Thread by @Drug_Evidence

THREAD: Medication adherence and shared decision-making

1/6 Our TI Letter 132 suggests a more democratic & ethical approach to shared decision-making: ti.ubc.ca/letter132

Here are 5⃣ highlights…

#MedEd #FOAMed #MedicationAdherence #PatientPreferences

2/6 Patients always retain right to say “no, thank you”🛑

Some pts may not want to accept their doctor's recommendations for a prescribed 💊 & have their own reasons to feel that it's not worth it for them.

This "intentional non-adherence" is a choice that should be respected

3/6 Studies have tested adherence aids

While these aids can improve adherence we don’t know if they lead to improved health outcomes 😕

See our TI Letter 132 on medication adherence: ti.ubc.ca/letter132 💻

#MedEd #FOAMed #MedicationAdherence #PatientPreferences

4/6 Discussing adherence with patients:

✅A chance to learn about patient preferences and treatment goals 🎯
✅Encouraging adherence without considering patient choice is NOT the goal👂🏼

More here: ti.ubc.ca/letter132

#MedEd #FOAMed #MedicationAdherence #PatientPreferences

5/6. Pts might have difficulty adhering to recommendations due to issues such as:

✅Cost
✅Stigma
✅No access to a healthcare provider

Clinicians should help pts overcome barriers if possible: ti.ubc.ca/letter132

#MedEd #FOAMed #MedicationAdherence #PatientPreferences

6/6 Shared decision-making:

✅Do not assume your goals match pt's goals & preferences
✅Instead, engage the patient in a shared decision-making process such as SHARE

More on medication adherence: ti.ubc.ca/letter132

#MedEd #FOAMed #MedicationAdherence #PatientPreferences