Evidence map›Paper›PMID 34233761›Full record

ArticleBMC rheumatology2021

Researchers' perspectives on methodological challenges and outcomes selection in interventional studies targeting medication adherence in rheumatic diseases: an OMERACT-adherence study.

Shahrzad Salmasi, Ayano Kelly, Susan J Bartlett, Maarten de Wit, Lyn March, Allison Tong, Peter Tugwell, Kathleen Tymms, Suzanne Verstappen, Mary A De Vera and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Risk of bias tools for medication adherence research: RoBIAS and RoBOAS.British journal of clinical pharmacology · 2025
    Article
  2. Article
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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

11 authors at 7 institutions in 5 countries.

Shahrzad SalmasiCollaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.ORCID https://orcid.org/0000-0003-1330-3388
Ayano KellyCollege of Health and Medicine, Australian National University, Canberra, ACT, Australia.ORCID https://orcid.org/0000-0003-3325-3840
Susan J BartlettDepartment of Medicine, McGill University and Research Institute, McGill University Health Centres, Montreal, Canada.ORCID https://orcid.org/0000-0001-9755-2490
Maarten de WitOMERACT Patient Research Partner, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0002-8428-6354
Lyn MarchInstitute of Bone and Joint Research, Kolling Institute of Medical Research, Sydney, NSW, Australia.
Allison TongCentre for Kidney Research, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Peter TugwellDepartment of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Kathleen TymmsCollege of Health and Medicine, Australian National University, Canberra, ACT, Australia.ORCID https://orcid.org/0000-0002-6340-8105
Suzanne VerstappenCentre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID https://orcid.org/0000-0001-6181-0646
Mary A De VeraCollaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada. mdevera@mail.ubc.ca.ORCID http://orcid.org/0000-0002-2205-2683
OMERACT-Adherence working group
Australian National University · AUThe University of Sydney · AUUniversity of British Columbia · CAJohns Hopkins University · USManchester Academic Health Science Centre · GBOMERACT Patient Research Partner Network · NLUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch on adherence interventions in rheumatology is limited by methodological issues, particularly heterogeneous outcomes. We aimed to describe researchers' experiences with conducting interventional studies targeting medication adherence in rheumatology and their perspectives on establishing core outcomes.

methodsSemi-structured interviews using audio conference were conducted with researchers who had conducted an adherence study of any design in the past 10 years. Data collection and thematic analysis were performed iteratively, until saturation.

resultsWe interviewed 13 researchers, most of whom worked in academia and specialized in epidemiology and/or health services research. We identified three themes: 1) improving measurement of adherence (considering all phases of adherence, using appropriate and relevant measures, and establishing clinically meaningful thresholds); 2) challenges in designing and appraising adherence intervention studies (considering the confusion over a plethora of outcomes, difficulties with powering studies to demonstrate meaningful changes, and suboptimal descriptions of adherence interventions in published studies); and 3) advancing outcome assessment in adherence intervention studies (capturing rationale for developing a core domain set as well as recommendations and anticipated challenges by participants).

conclusionsUniquely gathering perspectives from international adherence researchers, our findings led to researcher-informed recommendations for improving adherence research including specifying the targeted adherence phase in designing interventions and studies and providing a glossary of terms to promote consistency in reporting. We also identified recommendations for developing a core domain set for interventional studies targeting medication adherence including involvement of patients, clinicians, and other stakeholders and methodological and practical considerations to establish rigor and support uptake.

Indexed as

Medication adherenceQualitative researchRheumatology

Identifiers

PMID34233761
PMCPMC8265120
OpenAlexW3181817170

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.