Evidence map›Paper›PMID 33761887›Full record

Observational studyBMC neurology2021

Beliefs about medication as predictors of medication adherence in a prospective cohort study among persons with multiple sclerosis.

Efrat Neter, Lea Glass-Marmor, Anat Wolkowitz, Idit Lavi, Ariel Miller

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02488343 (Personal Profile of Adherence to Therapy and Tailored Interventions to Promote Adherence in Multiple Sclerosis Patients), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT02488343 naunknown statusnot on this map

Personal Profile of Adherence to Therapy and Tailored Interventions to Promote Adherence in Multiple Sclerosis Patients

TypeinterventionalSponsorCarmel Medical CenterRan2015 to 2024Enrolled400ConditionsMultiple SclerosisArmsBehavioral Intervention
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 15 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Efrat NeterRuppin Academic Center, 3 Bait, Ruppin Academic Center, 4025000, Emeq Hefer, Israel. neter@ruppin.ac.il.ORCID http://orcid.org/0000-0002-2162-0474
Lea Glass-MarmorRappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.
Anat WolkowitzRappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.
Idit LaviDepartment of Community Medicine & Epidemiology, Carmel Medical Center, Haifa, Israel.
Ariel MillerRappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.
Technion – Israel Institute of Technology · ILCarmel Medical Center · ILRuppin Academic Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThough adherence to disease-modifying therapies (DMTs) among persons with multiple sclerosis (PwMS) varies and is often below 80%, only few prospective studies on adherence examined predictors beyond demographic and clinical characteristics.

objectivesIdentify antecedents to adherence and persistence to DMT in a prospective design among PwMS.

methodsPwMS (n = 186) were prospectively assessed at three time points: baseline, 6 (Time 1) and 12 months later (Time 2). Clinical, demographic information and patient-reported medication beliefs, illness perceptions, medication habits, perceived health and affect were surveyed in-person. Adherence and persistence were assessed by a combination of self-reports and retrospective review of medication claims.

findingsPwMS were 69.9% (Time 1) and 71% (Time 2) adherent to their DMTs and 64.5.9% were persistent. Beliefs about Medications were consistently predictive at both time points (baseline to Time 1 and Time 1 to Time 2) of medication adherence and persistence whereas other perceptions were predictive in some analyses; clinical and demographic characteristics were mostly not predictive of adherence nor persistence. The prospective association of beliefs about medication with adherence held also in multivariate analyses (OR = 0.88, 95% CI 0.78-0.99, p = 0.029).

conclusionsAdherence and persistence are predicted by medication beliefs of PwMS. As medication beliefs are modifiable, they should be assessed periodically and targeted as a focus of tailored interventions aimed to improve adherence and consequently health outcomes in PwMS. REGISTRATION: Clinical trials registry # NCT02488343 , date: 06/08/2015.

Indexed as

AdultDrug MonitoringFemaleHumansMaleMedication AdherenceMiddle AgedMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingPatient Reported Outcome MeasuresProspective StudiesRetrospective StudiesSurveys and QuestionnairesDisease modifying therapyMedication adherenceMedication beliefsmultiple sclerosisparticipatory medicinePatient reported outcomesPersistence

Identifiers

PMID33761887
PMCPMC7992850
OpenAlexW3125244362

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.