Evidence map›Paper›PMID 29988735›Full record

ArticlePatient preference and adherence2018

High treatment adherence, satisfaction, motivation, and health-related quality of life with fingolimod in patients with relapsing-remitting multiple sclerosis - results from a 24-month, multicenter, open-label Danish study.

Karen Schreiber, Matthias Kant, Claudia Pfleger, Henrik Boye Jensen, Ole Oesterberg, Anne Rieper Hald, Frederik K Nielsen, Sune Rubak

Registry-linked trialAbstract read
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04130256 (Electronic Pill Bottle Monitoring to Promote Medication Adherence for People With Multiple Sclerosis), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT04130256 nacompletednot on this mapstarted 2019, after this paper: background citation

Electronic Pill Bottle Monitoring to Promote Medication Adherence for People With Multiple Sclerosis

TypeinterventionalSponsorMassachusetts General HospitalRan2019 to 2021Enrolled85ConditionsMultiple SclerosisArmsElectronic Pill Bottle
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. 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

8 authors.

Karen SchreiberDepartment of Neurology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Matthias KantDepartment of Neurology, Hospital of Southern Jutland, Soenderborg, Denmark.
Claudia PflegerDepartment of Neurology, Aalborg University Hospital, Denmark.
Henrik Boye JensenDepartment of Neurology, Kolding Hospital, Kolding, Denmark.
Ole OesterbergNovartis Pharmaceutical, Copenhagen, Denmark, ole.oesterberg@novartis.com.
Anne Rieper HaldNovartis Pharmaceutical, Copenhagen, Denmark, ole.oesterberg@novartis.com.
Frederik K NielsenNovartis Pharmaceutical, Copenhagen, Denmark, ole.oesterberg@novartis.com.
Sune RubakDepartment of Child and Adolescent Health, Aarhus University Hospital Skejby, Aarhus Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTreatment adherence is a prerequisite for treatment success and therefore an important consideration to assure that therapeutic goals are achieved both from a patient point of view and for optimal health care resource utilization. Published data on treatment adherence with fingolimod (Gilenya PATIENTS AND

methodsThis was a 24-month, multicenter, open-label study, investigating treatment adherence, satisfaction, motivation, and health-related quality of life (QoL) in RRMS patients treated with fingolimod. In addition, the effect of a motivational interview support program on these measures was evaluated. Treatment adherence was assessed by pill count. Treatment satisfaction, motivation, and QoL were assessed by patient-reported outcomes (PROs).

resultsA total of 195 patients were enrolled in the study. A very high treatment adherence was observed during the entire study with no statistically significant difference between study visits before (99%) and after (97%) the motivational interview. In accordance, a high level of treatment satisfaction was found in the Treatment Satisfaction Questionnaire for Medication 9, which was scored high throughout the study with the highest scores seen for the convenience domain (ranging from 94.51 to 95.78). Furthermore, additional PROs demonstrated a high health-related QoL, a self-determined form of motivation for taking medication, and a patient perception of an autonomy supportive approach provided by the health care provider, at all study visits.

conclusionHigh levels of treatment adherence, satisfaction, motivation, and QoL were observed in Danish RRMS patients treated with fingolimod. As these positive measures were observed at all study visits and throughout the study, no effect of the motivational interview support program was found.

Indexed as

Gilenya®motivational interviewmultiple sclerosisquality of lifetreatment adherenceTreatment Satisfaction Questionnaire for Medication

Identifiers

PMID29988735
PMCPMC6029605

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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.