Evidence map›Paper›PMID 33034566›Full record

SynthesisJournal of medical Internet research2020

Measurement Properties of Existing Patient-Reported Outcome Measures on Medication Adherence: Systematic Review.

Yu Heng Kwan, Si Dun Weng, Dionne Hui Fang Loh, Jie Kie Phang, Livia Jia Yi Oo, Dan V Blalock, Eng Hui Chew, Kai Zhen Yap, Corrinne Yong Koon Tan, Sungwon Yoon and 5 more

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06688591 (Effectiveness of an Evidence-based Multi-component Intervention Programme to Reduce Medication-related Problems Among Polymedicated Home-dwelling Older Adults), which is not on this map. Cited by 64 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 8 pooled it
12.6field-weighted citation impact, top 1% 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.

NCT06688591 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Effectiveness of an Evidence-based Multi-component Intervention Programme to Reduce Medication-related Problems Among Polymedicated Home-dwelling Older Adults: Protocol for a Multi-site Pilot Study of the OptiMed Clinical Trial

TypeinterventionalSponsorHES-SO Valais-WallisRan2021 to 2023Enrolled0ConditionsPolypharmacy, Multiple Chronic ConditionsArmsIntervention programme to optimise medication management and prevent MRPs
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 8 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
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  9. Trial
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  11. Article
  12. [Medication adherence and its influencing factors in patients with oral lichen planus].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026
    Article
  13. [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
  14. Article
  15. Article
  16. Article
  17. A repository of Singapore validated PROMS: a scoping review.Journal of patient-reported outcomes · 2026
    Article
  18. Article
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

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

15 authors at 5 institutions in 2 countries.

Yu Heng Kwan *Program in Health Services and Systems Research,, Duke-NUS Medical School, Singapore, Singapore.ORCID 0000-0001-7802-9696
Si Dun Weng *Department of Pharmacy, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-9921-3908
Dionne Hui Fang Loh *PULSES Centre Grant, SingHealth Regional Health System, Singapore, Singapore.ORCID 0000-0002-6781-5680
Jie Kie PhangDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore.ORCID 0000-0003-1357-8568
Livia Jia Yi OoDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-5777-5435
Dan V BlalockCenter of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, NC, United States.ORCID 0000-0002-8349-9825
Eng Hui ChewDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-2615-8987
Kai Zhen YapDepartment of Pharmacy, National University of Singapore, Singapore, Singapore.ORCID 0000-0002-8440-0313
Corrinne Yong Koon TanPharmacy Transformation Office, National Healthcare Group Pharmacy, Singapore, Singapore.ORCID 0000-0001-9538-1683
Sungwon YoonProgram in Health Services and Systems Research,, Duke-NUS Medical School, Singapore, Singapore.ORCID 0000-0001-9458-6097
Warren FongDepartment of Rheumatology and Immunology, Singapore General Hospital, Singapore, Singapore.ORCID 0000-0003-1891-1892
Truls Østbye *Program in Health Services and Systems Research,, Duke-NUS Medical School, Singapore, Singapore.ORCID 0000-0002-0662-7440
Lian Leng Low *PULSES Centre Grant, SingHealth Regional Health System, Singapore, Singapore.ORCID 0000-0003-4228-2862
Hayden Barry Bosworth *Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham Veterans Affairs Health Care System, Durham, NC, United States.ORCID 0000-0001-6188-9825
Julian Thumboo *Program in Health Services and Systems Research,, Duke-NUS Medical School, Singapore, Singapore.ORCID 0000-0001-6712-5535
National University of Singapore · SGSingHealth · SGDuke University · USDuke-NUS Medical School · SGSingapore General Hospital · SG

Funding

HSR&D Senior Research Career Scientist AwardIK6HX003161 · VA · DURHAM VA MEDICAL CENTER · PI Hayden B Bosworth · 2020 to 2026
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HSRD VA IK6 HX003161
6 · The paper itself

Abstract

backgroundMedication adherence is essential for improving the health outcomes of patients. Various patient-reported outcome measures (PROMs) have been developed to measure medication adherence in patients. However, no study has summarized the psychometric properties of these PROMs to guide selection for use in clinical practice or research.

objectiveThis study aims to evaluate the quality of the PROMs used to measure medication adherence.

methodsThis study was guided by the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines. Relevant articles were retrieved from the EMBASE, PubMed, Cochrane Library, Web of Science, and CINAHL (Cumulative Index to Nursing and Allied Health Literature) databases. The PROMs were then evaluated based on the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines.

resultsA total of 121 unique medication adherence PROMs from 214 studies were identified. Hypotheses testing for construct validity and internal consistency were the most frequently assessed measurement properties. PROMs with at least a moderate level of evidence for ≥5 measurement properties include the Adherence Starts with Knowledge 20, Compliance Questionnaire-Rheumatology, General Medication Adherence Scale, Hill-Bone Scale, Immunosuppressant Therapy Barrier Scale, Medication Adherence Reasons Scale (MAR-Scale) revised, 5-item Medication Adherence Rating Scale (MARS-5), 9-item MARS (MARS-9), 4-item Morisky Medication Adherence Scale (MMAS-4), 8-item MMAS (MMAS-8), Self-efficacy for Appropriate Medication Adherence Scale, Satisfaction with Iron Chelation Therapy, Test of Adherence to Inhalers, and questionnaire by Voils. The MAR-Scale revised, MMAS-4, and MMAS-8 have been administered electronically.

conclusionsThis study identified 121 PROMs for medication adherence and provided synthesized evidence for the measurement properties of these PROMs. The findings from this study may assist clinicians and researchers in selecting suitable PROMs to assess medication adherence.

Indexed as

Drug MonitoringPatient Reported Outcome MeasuresHumansPsychometricsSurveys and Questionnairesmedication adherencepatient reported outcome measuresreliability and validitysystematic review

Identifiers

PMID33034566
PMCPMC7584986
OpenAlexW3092055782

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.