Compliance and Adherence to Enteral Nutrition Treatment in Adults: A Systematic Review

Objective: To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients. Method: This study involved a critical analysis of articles retrieved from MEDLINE (PubMed), The Cochrane Library, Embase, Scopus and Web of Science...

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Published inNutrients Vol. 11; no. 11; p. 2627
Main Authors Gea Cabrera, Alicia, Sanz-Lorente, María, Sanz-Valero, Javier, López-Pintor, Elsa
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 02.11.2019
MDPI
Subjects
Adult
Adults
Attitude to Health
Bibliographic data bases
caregivers
compliance
containers
education
enteral feeding
Enteral Nutrition
filters
food intake
Health sciences
Humans
Intervention
Medical Subject Headings-MeSH
monitoring
National libraries
Nutrition
Parenteral nutrition
Patient Compliance
Patient satisfaction
patients
periodicity
Pharmacists
questionnaires
Review
Scholarly publishing
Systematic review
United States > US
Spain
enteral nutrition
nutritional support
treatment adherence and compliance
adult
attitude to health
Online AccessGet full text
ISSN2072-6643
2072-6643
DOI10.3390/nu11112627

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Abstract Objective: To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients. Method: This study involved a critical analysis of articles retrieved from MEDLINE (PubMed), The Cochrane Library, Embase, Scopus and Web of Science using the terms “Treatment Adherence and Compliance” and “Enteral Nutrition”, applying the filters “Comparative Study” or “Clinical Trial”, “Humans” and “Adults”. Date of the search: 25 October 2018. Results: A total of 512 references were retrieved, of which 23 documents were selected after applying the inclusion and exclusion criteria. The techniques measuring adherence to EN were determined by dietary intake, self-reporting, counts of leftover containers or presence of complications; however, in no case were validated questionnaires used. The time and periodicity of the assessment presented very heterogeneous results, with measurement predominantly being done at the beginning and at the end of the study. The best adherence rates were obtained in hospitalized patients (approximately 80%). Conclusions: Frequent and regular monitoring of the adherence of patients under prolonged treatment with EN is necessary, and the use of measurement techniques that allow obtaining information on the causes of non-adherence facilitates early interventions to optimize treatment outcomes. Patient and/or caregiver education in the management of EN and the intervention of the community pharmacy in monitoring patients can be key to improving the adherence to EN.
AbstractList To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients.OBJECTIVETo review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients.This study involved a critical analysis of articles retrieved from MEDLINE (PubMed), The Cochrane Library, Embase, Scopus and Web of Science using the terms "Treatment Adherence and Compliance" and "Enteral Nutrition", applying the filters "Comparative Study" or "Clinical Trial", "Humans" and "Adults". Date of the search: 25 October 2018.METHODThis study involved a critical analysis of articles retrieved from MEDLINE (PubMed), The Cochrane Library, Embase, Scopus and Web of Science using the terms "Treatment Adherence and Compliance" and "Enteral Nutrition", applying the filters "Comparative Study" or "Clinical Trial", "Humans" and "Adults". Date of the search: 25 October 2018.A total of 512 references were retrieved, of which 23 documents were selected after applying the inclusion and exclusion criteria. The techniques measuring adherence to EN were determined by dietary intake, self-reporting, counts of leftover containers or presence of complications; however, in no case were validated questionnaires used. The time and periodicity of the assessment presented very heterogeneous results, with measurement predominantly being done at the beginning and at the end of the study. The best adherence rates were obtained in hospitalized patients (approximately 80%).RESULTSA total of 512 references were retrieved, of which 23 documents were selected after applying the inclusion and exclusion criteria. The techniques measuring adherence to EN were determined by dietary intake, self-reporting, counts of leftover containers or presence of complications; however, in no case were validated questionnaires used. The time and periodicity of the assessment presented very heterogeneous results, with measurement predominantly being done at the beginning and at the end of the study. The best adherence rates were obtained in hospitalized patients (approximately 80%).Frequent and regular monitoring of the adherence of patients under prolonged treatment with EN is necessary, and the use of measurement techniques that allow obtaining information on the causes of non-adherence facilitates early interventions to optimize treatment outcomes. Patient and/or caregiver education in the management of EN and the intervention of the community pharmacy in monitoring patients can be key to improving the adherence to EN.CONCLUSIONSFrequent and regular monitoring of the adherence of patients under prolonged treatment with EN is necessary, and the use of measurement techniques that allow obtaining information on the causes of non-adherence facilitates early interventions to optimize treatment outcomes. Patient and/or caregiver education in the management of EN and the intervention of the community pharmacy in monitoring patients can be key to improving the adherence to EN.
Objective: To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients. Method: This study involved a critical analysis of articles retrieved from MEDLINE (PubMed), The Cochrane Library, Embase, Scopus and Web of Science using the terms “Treatment Adherence and Compliance” and “Enteral Nutrition”, applying the filters “Comparative Study” or “Clinical Trial”, “Humans” and “Adults”. Date of the search: 25 October 2018. Results: A total of 512 references were retrieved, of which 23 documents were selected after applying the inclusion and exclusion criteria. The techniques measuring adherence to EN were determined by dietary intake, self-reporting, counts of leftover containers or presence of complications; however, in no case were validated questionnaires used. The time and periodicity of the assessment presented very heterogeneous results, with measurement predominantly being done at the beginning and at the end of the study. The best adherence rates were obtained in hospitalized patients (approximately 80%). Conclusions: Frequent and regular monitoring of the adherence of patients under prolonged treatment with EN is necessary, and the use of measurement techniques that allow obtaining information on the causes of non-adherence facilitates early interventions to optimize treatment outcomes. Patient and/or caregiver education in the management of EN and the intervention of the community pharmacy in monitoring patients can be key to improving the adherence to EN.
To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients. This study involved a critical analysis of articles retrieved from MEDLINE (PubMed), The Cochrane Library, Embase, Scopus and Web of Science using the terms "Treatment Adherence and Compliance" and "Enteral Nutrition", applying the filters "Comparative Study" or "Clinical Trial", "Humans" and "Adults". Date of the search: 25 October 2018. A total of 512 references were retrieved, of which 23 documents were selected after applying the inclusion and exclusion criteria. The techniques measuring adherence to EN were determined by dietary intake, self-reporting, counts of leftover containers or presence of complications; however, in no case were validated questionnaires used. The time and periodicity of the assessment presented very heterogeneous results, with measurement predominantly being done at the beginning and at the end of the study. The best adherence rates were obtained in hospitalized patients (approximately 80%). Frequent and regular monitoring of the adherence of patients under prolonged treatment with EN is necessary, and the use of measurement techniques that allow obtaining information on the causes of non-adherence facilitates early interventions to optimize treatment outcomes. Patient and/or caregiver education in the management of EN and the intervention of the community pharmacy in monitoring patients can be key to improving the adherence to EN.
The concept and definition of adherence have been widely discussed, which is why the World Health Organization (WHO) [4] issued, in 2003, a report on “Adherence to long-term therapies”, which showed that the definition considered until then was strictly focused on adherence to pharmacological treatment or medical indications and did not include any other type of intervention or recommendation regarding changes in lifestyle (hygiene, exercise, nutrition, etc.), leaving out a large number of patient behaviors that compromised the evolution of their pathology and their well-being. [...]the WHO proposed in the Adherence Project [5] to update the concept as “The extent to which a person’s behavior—taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider”. According to the Medical Subject Headings (MeSH) of the US National Library of Medicine (NLM), the definition for “Treatment Adherence and Compliance” would be: the extent to which the patient follows prescribed treatment such as keeping appointments and schedules and medication adherence for desired therapeutic outcome. [...]in four of the included studies, patients received education about EN (dietary advice and/or feeding tube management and nutritional supplements) at the beginning of the investigation [21,22,28,31]. The multifactorial nature of the problem means that there is no ideal method for measuring adherence. [...]to increase the validity and reliability of the adherence data collected, combining more than one technique is recommended depending on the information desired from the patient.
Author Gea Cabrera, Alicia
Sanz-Valero, Javier
Sanz-Lorente, María
López-Pintor, Elsa
AuthorAffiliation 1 Department of Engineering, Area of Pharmacy and Pharmaceutical Technology, Universidad Miguel Hernández, 03550 Alicante, Spain; ali_ftca@hotmail.com
2 Department of Public Health and History of Science, Universidad Miguel Hernández, 03550 Alicante, Spain; msanzlor@gmail.com (M.S.-L.); jsanz@umh.es (J.S.-V.)
3 Instituto de Salud Carlos III, Escuela Nacional de Medicina del Trabajo, 28029 Madrid, Spain
AuthorAffiliation_xml – name: 2 Department of Public Health and History of Science, Universidad Miguel Hernández, 03550 Alicante, Spain; msanzlor@gmail.com (M.S.-L.); jsanz@umh.es (J.S.-V.)
– name: 1 Department of Engineering, Area of Pharmacy and Pharmaceutical Technology, Universidad Miguel Hernández, 03550 Alicante, Spain; ali_ftca@hotmail.com
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/31684024$$D View this record in MEDLINE/PubMed
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Keywords enteral nutrition
nutritional support
treatment adherence and compliance
adult
attitude to health
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Snippet Objective: To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients. Method:...
To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients. This study involved...
The concept and definition of adherence have been widely discussed, which is why the World Health Organization (WHO) [4] issued, in 2003, a report on...
To review the scientific literature that has verified and/or assessed compliance and adherence to enteral nutrition (EN) in adult patients.OBJECTIVETo review...
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SubjectTerms Adult
Adults
Attitude to Health
Bibliographic data bases
caregivers
compliance
containers
education
enteral feeding
Enteral Nutrition
filters
food intake
Health sciences
Humans
Intervention
Medical Subject Headings-MeSH
monitoring
National libraries
Nutrition
Parenteral nutrition
Patient Compliance
Patient satisfaction
patients
periodicity
Pharmacists
questionnaires
Review
Scholarly publishing
Systematic review
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Title Compliance and Adherence to Enteral Nutrition Treatment in Adults: A Systematic Review
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Volume 11
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