Evidence map›Paper›PMID 30323571›Full record

ArticlePatient preference and adherence2018

Exploring strategies to support medication adherence in patients with inflammatory arthritis: a patient-oriented qualitative study using an interactive focus group activity.

Sharan K Rai, Alyssa Howren, Elizabeth S Wilcox, Anne F Townsend, Carlo A Marra, J Antonio Aviña-Zubieta, Mary A De Vera

Open access · goldAbstract 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. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
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

7 authors at 3 institutions in 4 countries.

Sharan K RaiArthritis Research Canada, Vancouver, BC, Canada, mdevera@mail.ubc.ca.
Alyssa HowrenArthritis Research Canada, Vancouver, BC, Canada, mdevera@mail.ubc.ca.
Elizabeth S WilcoxSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Anne F TownsendArthritis Research Canada, Vancouver, BC, Canada, mdevera@mail.ubc.ca.
Carlo A MarraArthritis Research Canada, Vancouver, BC, Canada, mdevera@mail.ubc.ca.
J Antonio Aviña-ZubietaArthritis Research Canada, Vancouver, BC, Canada, mdevera@mail.ubc.ca.
Mary A De VeraArthritis Research Canada, Vancouver, BC, Canada, mdevera@mail.ubc.ca.
University of British Columbia · CAResearch Canada · CAUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMedication non-adherence is a substantial problem among patients with inflammatory arthritis (IA). Our aim was to explore IA patients' perspectives on strategies to support medication adherence.

methodsWe collaborated with a leading arthritis patient group and conducted a qualitative study on individuals with IA who were taking at least one medication for their IA. An experienced facilitator led participants through a focus group exercise where participants were asked to design, and then discuss, strategies and/or tools supporting medication use. We applied thematic analysis using an iterative, constant comparative approach.

resultsWe studied six focus groups with 27 participants diagnosed with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and comparatively under-represented conditions in this research area such as Sjögren's syndrome. Five themes emerged throughout the analysis. Two themes - 1) adapting to life with IA and 2) the complexities and dynamic nature of taking medications - describe learning to live with a chronic condition and the challenges encountered when using long-term medications. Three themes - 3) developing lifestyle strategies for medication use (eg, having physical reminders and prompts)

conclusionThis patient-oriented study highlights the importance of developing timely adherence interventions for IA. Our findings also led to a framework describing means of receiving information, such as through digital media and support, including from health care team members and family, as actionable targets for patient-oriented adherence interventions for IA.

Indexed as

barriersbiologic DMARDsconcordancefacilitatorsinflammatory arthritismedication adherencequalitative researchsynthetic DMARDs

Identifiers

PMID30323571
PMCPMC6179243
OpenAlexW2895484516

What OpenQuestion holds

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LicenceCC BY-NC
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.