Tensions in caring for chronic patients' medication adherence: A qualitative study in Cyprus

J Health Psychol. 2024 Sep;29(10):1088-1100. doi: 10.1177/13591053241227003. Epub 2024 Jan 28.

Abstract

Medication adherence (MA) to recommended treatment is a multi-faceted problem and an ongoing challenge for healthcare providers (HCPs) to monitor. This qualitative study with 10 HCPs in Cyprus aims to explore HCPs' perceptions and strategies used on addressing medication non-adherence (MNA) in patients with chronic conditions. Two main themes emerged from the analysis reflecting the ways that HCPs described their reactions to MNA of their patients: (1) "Relying on information provision to improve MA" and (2) "Trying to understand patients' perspective." HCPs reported empathizing with patients and engaging in discussions to understand patients' perspective and reasons for MNA, so as to explore alternative solutions. Simultaneously, some HCPs reflected that the techniques used to improve MA are solely centered around information on medication and side-effects. HCPs experienced an internal conflict between providing patient-centered care versus using directive approaches to improve MA. Findings suggest how HCPs could thoroughly address patients' individual barriers.

Keywords: barriers to adherence; chronic conditions; decision-making; medication adherence; patient-centered care; qualitative.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Chronic Disease / drug therapy
  • Cyprus
  • Female
  • Humans
  • Male
  • Medication Adherence* / psychology
  • Middle Aged
  • Patient-Centered Care
  • Professional-Patient Relations
  • Qualitative Research*