Evidence map›Paper›PMID 25728214›Full record

SynthesisInternational journal of clinical practice2015

Healthcare provider targeted interventions to improve medication adherence: systematic review and meta-analysis.

V S Conn, T M Ruppar, M Enriquez, P S Cooper, K C Chan

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of clinical practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 8 pooled it
3.9field-weighted citation impact, top 7% of its field
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

25 citing papers in PubMed, 8 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  8. 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
  9. Article
  10. Review
  11. Interventions for increasing medication adherence in heart failure patients: A narrative review.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. The Evidence-Based Development of an Intervention to Improve Clinical Health Literacy Practice.International journal of environmental research and public health · 2020
    Review
  19. Article
  20. Article
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

5 authors at 1 institution in 1 country.

V S ConnSchool of Nursing, University of Missouri, Columbia, MO, USA.
T M RupparSchool of Nursing, University of Missouri, Columbia, MO, USA.
M EnriquezSchool of Nursing, University of Missouri, Columbia, MO, USA.
P S CooperSchool of Nursing, University of Missouri, Columbia, MO, USA.
K C ChanSchool of Nursing, University of Missouri, Columbia, MO, USA.
University of Missouri · US

Funding

Meta-Analysis of Interventions to Improve Medication AdherenceR01NR011990 · NINR · UNIVERSITY OF MISSOURI-COLUMBIA · PI CONN, VICKI S · 2010 to 2013
$1.7M
Peers keep it real: reaching 100% adherence to HIV treatmentK01NR014409 · NINR · UNIVERSITY OF MISSOURI-COLUMBIA · PI ENRIQUEZ, MAITHE · 2013 to 2015
$276k
NINR NIH HHS K01 NR014409NINR NIH HHS R01 NR011990NINR NIH HHS R01NR011990
6 · The paper itself

Abstract

objectiveThis systematic review applied meta-analytic procedures to synthesise medication adherence (also termed compliance) interventions that focus on healthcare providers.

designComprehensive searching located studies testing interventions that targeted healthcare providers and reported patient medication adherence behaviour outcomes. Search strategies included 13 computerised databases, hand searches of 57 journals, and both author and ancestry searches. Study sample, intervention characteristics, design and outcomes were reliably coded. Standardised mean difference effect sizes were calculated using random-effects models. Heterogeneity was examined with Q and I(2) statistics. Exploratory moderator analyses used meta-analytic analogue of ANOVA and regression.

resultsCodable data were extracted from 218 reports of 151,182 subjects. The mean difference effect size was 0.233. Effect sizes for individual interventions varied from 0.088 to 0.301. Interventions were more effective when they included multiple strategies. Risk of bias assessment documented larger effect sizes in studies with larger samples, studies that used true control groups (as compared with attention control), and studies without intention-to-treat analyses.

conclusionOverall, this meta-analysis documented that interventions targeted to healthcare providers significantly improved patient medication adherence. The modest overall effect size suggests that interventions addressing multiple levels of influence on medication adherence may be necessary to achieve therapeutic outcomes.

Indexed as

Delivery of Health Care, IntegratedMedication AdherenceCommunicationHumansOutcome and Process Assessment, Health CareProfessional-Patient RelationsReminder Systems

Identifiers

PMID25728214
PMCPMC5673083
OpenAlexW2046409996

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.