A systematic review of primary care-focused, self-reported medication adherence tools

Rickles, Nathaniel M.; Mulrooney, Mary; Sobieraj, Diana M; Hernández, Adrian V.; Manzey, Laura L; Gouveia-Pisano, Julie Ann; Townsend, Kevin; Luder, Heidi R.; Cappelleri, Joseph C.; Possidente, Carl J.

doi:10.1016/j.japh.2022.09.007

Cited by 9 publications

(2 citation statements)

References 61 publications

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“…The VAS is an inexpensive and valid tool that measures medication adherence among patients with chronic conditions and has been used in both research and primary care settings. 52,53 Scores on this scale strongly correlate with clinical outcomes. 52,54 Participants were asked to place a mark on a horizontal line of 100 mm to indicate their best estimation of the proportion of medication doses taken over the last 30 days.…”

Section: Outcomes and Measurementmentioning

confidence: 99%

Effects of Telephone-Based Brief Motivational Interviewing on Self-Management, Medication Adherence, and Glycemic Control in Patients with Uncontrolled Type 2 Diabetes Mellitus in a Rural Community in Thailand

Sawaengsri,

Maneesriwongul,

Schorr

et al. 2023

PPA

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Introduction Owing to the increased prevalence of type 2 diabetes mellitus (T2DM) and the high proportion of patients with uncontrolled T2DM, effective interventions for disease management are needed. Objective The study aim was to test the effects of brief motivational interviewing (MI) on patients’ self-management, medication adherence, and glycemic control. Methods A single-group repeated measures trial was used to examine the effects of usual care only and usual care plus telephone-based brief MI. Participants were 29 patients with uncontrolled T2DM recruited from a rural primary care setting in Nakhon Sawan, Thailand. Participants received usual care during the first 4 weeks, followed by usual care plus brief MI during weeks 4–8. Outcomes of self-management, medication adherence, fasting blood sugar (FBS) levels, and hemoglobin A1c (HbA1c) levels were assessed at baseline, 4 weeks, and 8 weeks. Data were analyzed using descriptive statistics, one-way repeated measures analysis of variance, and Friedman test. Results Significant changes in self-management ( p < 0.001), medication adherence ( p < 0.001), and FBS ( p < 0.05) were observed over the 8-week study. In multiple comparisons, self-management was the only parameter significantly different across baseline, 4, and 8 weeks ( p <0.05, <0.001, and <0.001, respectively); medication adherence was significantly different between 4 and 8 weeks ( p < 0.05), and between baseline and 8 weeks ( p < 0.001); and FBS was significantly different between 4 and 8 weeks ( p < 0.05). HbA1c declined over the 8-week study, but not significantly. Conclusion An intervention combining telephone-based brief MI with usual care significantly increased self-management, medication adherence, and glycemic control (ie, FBS) after 4 weeks, whereas usual care only significantly increased self-management. Phone-based brief MI may be an effective way for healthcare providers to remotely enhance patients’ self-management and glycemic control, thus reducing barriers related to time and geographic location.

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Section: Outcomes and Measurementmentioning

confidence: 99%

Effects of Telephone-Based Brief Motivational Interviewing on Self-Management, Medication Adherence, and Glycemic Control in Patients with Uncontrolled Type 2 Diabetes Mellitus in a Rural Community in Thailand

Sawaengsri,

Maneesriwongul,

Schorr

et al. 2023

PPA

View full text Add to dashboard Cite

show abstract

“…Self-reported adherence tools are essential for detecting, understanding, and measuring nonadherence issues and can be highly beneficial in patient care. Numerous tools have been developed, each with its own strengths and weaknesses in terms of completion time, questionnaire complexity, the domains they assess, and their psychometric properties [ 18 , 19 ]. While some tools are more suited for practical application, others, due to their complexity and length, are better suited for research purposes.…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of a Tool to Explore Attitudes Towards meDication adHErence Using a Novel Self-Reported QuestionnairE (ADHERE-7)

Bužančić,

Balen,

Arbanas

et al. 2024

Pharmacy

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Despite the availability of various tools for measuring medication adherence, efficiently identifying non-adherence levels and reasons at the point of care remains challenging. Existing tools often lack the ease of use needed for practical clinical application. This study aimed to develop and validate a user-friendly tool to provide healthcare professionals with a concise yet comprehensive means of identifying adherence behaviors. The methodology consisted of two phases: tool items were first developed using the nominal group technique with healthcare professionals, followed by a cross-sectional pilot study involving community-dwelling adults in Croatia. Validation analysis indicated acceptable face and content validity and satisfactory criterion validity, with Attitudes towards meDication adHErence self-Reported questionnairE (ADHERE-7) scores correlating with both the self-reported five-item Medication Adherence Report Scale (MARS-5 tool) (ρ = 0.765; p < 0.001) and an objective measure of the proportion of days covered (PDC) from pharmacy prescription claims data (G = 0.586; p = 0.015). Construct validity revealed three factors: Aversion, Comfort, and Practical Non-Adherence, with Cronbach’s alpha values of 0.617 for Aversion and 0.714 for Comfort Non-Adherence. The mean total score for ADHERE-7 was 26.27 ± 2.41 (range 17 to 28). This robust validation process confirms the ADHERE-7 tool as a reliable instrument for assessing medication adherence, addressing aversion, comfort, practical issues, and both intentional and unintentional nonadherence.

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Response to editorial about systematic review of self-reported adherence tools

Rickles,

Sobieraj

2023

Journal of the American Pharmacists Association

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A systematic review of primary care-focused, self-reported medication adherence tools

Cited by 9 publications

References 61 publications

Effects of Telephone-Based Brief Motivational Interviewing on Self-Management, Medication Adherence, and Glycemic Control in Patients with Uncontrolled Type 2 Diabetes Mellitus in a Rural Community in Thailand

Effects of Telephone-Based Brief Motivational Interviewing on Self-Management, Medication Adherence, and Glycemic Control in Patients with Uncontrolled Type 2 Diabetes Mellitus in a Rural Community in Thailand

Development and Validation of a Tool to Explore Attitudes Towards meDication adHErence Using a Novel Self-Reported QuestionnairE (ADHERE-7)

Response to editorial about systematic review of self-reported adherence tools

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