ReviewPharmacy (Basel, Switzerland)2022
Exploring a New Theoretical Model to Explain the Behavior of Medication Adherence.
Review in Pharmacy (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of Interventions on Medication Adherence in Patients With Coexisting Diabetes and Hypertension.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Translation, Reliability, Psychometric Validation, and Confirmatory Factor Analysis of the Urdu Version of the Self-Efficacy for Appropriate Medication Use Scale (SEAMS-U) Among Hypertensive Patients in Lahore, Pakistan: A Validation Study.Health science reports · 2026Article
- Real-World Osteoporosis Pharmacotherapy in the UAE: Prescribing Trends, Adherence, and Patient Beliefs.Healthcare (Basel, Switzerland) · 2026Article
- What Do Patients with Long-Term Conditions Disclose About Medication Adherence During and After Hospital Discharge? A Qualitative Study at an Internal Medicines Ward in Norway.Patient preference and adherence · 2026Article
- Medication non-adherence in patients with heart failure: A systematic review.Journal of education and health promotion · 2026Review
- Medication literacy among community-dwelling older adults in Shenzhen: a 2024 cross-sectional survey with psychometric evidence.Frontiers in public health · 2026Article
- Association between older adults' socioeconomic status and their healthcare experiences, preferences, and attitudes towards deprescribing: a cross-sectional study in 14 countries.Archives of public health = Archives belges de sante publique · 2025Article
- A qualitative study of treatment adherence from the perspective of nurses and patients following acute coronary syndrome.BMC nursing · 2025Article
- Medication Non-Adherence in Inflammatory Bowel Disease: A Systematic Review Identifying Risk Factors and Opportunities for Intervention.Pharmacy (Basel, Switzerland) · 2025Review
- Rectal treatment in ulcerative colitis; a qualitative study exploring reasons for under utilisation.Frontiers in health services · 2025Article
- A Mediation Model of Medication Literacy and Adherence in Type 2 Diabetes During Hospital-Home Transition.Patient preference and adherence · 2025Article
- Development and Validation of a Tool to Explore Attitudes Towards meDication adHErence Using a Novel Self-Reported QuestionnairE (ADHERE-7).Pharmacy (Basel, Switzerland) · 2024Article
- Developing feedback visualizations to support older adults' medication adherence.Human factors in healthcare · 2024Article
- Adherence-Promoting Design Features in Pediatric Neurostimulators for ADHD Patients.Bioengineering (Basel, Switzerland) · 2024Article
- Co-Design, Development, and Evaluation of a Mobile Solution to Improve Medication Adherence in Cancer: Design Science Research Approach.JMIR cancer · 2024Article
- Social robots counselling in community pharmacies - Helping or harming? A qualitative study of pharmacists' views.Exploratory research in clinical and social pharmacy · 2024Article
- Article
- Medicine Use in Chronic Diseases.Pharmacy (Basel, Switzerland) · 2023Article
- Illness perception, health literacy, self-efficacy, adherence and quality of life in patients with intermittent claudication - a longitudinal cohort study.BMC nursing · 2023Article
- The Lübeck Medication Satisfaction Questionnaire-A Novel Measurement Tool for Therapy Satisfaction.Journal of personalized medicine · 2023Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Medication adherence is essential for optimal therapeutic outcomes. However, non-adherence with long-term therapy is at 50%. Several theoretical models have identified several key factors that could explain medication adherence. Though numerous interventions have been developed based on these theoretical models, the success rates with interventions are not the best. This paper proposes a new Hierarchical Model for Medication Adherence. In this model, we propose medication adherence as a five-tier model with medication adherence as the desirable behavior on the top of the pyramid. From the bottom of the hierarchy upwards, the skills/beliefs/behaviors to be achieved are: health literacy, belief in illness (impacted by perceived susceptibility and severity of illness), belief in medicines (impacted by treatment satisfaction), and self-efficacy (impacted by social support). The model further proposes that each individual will achieve or already have these skills/beliefs/behaviors at various levels. Screening patients for these benchmarks will enable providers to decide where to target interventions.
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Registered trials
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