From: Interventions to enhance medication adherence in pregnancy- a systematic review
Inclusion | Exclusion |
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• Written in English • Published, peer reviewed article • Reports primary data • Randomised controlled trial, controlled trial, observational study with a control group/condition, before and after study • Reports quantitative data on effectiveness of an intervention • Participants are pregnant women or women planning pregnancy • Intervention aims to increase adherence to prescribed medication for a chronic condition or pregnancy-related indication (e.g. pre-eclampsia risk) • Reports at least one of: perinatal, maternal clinical (< 6 weeks postnatal), objective or self-reported adherence to medication during pregnancy | • Not in English |
• Not a published, peer reviewed article | |
• Not a full text article e.g. conference abstract, i.e. unlikely to provide adequate information to extract methodological and outcome data. | |
• Does not report primary data (e.g. review, commentary, editorial), such that it does not give adequate data to assess of intervention effects on outcomes of interest. | |
• Trial registration or protocol, i.e. no data available about study results | |
• Effectiveness of an intervention not assessed e.g. descriptive study or qualitative assessment. | |
• Studies without a control group or control timepoint. | |
• Trial or observational study of an intervention with only one participant (e.g. case reports), thus are of limited validity due to high risk of bias | |
• Does not report data about pregnant women or pre-conceptual women; reports data including both pregnant and non-pregnant sample that is not disaggregated. | |
• Intervention does not aim to address medication adherence (e.g. addresses adherence to other parts of self-management such as blood glucose monitoring, physiotherapy) | |
• Does not report at least one of perinatal, maternal clinical, objective or self-reported adherence outcomes during pregnancy | |
• Trial ended or data withdrawn, thus data should not be included in review. | |
• Trial aims to address medication adherence to opioid addiction treatment Opioid addiction adherence interventions may not be relevant to women with chronic conditions and pregnancy-related indications. | |
• Trial aims to assess medication adherence to treatment in pregnant women with mental health conditions or smoking cessation. These studies are not relevant to the research objectives. | |
• Trial aims to address adherence to iron supplementation for anaemia only- there is no clear evidence that adherence to medication for anaemia improves clinical outcomes. | |
• Self-reported or objective adherence is not assessed during pregnancy. | |
• Clinical outcomes are measured > 6 weeks postnatally and therefore is unlikely to reflect adherence during the pregnancy. |