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

Detalhes bibliográficos
Autor(a) principal: Moreira,Taís de Campos
Data de Publicação: 2014
Outros Autores: Signor,Luciana, Figueiró,Luciana Rizzieri, Fernandes,Simone, Bortolon,Cassandra Borges, Benchaya,Mariana Canellas, Ferigolo,Maristela, Barros,Helena MT
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300521
Resumo: 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.
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spelling Non-adherence to telemedicine interventions for drug users: systematic reviewDrug UsersPatient Acceptance of Health CarePatient DropoutsTelemedicineReview 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. Faculdade de Saúde Pública da Universidade de São Paulo2014-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300521Revista de Saúde Pública v.48 n.3 2014reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-8910.2014048005130info:eu-repo/semantics/openAccessMoreira,Taís de CamposSignor,LucianaFigueiró,Luciana RizzieriFernandes,SimoneBortolon,Cassandra BorgesBenchaya,Mariana CanellasFerigolo,MaristelaBarros,Helena MTeng2014-09-23T00:00:00Zoai:scielo:S0034-89102014000300521Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2014-09-23T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Non-adherence to telemedicine interventions for drug users: systematic review
title Non-adherence to telemedicine interventions for drug users: systematic review
spellingShingle Non-adherence to telemedicine interventions for drug users: systematic review
Moreira,Taís de Campos
Drug Users
Patient Acceptance of Health Care
Patient Dropouts
Telemedicine
Review
title_short Non-adherence to telemedicine interventions for drug users: systematic review
title_full Non-adherence to telemedicine interventions for drug users: systematic review
title_fullStr Non-adherence to telemedicine interventions for drug users: systematic review
title_full_unstemmed Non-adherence to telemedicine interventions for drug users: systematic review
title_sort Non-adherence to telemedicine interventions for drug users: systematic review
author Moreira,Taís de Campos
author_facet Moreira,Taís de Campos
Signor,Luciana
Figueiró,Luciana Rizzieri
Fernandes,Simone
Bortolon,Cassandra Borges
Benchaya,Mariana Canellas
Ferigolo,Maristela
Barros,Helena MT
author_role author
author2 Signor,Luciana
Figueiró,Luciana Rizzieri
Fernandes,Simone
Bortolon,Cassandra Borges
Benchaya,Mariana Canellas
Ferigolo,Maristela
Barros,Helena MT
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Moreira,Taís de Campos
Signor,Luciana
Figueiró,Luciana Rizzieri
Fernandes,Simone
Bortolon,Cassandra Borges
Benchaya,Mariana Canellas
Ferigolo,Maristela
Barros,Helena MT
dc.subject.por.fl_str_mv Drug Users
Patient Acceptance of Health Care
Patient Dropouts
Telemedicine
Review
topic Drug Users
Patient Acceptance of Health Care
Patient Dropouts
Telemedicine
Review
description 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.
publishDate 2014
dc.date.none.fl_str_mv 2014-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300521
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102014000300521
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0034-8910.2014048005130
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.48 n.3 2014
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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