Medication adherence terminology – the first consensual translation using the Delphi method
Authors:
Kateřina Malá-Ládová; Eliška Voříšková; Barbora Košťálová; Josef Malý
Authors‘ workplace:
Katedra sociální a klinické farmacie, Farmaceutická fakulta v Hradci Králové, Univerzita Karlova
Published in:
Vnitř Lék 2022; 68(E-2): 22-28
Category:
Original Contributions
Overview
Background: The terminology of adherence (or compliance) describing the patient’s medication taking behavior is often used inconsistently and fragmented in the literature. Therefore, the English original of so-called ABC Taxonomy was developed to classify and unify the terminology. The aim of this paper was to establish the first consensual translation of Czech terminology dealing with the issue of medication taking behavior using Delphi method.
Methods: In the period from February to May 2021, a three-round anonymous online Delphi questionnaire survey was conducted. The questionnaire contained items for translations of seven terms and their definitions based on the ABC Taxonomy, while the resulting consensus was established by a predefined degree of agreement of the respondents.
Results: Out of 106 contacted panelists representing different healthcare professions, 46 (43.4%) answered in the first round. Sufficient consensus (≥ 85%) was reached for the translation of two definitions. In the second round, 32 respondents managed to establish a consensus (> 75%) of one term and four definitions and 24 respondents in the third round established a mild (> 50%) to strong (> 95%) consensus for all remaining terms and definitions. The set of terms related to medication taking for the Czech language was as follows: adherence k léčbě, zahájení léčby, zavedení léčby, přerušení léčby, setrvání na léčbě, management adherence and obory související s adherencí.
Conclusion: The consensual translations of all Czech terms and definitions related to medication adherence can contribute to greater harmonization and comparability of scientific papers as well as to enhance the communication between scientific and clinical community. However, this consensus needs to be confirmed by a larger number of experts dealing with adherence issue, including the involvement of professional societies.
Keywords:
DELPHI method – terminology – ABC Taxonomy – medication adherence – consensus
Sources
1. Steiner JF, Earnest MA. The language of medication‑taking. Ann Intern Med 2000; 132(11):926-30.
2. Vrijens B, De Geest S, Hughes DA et al. A new taxonomy for describing and defining adherence to medications. Br J Clin Pharmacol 2012; 73(5): 691-705.
3. Sackett DL, Haynes RB. Compliance with Therapeutic Regiments. The Johns Hopkins University Press: Baltimore (MD, USA) 1976. ISBN 0801817838.
4. Sabaté E, ed. Adherence to long‑term therapies: evidence for action. World Health Organization: Switzerland 2003. [cit. 2021–11–20]. 18-20. Dostupné z WWW: <https://www.who.int/chp/knowledge/publications/adherence_full_report.pdf>.
5. Mahtta D, Rodriguez F, Jneid H et al. Improving adherence to cardiovascular guidelines: realistic transition from paper to patient. Expert Rev Cardiovasc Ther. 2020; 18(1): 41-51.
6. Horne R, Weinman J, Barber N et al. Concordance, Adherence and Compliance in Medicine Taking. 2005.
7. Voříšková E, Košťálová B, Malý J, et al. Přehled české literatury zaměřený na terminologii adherence k léčbě. Vnitr Lek 2021; 67(8): E7-13. doi: 10.36290/vnl.2021.128.
8. Vrijens B, De Geest S, Hughes D et al. Consensus on European taxonomy and terminology of patient compliance. In: Ascertaining barriers for compliance: policies for safe, effective and cost‑effective use of medicine in Europe. Final report of the ABC project. 2012. [cit. 2021–11–20]. 12-39. Dostupné z WWW: <http://abcproject.eu/img/ABC%20Final.pdf>.
9. Haag M, Lehmann A, Hersberger KE et al. The ABC taxonomy for medication adherence translated into French and German. Br J Clin Pharmacol 2020; 86(4): 734-44.
10. International Society for Medication Adherence. Preferred Methods for Translation of the ABC Taxonomy for Medication Adherence. [cit. 2021–11–20]. Dostupné z WWW: <https://www.espacomp.eu/project/abc‑taxonomy/>
11. Voříšková E. Konsenzus české terminologie v problematice adherence k léčbě. Diplomová práce, Farmaceutická fakulta, Univerzita Karlova 2021.
12. Helmy R, Zullig LL, Dunbar‑Jacob J, et al. ESPACOMP Medication Adherence Reporting Guidelines (EMERGE): a reactive‑Delphi study protocol. BMJ Open 2017; 7(2): e013496.
13. Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs 2000; 32(4): 1008-15.
14. De Geest S, Zullig LL, Dunbar‑Jacob J, et al. Improving medication adherence research reporting: ESPACOMP Medication Adherence Reporting Guideline (EMERGE). Eur J Cardiovasc Nurs. 2019; 18(4): 258-9.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2022 Issue E-2
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