Construction of Intervention Strategies for Medication Adherence in Patients with Chronic Diseases Based on the Delphi Method
10.3870/j.issn.1004-0781.2025.12.009
- VernacularTitle:基于德尔菲法构建提升慢性病患者用药依从性的干预策略
- Author:
Yujia YAN
1
;
Zhigang ZHAO
;
Li YANG
;
Mingfen WU
Author Information
1. 首都医科大学附属北京天坛医院药学部,北京 100070;北京市昌平区回龙观社区卫生服务中心,北京 1
- Publication Type:Journal Article
- Keywords:
Medication adherence;
Intervention strategy;
Chronic diseases;
Delphi method;
Behavior change wheel
- From:
Herald of Medicine
2025;44(12):1933-1939
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an effective intervention strategy to improve medication adherence among chronic disease patients.Methods Based on the behavior change wheel theory and integrating literature analysis,questionnaire surveys,clinical practice experience,the initial draft of the intervention strategies was developed.The intervention strategies were revised and refined through two rounds of Delphi expert consultation.Results The effective response rates for the two rounds of expert consultation questionnaires were 95%and 100%,respectively.The expert authority coefficient was 0.91.The Kendall's coefficient of concordance for the importance of the first and second rounds of expert consultation was 0.224 and 0.202,while the Kendall's coefficient of concordance for feasibility was 0.172 in the second round of expert consultation.The differences were statistically significant(P﹤0.05).The coefficient of variation of entries was 0.00-0.23.Based on the experts'feedback,adjustments were made to several items,resulting in a final intervention strategy that includes 3 primary indicators,9 secondary indicators and 41 intervention measures.Conclusion This strategy demonstrates a high level of scientific rigor and practicality,making it applicable in clinical settings to enhance medication adherence among chronic disease patients effectively,thus providing robust support for patient management.
