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Telephone support and adherence in patients with chronic disease – a qualitative review of reviews

机译：慢性病患者的电话支持和依从性-评论的定性评论

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Abstract: Among patients with a chronic disease, low adherence to prescribed treatments is very common, leading to substantial morbidity, mortality, and increase in health care costs. Telephone or mobile phone support is a common form of intervention that can be used to improve their adherence. We reviewed existing systematic and nonsystematic reviews to analyze the effectiveness of telephone interventions to improve treatment adherence in patients with chronic disease. Secondary aims were to evaluate the selected reviews in terms of cost-effectiveness of the intervention and frequency of messages affecting the adherence outcomes. A search for reviews was conducted in three databases, including PubMed, the Cochrane Library, and CINAHL, and three reviews that met the inclusion criteria were selected for final analysis. A qualitative review of the selected reviews was conducted, and reviews were evaluated to extract and summarize the characteristics and outcomes. Two of the selected reviews studied mobile phone text messaging, and one review studied telephone or mobile phone consultation. All three reviews reported an overall improvement in adherence, but the reviews varied in the types of research and the outcome measures. However, none of the reviews reported costs as an outcome. The evidence from reviews to characterize the effectiveness or cost-effectiveness of telephone support as an intervention to improve adherence among people with chronic diseases is fairly small and weak. Telephone support interventions have to be evaluated more systematically in routine practice against a comprehensive set of criteria, including their relative costs and outcomes.
机译：摘要：在患有慢性疾病的患者中，对处方治疗的依从性很低很常见，这会导致大量发病，死亡并增加医疗保健成本。电话或移动电话支持是一种常见的干预形式，可用于提高其依从性。我们回顾了现有的系统和非系统评价，以分析电话干预措施对改善慢性病患者依从性的有效性。次要目的是根据干预措施的成本效益和影响依从性结果的信息频率来评估所选的评价。在三个数据库（包括PubMed，Cochrane图书馆和CINAHL）中进行评论搜索，并选择了三个符合纳入标准的评论进行最终分析。对所选评价进行了定性评价，并对评价进行了评估，以提取和总结特征和结果。选定的评论中有两项研究了手机短信，而一项评论则研究了电话或手机咨询。所有这三篇评论都报告了依从性的整体改善，但评论的类型不同，研究结果也不同。但是，没有任何评论将成本作为结果。审查中将电话支持作为一种改善慢性病患者依从性的干预措施的有效性或成本效益特征的证据非常少且薄弱。电话支持干预措施必须在常规实践中根据一套综合标准（包括其相对成本和结果）进行更系统的评估。

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