Evidence map›Paper›PMID 27000329›Full record

Trial reportJournal of the American Geriatrics Society2016

Multifaceted Prospective Memory Intervention to Improve Medication Adherence.

Kathie C Insel, Gilles O Einstein, Daniel G Morrow, Kari M Koerner, Joseph T Hepworth

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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.

NCT04289246 nacompletednot on this mapstarted 2017, after this paper: background citation

Supporting the Medication Adherence of Older Mexican Adults Through External Cues Provided With Ambient Displays: Protocol of a Feasibility Randomized Controlled Trial

TypeinterventionalSponsorUniversidad Autonoma de Baja CaliforniaRan2017 to 2017Enrolled16ConditionsMedication Adherence, Medication ComplianceArmsMedication Ambient Display (MAD)
NCT06307574 narecruitingnot on this mapstarted 2024, after this paper: background citation

Digital Technology to Support Adherence to Hypertension Medications for Older Adults With Mild Cognitive Impairment

TypeinterventionalSponsorUniversity of ArizonaRan2024 to 2026Enrolled100ConditionsAging, Mild Cognitive Impairment, HypertensionArmsbpMedManage
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. [Developmental trajectories of medication adherence and predictors of latent classes in patients with ischemic stroke].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  5. Review
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  11. A rapid review of interventions to improve medicine self-management for older people living at home.Health expectations : an international journal of public participation in health care and health policy · 2023
    Review
  12. Designing Feedback Visualizations for Anti-Hypertensive Medication Adherence for Older Adults.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2022
    Article
  13. Article
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  18. User Insights for Design of an Antihypertensive Medication Management Application.Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting. Human Factors and Ergonomics Society. Annual meeting · 2018
    Article
  19. Observational
  20. Using Smart City Technology to Make Healthcare Smarter.Proceedings of the IEEE. Institute of Electrical and Electronics Engineers · 2018
    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.

Kathie C InselCollege of Nursing, University of Arizona, Tucson, Arizona.
Gilles O EinsteinDepartment of Psychology, Furman University, Greenville, South Carolina.
Daniel G MorrowDepartment of Educational Psychology, University of Illinois, Urbana, Illinois.
Kari M KoernerCollege of Nursing, University of Arizona, Tucson, Arizona.
Joseph T HepworthCollege of Nursing, University of Arizona, Tucson, Arizona.

Funding

Multifaceted Prospective Memory Intervention to Improve Medication AdherenceR01NR010350 · NINR · UNIVERSITY OF ARIZONA · PI INSEL, KATHLEEN C · 2008 to 2011
$1.7M
NINR NIH HHS NR010350NINR NIH HHS R01 NR010350
6 · The paper itself

Abstract

objectivesTo test whether a multifaceted prospective memory intervention improved adherence to antihypertensive medications and to assess whether executive function and working memory processes moderated the intervention effects.

designTwo-group longitudinal randomized control trial.

settingCommunity.

participantsIndividuals aged 65 and older without signs of dementia or symptoms of severe depression who were self-managing prescribed medication. MEASUREMENTS: After 4 weeks of initial adherence monitoring using a medication event monitoring system, individuals with 90% or less adherence were randomly assigned to groups.

interventionThe prospective memory intervention was designed to provide strategies that switch older adults from relying on executive function and working memory processes (that show effects of cognitive aging) to mostly automatic associative processes (that are relatively spared with normal aging) for remembering to take medications. Strategies included establishing a routine, establishing cues strongly associated with medication taking actions, performing the action immediately upon thinking about it, using a medication organizer, and imagining medication taking to enhance encoding and improve cuing.

resultsThere was significant improvement in adherence in the intervention group (57% at baseline to 78% after the intervention), but most of these gains were lost after 5 months. The control condition started at 68% and was stable during the intervention, but dropped to 62%. Executive function and working memory moderated the intervention effect, with the intervention producing greater benefit for those with lower executive function and working memory.

conclusionThe intervention improved adherence, but the benefits were not sustained. Further research is needed to determine how to sustain the substantial initial benefits.

Indexed as

LearningMemory, EpisodicAgedAged, 80 and overCuesExecutive FunctionFemaleHumansImaginationLongitudinal StudiesMaleMedication AdherenceSelf Administrationelderlyhypertensioninterventionmedication adherenceprospective memory

Identifiers

PMID27000329
PMCPMC4806399

What OpenQuestion holds

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Registered trials

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.