Contents

Barriers to Adherence to Medical Care Programs in Liver Transplant Recipients: A Qualitative Study

Abstract

Background: Non-adherence to medical care programs in transplant recipients is considered one of the life-threatening factors in transplant recipients, which can prevent achieving the desired levels of health care.

Objective: To determine perceptions of liver transplant recipients about the barriers to their adherence to medical care programs.

Methods: This study was conducted based on a qualitative content analysis method using semi-structured interviews with 23 liver transplant recipients, their families, and the transplant teams. A purposive sampling method was used in liver transplant clinics affiliated to Tehran University of Medical Sciences, Tehran, Iran, from May to November 2017.

Results: Three main categories including factors related to therapeutic problems (educational problems and medication challenges), personal factors (self-management disability), as well as social problems (cultural conditions and passive family) were identified as the barriers to adherence to medical care programs.

Conclusion: Paying attention to barriers to adherence to medical care and planning for moderating them in a collaborative effort between transplant recipients and health care providers could increase the likelihood of survival and quality of life in these patients.

Keywords: Medication adherence; Liver transplant; Qualitative research; Iran; Therapeutic misconception
Copyright © 2019 M S Moayed, M Khatiban, M Nassiri Toosi, Masoud Khodaveisi, A R Soltanian, A Ebadi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.