Trial reportPrimary care diabetes2012
Impact of the Chronic Care Model on medication adherence when patients perceive cost as a barrier.
Trial report in Primary care diabetes, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00482768 (Improving Risk Factors for Diabetes Complications in Primary Care), which is not on this map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Risk Factors for Diabetes Complications in Primary Care
Who cites it
21 citing papers in PubMed.
- Patient perception of chronic illness care in a large inflammatory bowel disease cohort.Inflammatory bowel diseases · 2013Trial
- Article
- Multimorbidity research in dementia: it's time to shift to a person-centred approach.Frontiers in dementia · 2026Article
- Sodium-Glucose Cotransporter-2 inhibitor (SGLT2i) Prescription Rates Amongst Diabetologists for Type 2 Diabetes Patients with Albuminuric Diabetic Kidney Disease: A Real-World Study at a Diabetes Center in Bangkok.Journal of the ASEAN Federation of Endocrine Societies · 2025Article
- Associations Between Socioeconomic Status and Adherence to Medications in People With Cystic Fibrosis.Pediatric pulmonology · 2025Article
- Positive Perceptions and Multifaceted Utility of Medicare's Chronic Care Management Program: Insights from an Elderly Rural Patient Population.Journal of general internal medicine · 2025Article
- Relationship between social capital and medication adherence among frail and pre-frail older people: a cross-sectional study from China.BMC public health · 2025Article
- Evaluating A Multicomponent Chronic Disease Management Pilot Intervention among Korean Patients with Hypertension and Diabetes.Iranian journal of public health · 2024Article
- Patient perspectives of diabetes care in primary care networks in Singapore: a mixed-methods study.BMC health services research · 2023Article
- Referral to Adolescent Weight Management Interventions: Qualitative Perspectives From Providers.Journal of pediatric psychology · 2023Article
- Continuity of Medication Use by US Adults With Diabetes, 2005-2019.JAMA network open · 2023Article
- Factors Associated with Medication Adherence among Community-Dwelling Older People with Frailty and Pre-Frailty in China.International journal of environmental research and public health · 2022Article
- Adaptation and validation of the patient assessment of chronic illness care in United States community pharmacies.BMC health services research · 2022Article
- Prescribing Trends of Antidiabetes Medications in Patients With Type 2 Diabetes and Diabetic Kidney Disease, a Cohort Study.Diabetes care · 2021Article
- Social Risk Factors for Medication Nonadherence: Findings from the CARDIA Study.American journal of health behavior · 2020Article
- Validation of the “Mind the Gap” Scale to Assess Satisfaction with Health Care among AdolescentsBalkan medical journal · 2019Article
- Article
- How payment scheme affects patients' adherence to medications? A systematic review.Patient preference and adherence · 2016Review
- The agreement of patient-reported versus observed medication adherence in type 2 diabetes mellitus (T2DM).BMJ open diabetes research & care · 2016Article
- Adaptation and validation of the patient assessment of chronic illness care in the French context.BMC health services research · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
aimsCost burdens represent a significant barrier to medication adherence among chronically ill patients, yet financial pressures may be mitigated by clinical or organizational factors, such as treatment aligned with the Chronic Care Model (CCM). This study examines how perceptions of chronic illness care attenuate the relationship between adherence and cost burden.
methodsSurveys were administered to patients at 40 small community-based primary care practices. Medication adherence was assessed using the 4-item Morisky scale, while five cost-related items documented recent pharmacy restrictions. CCM experiences were assessed via the 20-item Patient Assessment of Chronic Illness Care (PACIC). Nested random effects models determined if chronic care perceptions modified the association between medication adherence and cost-related burden.
resultsOf 1823 respondents reporting diabetes and other chronic diseases, one-quarter endorsed intrapersonal adherence barriers, while 23% restricted medication due of cost. Controlling for age and health status, the relationship between medication cost and CCM with adherence was significant; including PACIC scores attenuated cost-related problems patients with adequate or problematic adherence behavior.
conclusionsPatients experiencing treatment more consistent with the CCM reported better adherence and lower cost-related burden. Fostering highly activated patients and shared clinical decision making may help alleviate medication cost pressures and improve adherence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.