Intervention to Promote Patients' Adherence to Antimalarial Medication: A Systematic Review

Anjana Fuangchan Faculty of Pharmaceutical Sciences, Naresuan University, Thailand; Pharmaceutical Care Research Unit, Faculty of Pharmaceutical Sciences, Naresuan University, Thailand

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Teerapon Dhippayom Faculty of Pharmaceutical Sciences, Naresuan University, Thailand; Pharmaceutical Care Research Unit, Faculty of Pharmaceutical Sciences, Naresuan University, Thailand

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Chuenjid Kongkaew Faculty of Pharmaceutical Sciences, Naresuan University, Thailand; Pharmaceutical Care Research Unit, Faculty of Pharmaceutical Sciences, Naresuan University, Thailand

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Non-adherence as a major contributor to poor treatment outcomes. This study aimed to explore the effectiveness of existing interventions promoting adherence to antimalarial drugs by systematic review. The following databases were used to identify potential articles: MEDLINE, EMBASE, the Cochrane CENTRAL, and CINAHL (through March 2013). From 1,813 potential papers identified, 16 studies met the selection criteria comprising 9,247 patients. Interventions were classified as packaging aids, visual media, combined visual media and verbal information, community education, medication supervision, and convenient regimen. These interventions were shown to increase adherence to antimalarial drugs (median relative risk = 1.4, interquartile range 1.2–2.0). Although a most effective intervention did not emerge, community education and visual media/verbal information combinations may well have most potential to improve adherence to antimalarial medication. These interventions should be implemented in combination to optimize their beneficial effects. The current understanding on improved adherence would facilitate to contain outbreaks of malaria cost effectively.

Author Notes

* Address correspondence to Chuenjid Kongkaew, Faculty of Pharmaceutical Sciences, Naresuan University, Muang, Phitsanulok, Thailand 65000. E-mail: chuenjidk@nu.ac.th

Authors' addresses: Anjana Fuangchan and Teerapon Dhippayom, Pharmaceutical Care Research Unit, Faculty of Pharmaceutical Sciences, Naresuan University, Muang, Phitsanulok, Thailand, E-mails: anjana.fuangchan@gmail.com and teerapond@hotmail.com. Chuenjid Kongkaew, Faculty of Pharmaceutical Sciences, Naresuan University, Muang, Phitsanulok, Thailand, E-mails: chuenjidk@nu.ac.th or chuenjid@googlemail.com.

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