non-adherence to telemedicine interventions for drug users: systematic review

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ID: 254850
2014
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Abstract
OBJECTIVE To estimate rates of non-adherence to telemedicine strategies aimed at treating drug addiction. METHODS A systematic review was conducted of randomized controlled trials investigating different telemedicine treatment methods for drug addiction. The following databases were consulted between May 18, 2012 and June 21, 2012: PubMed, PsycINFO, SciELO, Wiley (The Cochrane Library), Embase, Clinical trials and Google Scholar. The Grading of Recommendations Assessment, Development and Evaluation was used to evaluate the quality of the studies. The criteria evaluated were: appropriate sequence of data generation, allocation concealment, blinding, description of losses and exclusions and analysis by intention to treat. There were 274 studies selected, of which 20 were analyzed. RESULTS Non-adherence rates varied between 15.0% and 70.0%. The interventions evaluated were of at least three months duration and, although they all used telemedicine as support, treatment methods differed. Regarding the quality of the studies, the values also varied from very poor to high quality. High quality studies showed better adherence rates, as did those using more than one technique of intervention and a limited treatment time. Mono-user studies showed better adherence rates than poly-user studies. CONCLUSIONS Rates of non-adherence to treatment involving telemedicine on the part of users of psycho-active substances differed considerably, depending on the country, the intervention method, follow-up time and substances used. Using more than one technique of intervention, short duration of treatment and the type of substance used by patients appear to facilitate adherence.
Reference Key
moreira2014revistanon-adherence Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Taís de Campos Moreira;Luciana Signor;Luciana Rizzieri Figueiró;Simone Fernandes;Cassandra Borges Bortolon;Mariana Canellas Benchaya;Maristela Ferigolo;Helena MT Barros
Journal proceedings - 2016 3rd international conference on information technology, computer, and electrical engineering, icitacee 2016
Year 2014
DOI
10.1590/S0034-8910.2014048005130
URL
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102014000300521&lng=en&tlng=en
Keywords
revisãopublic aspects of medicine

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