Evidence map›Paper›PMID 34079422›Full record

ArticlePragmatic and observational research2021

Maximizing Adherence and Gaining New Information For Your Chronic Obstructive Pulmonary Disease (MAGNIFY COPD): Study Protocol for the Pragmatic, Cluster Randomized Trial Evaluating the Impact of Dual Bronchodilator with Add-On Sensor and Electronic Monitoring on Clinical Outcomes.

David Price, Rupert Jones, Pascal Pfister, Hui Cao, Victoria Carter, Anu Kemppinen, Björn Holzhauer, Alan Kaplan, Allan Clark, David M G Halpin and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Pragmatic and observational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

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

  1. Selection and reporting of usual care comparators when designing primary care trials of complex health interventions: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Pooled it
  2. Methods to assess COPD medications adherence in healthcare databases: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2023
    Pooled it
  3. Article
  4. Observational
  5. Observational
  6. Review
  7. Review
  8. Article
  9. Review
  10. 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

18 authors at 14 institutions in 9 countries.

David PriceObservational and Pragmatic Research Institute, Singapore, Singapore.ORCID 0000-0002-9728-9992
Rupert JonesFaculty of Health, University of Plymouth, Plymouth, Devon, UK.
Pascal PfisterNovartis Pharma AG, Basel, Switzerland.ORCID 0000-0002-2276-5042
Hui CaoNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.
Victoria CarterObservational and Pragmatic Research International Ltd, Stubbs House Stubbs Green, London, Norwich, UK.
Anu KemppinenObservational and Pragmatic Research International Ltd, Stubbs House Stubbs Green, London, Norwich, UK.
Björn HolzhauerNovartis Pharma AG, Basel, Switzerland.ORCID 0000-0002-9209-757X
Alan KaplanDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
Allan ClarkNorwich Medical School, University of East Anglia, Norwich, UK.
David M G HalpinUniversity of Exeter Medical School, College of Medicine and Health, University of Exeter, Exeter, UK.ORCID 0000-0003-2009-4406
Hilary PinnockAllergy and Respiratory Research Group, Usher Institute, University of Edinburgh, Edinburgh, UK.
James D ChalmersCollege of Medicine, University of Dundee, Dundee, UK.
Job F M van BovenDepartment of Clinical Pharmacy & Pharmacology, Groningen Research Institute for Asthma and COPD (GRIAC), University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0003-2368-2262
Kai M BeehClinical Research, Insaf Respiratory Research Institute, Wiesbaden, Germany.
Konstantinos KostikasRespiratory Medicine Department, University of Ioannina School of Medicine, Ioannina, Greece.ORCID 0000-0003-0774-3942
Nicolas RocheCochin Hospital and Institute, APHP Centre, University of Paris, Paris, France.ORCID 0000-0002-3162-5033
Omar UsmaniNational Heart & Lung Institute (NHLI), Imperial College London and Royal Brompton Hospital, London, UK.ORCID 0000-0002-4367-254X
Paul MastoridisNovartis Pharmaceuticals Corporation, East Hanover, NJ, USA.ORCID 0000-0003-0948-0066
Novartis (Switzerland) · CHNovartis (United States) · USRespiratory Research Institute · DERoyal Brompton Hospital · GBUniversité Paris Cité · FRUniversity Medical Center Groningen · NLUniversity of Aberdeen · GBUniversity of Dundee · GBUniversity of East Anglia · GBUniversity of Edinburgh · GBUniversity of Exeter · GBUniversity of Ioannina · GRUniversity of Plymouth · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor treatment adherence in COPD patients is associated with poor clinical outcomes and increased healthcare burden. Personalized approaches for adherence management, supported with technology-based interventions, may offer benefits to patients and providers but are currently unproven in terms of clinical outcomes as opposed to adherence outcomes.

methodsMaximizing Adherence and Gaining New Information For Your COPD (MAGNIFY COPD study), a pragmatic cluster randomized trial, aims to evaluate the impact of an adherence technology package (interventional package), comprising an adherence review, ongoing provision of a dual bronchodilator but with an add-on inhaler sensor device and a connected mobile application. This will compare time to treatment failure and other clinical outcomes in patients identified at high risk of exacerbations with historic poor treatment adherence as measured by prescription collection to mono/dual therapy over one year (1312 patients) versus usual care. Treatment failure is defined as the first occurrence of one of the following: (1) moderate/severe COPD exacerbation, (2) prescription of triple therapy (inhaled corticosteroid/long-acting β REGISTRATION NUMBER: ISRCTN10567920.

conclusionMAGNIFY will explore patient benefits of technology-based interventions for electronic adherence monitoring.

Indexed as

adherence monitoringapplicationschronic obstructive pulmonary diseasemedication adherencepragmatic randomized clinical trialtechnology

Identifiers

PMID34079422
PMCPMC8163732
OpenAlexW3164539405

What OpenQuestion holds

Textmetadata
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.