Evidence map›Paper›PMID 25805550›Full record

SynthesisInternational journal of behavioral medicine2015

Systematic Review of Clinical Practice Guidelines for the Improvement of Medication Adherence.

Todd M Ruppar, Fabienne Dobbels, Pawel Lewek, Michal Matyjaszczyk, Kaat Siebens, Sabina M De Geest

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of behavioral medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  6. Review
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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

6 authors.

Todd M RupparUniversity of Missouri, Columbia, MO, USA. RupparT@missouri.edu.
Fabienne DobbelsUniversity of Leuven (KU Leuven), Leuven, Belgium.
Pawel LewekMedical University of Lodz, Lodz, Poland.
Michal MatyjaszczykMedical University of Lodz, Lodz, Poland.
Kaat SiebensAntwerp University Hospital, Antwerp, Belgium.
Sabina M De GeestUniversity of Leuven (KU Leuven), Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor adherence to medications is a significant problem that leads to increased morbidity, mortality, and health care costs. Recommended approaches to address medication adherence vary, and existing practice guidelines are unclear. PURPOSE: This review evaluated clinical practice guidelines designed to help health care providers address patients' medication adherence.

methodMultiple search methods were used to identify national or international guidelines addressing medication adherence. We included guidelines published in English, as well as guidelines with an English-language summary or translation.

resultsWe identified 23 guidelines of varying detail and quality. Recommendations were categorized as assessment strategies (n = 20 guidelines); educational strategies (n = 18); behavioral strategies (n = 17); therapeutic relationship, communication, and provider factors (n = 19); and addressing outside influences/co-morbidities (n = 10).

conclusionFuture guidelines should be more clearly guided by research findings and comparative effectiveness methods. When implemented, guidelines will facilitate health care providers and health systems in supporting optimal adherence and improved health outcomes.

Indexed as

Medication AdherencePatient Care ManagementPractice Guidelines as TopicHumansPatient Education as TopicProfessional-Patient RelationsQuality ImprovementEvidence-based practiceGuidelinesMedication adherenceSystematic review

Identifiers

What OpenQuestion holds

Textmetadata
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.