Research briefing
A rapid literature review examining how
effective is a peer led education/selfmanagement programme in improving
medication adherence in individuals
with a chronic (long term) condition
1. Introduction
In 2013, RNIB commissioned Alex Johnston, independent
consultant, to undertake to review with the aim of better
understanding the strengths and limitations of peer led and self
management programmes in improving medication adherence in
individuals with a chronic (long term) condition.
2. Method
The author adopted the conventional rules of Systematic Reviews
to ensure comprehensive coverage of databases of published
reports and journals.
Ten studies were included in the review. All studies included a
common purpose to examine if a peer led education/selfmanagement programme improved medication adherence in
individuals with a chronic (long term) condition. However, the
studies were delivered in different settings and used multifaceted
interventions. None of the studies used improvements in
adherence as a primary outcome.
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3. Key findings from the research
This rapid review of studies designed to improve medication
adherence in chronic medical conditions through peer led and self
management programmes found:
 peer led education/self-management programmes may lead
to short-term improvements in participants’ self-efficacy and
self care behaviour both of which are associated with better
health outcomes
 peer led education/self-management programmes do not
improve medication adherence in individuals with a chronic
(long term) condition
4. Conclusions
Overall there is insufficient evidence at present to justify
widespread implementation of a peer led education/self
management programme, if the sole aim is to improve medication
adherence in individuals with a chronic condition such as
glaucoma. However, it is important to recognise that there is a
large amount of research on interventions for improving adherence
to glaucoma therapy. Also, due to time restrictions and the
restrictive inclusion criteria (the use of peer led self-management
programmes) a substantial body of relevant evidence has not been
discussed in this report.
5. Further information
 Link to the full report
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ESI Research briefing
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