Want more tips and tricks for reaching your health goals? Join Lark!

Take our 2-minute survey to find out if you’re eligible to join Lark which includes a smart scale and the chance to earn a Fitbit®.
Start now
*Terms and conditions apply
Close icon

Interested in more health & wellness content from Lark? Let’s stay in touch.

Sign up below for more information from Lark
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Close icon
< Back to Resource Center
< Back to Member Blog

Medication Adherence in Different Patient Groups

Natalie
Stein
April 13, 2018
Medication Adherence in Different Patient Groups - Lark Health
Lark

Are you at risk of prediabetes?

Lark can help lower your risk for Type 2 Diabetes through healthy habit formation, and data tracking.
Height: 5 ft 4 in
4' 0"
7' 0"
Weight: 160 lbs
90 lbs
500 lbs
LOW RISK
Risk Level
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

What could 15% weight loss mean for you?

Feel more energetic and significantly reduce your risk of chronic conditions like diabetes and cardiovascular disease.

By clicking the button above, you agree to the Lark Terms & Conditions, Privacy Policy, and SMS Terms.

Current Weight: 250 lbs
120 lbs
500 lbs
Your weight loss could be*
- - lbs
Your new weight: -- lbs
Am I eligible?

By clicking the button above, you agree to the Lark Terms & Conditions, Privacy Policy, and SMS Terms.

*Results may vary. Based on the average weight loss in three, 68-week clinical trials of patients without diabetes who reached and maintained a dose of 2.4mg/week of GLP-1 treatment, along with a reduced-calorie diet and increased physical activity. View study here.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Medication Adherence in Various Patient Groups

While there are many common themes in medication adherence, there are some special considerations for different patient groups.

Medication Adherence in Diabetes

The goal of medication regimens in diabetes is to improve blood sugar control to prevent complications. Type 2 diabetes accounts for 9 out of 10 cases, and is the result of insulin resistance. Without proper management with lifestyle behaviors such as diet and exercise, the WHO asserts that most patients eventually need medications. Diet, exercise, monitoring, and medications are the cornerstones of management.

These are some facts related to diabetes self-management.

  • Only 1 in 4 patients follow a physical activity plan and only 1 or 2 in 3 are adherent to a diet plan.
  • As few as 1 in 3 patients regularly monitor blood glucose at home.
  • Adherence ranges from 15 to 80%, with non-adherence including taking extra doses and skipping doses.
  • A greater self-efficacy, better stress management, and better support are all linked to improved adherence.

Medication Adherence in Schizophrenia

Schizophrenia is a condition in which the patient has an altered perception of the world that can include untrue beliefs or hearing voices that are not there. Treatment usually includes psychotherapy and medications such as antidepressants, antipsychotics, and anti-anxiety drugs. As in other long-term conditions, such as diabetes and hypertension, patients are less adherent as their diagnosis is further in the past, and only about 1 in 4 continue to take medications properly.

  • There are no immediate consequences for skipping doses, so patients may not understand the significance.
  • Patients often skip up to half of doses due to forgetfulness.
  • Side effects can cause patients to stop taking their medications.
  • Family and social support can improve adherence.

HIV Medication Adherence

Medication adherence in patients with HIV/AIDS is particularly challenging. Adherence of at least 95% is required for best results, but the WHO reports that only 1 out of 3 patients take their medications properly, even when they understand the importance of highly active anti-retroviral therapy, or HAART, in preventing progression of HIV/AIDS. Even slight non-adherence can allow viral cell loads to increase, and infectiousness can also increase with non-adherence.

These are some challenges:

  • The drug regimen is complex, with multiple doses per day and possible food restrictions.
  • Side effects can be unpleasant and include nausea, diarrhea, and neuropathy.
  • Substance abuse is a predictor of non-adherence.
  • Social support and patient-provider trust can help in adherence.

Medication Adherence in Hypertension

Estimates vary from 20 to 80%, but what is clear is that many hypertensive patients are non-compliant. Consequences include a higher risk of stroke, coronary heart failure, dementia, reduced renal function, and blindness.

  • Hypertension is largely asymptomatic, so motivation to adhere can be lower because medications do not make patients feel better.
  • The biggest cause of uncontrolled hypertension is non-adherence.
  • Low understanding of hypertension and its risks may contribute to non-adherence.
  • Hypertension drugs can be complicated to take.

Medication Adherence in COPD

Chronic obstructive pulmonary disease, or COPD, is a progressive chronic disease that makes breathing difficult and is the fourth most common cause of death in the U.S. Medication adherence issues in patients treated for COPD include periods of symptom remission and the long-term nature of the disease. In addition, side effects can be severe. Only about half of COPD patients are adherent to their prescribed regimen.

Lark health coach can assist with adherence to the medication regimen in a number of ways.

  • Connecting patients devices, such as inhalers and blood pressure cuffs, to measure usage and trends.
  • Reminding patients to take their medications: when and how much.
  • Connecting patients to healthcare providers when needed.
  • Educating patients on the importance of medication adherence.
  • Tracking patient adherence so patients can see how well they have been following doctor's orders.

In addition, Lark provides coaching to encourage healthy behaviors, including weight management, nutritious eating, getting active, and getting enough sleep. These behaviors can all support general well-being as well as increase patient self-efficacy in taking charge of health and staying adherent to medications t
o stay as healthy as possible.

About Lark

Lark helps you eat better, move more, stress less, and improve your overall wellness. Lark’s digital coach is available 24/7 on your smartphone to give you personalized tips, recommendations, and motivation to lose weight and prevent chronic conditions like diabetes.

Read more

Get healthier with Lark & earn a Fitbit®

Lose weight, get more active, and eat better.
take 1-minute survey

See if Ozempic® is covered by insurance

Curb cravings and reach your weight loss goals!
AM I ELIGIBLE?

Similar posts

All About SAD and Mental Health in WinterAll About SAD and Mental Health in Winter

All About SAD and Mental Health in Winter

Seasonal Affective Disorder, or SAD, is a type of depression that is linked to seasonal changes. The National Institutes of Mental Health say it’s also known as the “winter blues,” and it comes on as

Learn more