Education 12th Edition 2023

The narrative interview in the therapeutic education of the patient and caregiver to take the medication and to adhere to medication.

Sabrina Grigolo; Carla Bena

Abstract

Background  

Greater recognition of the complexity of medication-taking and medication adherence is needed. There remains no 'gold standard' measure of medication-taking ability or medication adherence, and the two behaviours are sometimes inter-related and influenced by a range of patient, therapy, condition, system, and environmental factors. Given that reasons for non-adherence and medication-taking errors are different among individuals, 'one size fits all' interventions are unlikely to be elective; this may be why many existing studies and reviews have reported that it is difficult to consistently improve medication-taking and adherence (Cross, 2020).

Adherence to therapies requires the engagement of the patient and his/her caregiver in the educational process in order to acquire new knowledge and co-manage more and more complex therapeutic schemes at different times of the day. Although researchers and clinicians agree on patient involvement and empowerment in therapeutic adherence, there is still a lack of consensus on the most suitable strategies and tools to create educational pathways for developing effective proactive coping by patients. The narrative methods integrated with digital supports can represent valid strategies to improve the awareness of patients on the therapeutic adherence. In this case, it’s important to follow correctly medication schemes reducing complications of the pathologies and increasing health security (Addario et al., 2020; Brown & Bussell, 2011; Johnson et al., 2016; Kardas et al., 2013; Rolnick et al., 2013; Waycott et al., 2017).

Aim,

To evaluate whether the narrative interview can be used in therapeutic adherence to better understand what are the elements of enhancement to improve the medication-taking and adherence level to patients’ therapies according to the EPOC taxonomy (Smith, 2021)

Methods,

Pragmatic Research in real world with Mixed Method

Results

9 patients and caregivers have been recruited by researchers of University of Turin and ASLTO4.

The native interviews have been analysed by NVivo.

Conclusion

A difference between medical doctors and healthcarers, and patients has been underlines. Therapeutic education is developing to improve the adherence of patients and caregivers.


Publication date: 2023/03/17
ISBN: 979-12-80225-55-9
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