Evidence map›Paper›PMID 25264309›Full record

ReviewPatient education and counseling2014

Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings.

Jennifer L Kuntz, Monika M Safford, Jasvinder A Singh, Shobha Phansalkar, Sarah P Slight, Qoua Liang Her, Nancy Allen Lapointe, Robin Mathews, Emily O'Brien, William B Brinkman and 10 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Impact of Interventions on Medication Adherence in Patients With Coexisting Diabetes and Hypertension.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
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  5. Patient-Centered Outcomes of Medication Adherence Interventions: Systematic Review and Meta-Analysis.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
    Pooled it
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Jennifer L KuntzCenter for Health Research, Kaiser Permanente Northwest, Portland, USA. Electronic address: Jennifer.l.kuntz@kpchr.org.
Monika M SaffordDivision Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, USA.
Jasvinder A SinghDivision Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, USA.
Shobha PhansalkarPartners Healthcare Systems, Inc., Wellesley, USA; Brigham and Women's Hospital and Harvard Medical School, Boston, USA.
Sarah P SlightPartners Healthcare Systems, Inc., Wellesley, USA; Brigham and Women's Hospital and Harvard Medical School, Boston, USA.
Qoua Liang HerPartners Healthcare Systems, Inc., Wellesley, USA.
Nancy Allen LapointeDuke University, Durham, USA.
Robin MathewsDuke University, Durham, USA.
Emily O'BrienDuke University, Durham, USA.
William B BrinkmanCincinnati Children's Hospital and Medical Center, Cincinnati, USA.
Kevin HommelCincinnati Children's Hospital and Medical Center, Cincinnati, USA.
Kevin C FarmerThe University of Oklahoma College of Pharmacy, Oklahoma City, USA.
Elissa KlingerBrigham and Women's Hospital and Harvard Medical School, Boston, USA.
Nivethietha ManiamPartners Healthcare Systems, Inc., Wellesley, USA.
Heather J SobkoDivision Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, USA.
Stacy C BaileyUniversity of North Carolina, Eshelman School of Pharmacy, Chapel Hill, USA.
Insook ChoBrigham and Women's Hospital and Harvard Medical School, Boston, USA.
Maureen H RumptzCenter for Health Research, Kaiser Permanente Northwest, Portland, USA.
Meredith L VandermeerCenter for Health Research, Kaiser Permanente Northwest, Portland, USA.
Mark C HornbrookCenter for Health Research, Kaiser Permanente Northwest, Portland, USA.

Funding

Understanding Obesity In Relation to the Built EnvironmentP20MD006899 · NIMHD · JACKSON STATE UNIVERSITY · PI ANTOINE-LAVIGNE, DONNA A · 2012 to 2016
$5.3M
The Center Education and Research on Therapeutics (CERTs) Scientific ForumU19HS021107 · AHRQ · KAISER FOUNDATION RESEARCH INSTITUTE · PI FORTMANN, STEPHEN PAUL · 2011 to 2015
$4.5M
AHRQ HHS U19 HS021107NIMHD NIH HHS P20 MD006899
6 · The paper itself

Abstract

objectivePatient-centered approaches to improving medication adherence hold promise, but evidence of their effectiveness is unclear. This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains: shared decision-making, methods to enhance effective prescribing, systems for eliciting and acting on patient feedback about medication use and treatment goals, and medication-taking behavior.

methodsWe reviewed literature on interventions that fell into these domains and were published between January 2007 and May 2013. Two reviewers abstracted information and categorized studies by intervention type.

resultsWe identified 60 studies, of which 40% focused on patient education. Other intervention types included augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. Medication adherence was an outcome in most (70%) of the studies, although 50% also examined patient-centered outcomes.

conclusionsWe identified a large number of medication management interventions that incorporated patient-centered care and improved patient outcomes. We were unable to determine whether these interventions are more effective than traditional medication adherence interventions. PRACTICE IMPLICATIONS: Additional research is needed to identify effective and feasible approaches to incorporate patient-centeredness into the medication management processes of the current health care system, if appropriate.

Indexed as

Decision MakingMedication AdherencePatient-Centered CarePatient Education as TopicHumansOutcome Assessment, Health CareSelf AdministrationAdherenceMedicationsPatient-centered care

Identifiers

PMID25264309
PMCPMC5830099

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.