Abstract
Better understanding patients’ adherence to treatment is a prerequisite
to maximize the benefit of healthcare care provision for patients,
reduce treatment costs, and is a key factor in a variety of subsequent
health outcomes. We aim to understand the state of the art of scientific
evidence about which factors influence patients’ adherence to treatment.
A systematic literature review was conducted using PRISMA guidelines in
five separate electronic databases of scientific publications: PubMed,
PsycINFO (ProQuest), Cochrane library (Ovid), Google Scholar, and Web of
Science. The search focused on literature reporting the significance of
factors in adherence to treatment between 2011-2021, including only
experimental studies (e.g., randomized controlled trials [RCT],
clinical trials, etc.). We included 47 experimental studies. The results
of the systematic review (SR) are grouped according to predetermined
categories of the World Health Organization (WHO): Socioeconomic,
Treatment, Condition, Personal, and Healthcare-related factors. This
review gives an actual overview of evidence-based studies on adherence
and analysed the significance of factors defined by the WHO
classification. By showing the strength of certain factors in several
independent studies and concomitantly uncovering gaps in research, these
insights could serve as a basis for the design of future adherence
studies and models.