Medication adherence:

The pharmacist’ role

Dr. apt. Susi Ari Kristina, M. Kes
Management and Community Pharmacy Division, Faculty of
Pharmacy, Universitas Gadjah Mada susiari_k@ugm.ac.id

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 Dr. apt. Susi Ari Kristina, M.Kes.
Departemen Farmasetika, Fakultas Farmasi UGM Universitas Gadjah Mada,
Indonesia susiari_k@ugm.ac.id ; https://acadstaff.ugm.ac.id/susi

Education:
• Doctor, Pharmacy Administration, Mahidol University, Thailand, 2015
• Master, Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Gadjah Mada, 2007
• Undergraduate, Ilmu Farmasi, Universitas Gadjah Mada, 2004
Research Interest: Pharmacy practice, Pharmacy public health
Research Project:
• Upaya Peningkatan Cakupan Imunisasi dengan Pendekatan Multi Sektor (Litbangkes-WHO, 2020)
• Post Introduction Evaluation of New Vaccines in Indonesia (Kemenkes-WHO, 2019)
• Return on Investment of NCDs Prevention Programs (DIKTI-2020)
• Tim Uji Klinik Innamed untuk Covid-19 (Rispro LPDP-IAI, 2020)
Current publications (related to medication adherence):
• Digital Intervention To Improve Oral Chemotherapy Adherence: Systematic Review (2021)
• Overview Of Adherence And Influencing Factors To Capecitabine In Cancer Patients: Systematic (2021)
• Medication Adherence Using Self-report Measures Among Chronic Disease Patients: A Review (2020)
• Knowledge, Adherence And Quality Of Life Among Type 2 Diabetes Mellitus Patients (2019)
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Outline
Definition of medication adherence (MA)
Consequences of MA

Factors influencing MA

Measuring MA

Pharmacist role: management of MA

Pharmacist role: interventions to improve MA

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Medication adherence is defined by the World Health Organization as
"the degree to which the person's behavior corresponds with the
agreed recommendations from a health care provider."

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Burden of non-adherence (Derington et al, Hypertension, 2019)

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Factor influencing medication adherence (Lehmann A, IJCC 2013)

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Behavioral theories related to MA

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Measuring medication adherence

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Direct method: pill count

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Example of MA instrument

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Management of non-adherence

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Intervention to improve MA

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Improving blood pressure control

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Digital intervention for MA

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MA and technology engagement

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