Evidence map›Paper›PMID 38633230›Full record

Trial reportFrontiers in public health2024

Effectiveness of interventions to improve adherence to antidepressant medication in patients with depressive disorders: a cluster randomized controlled trial.

Tasmania Del Pino-Sedeño, Himar González-Pacheco, Beatriz González de León, Pedro Serrano-Pérez, Francisco Javier Acosta Artiles, Cristina Valcarcel-Nazco, Isabel Hurtado-Navarro, Cristobalina Rodríguez Álvarez, María M Trujillo-Martín, MAPDep Team

Open access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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  3. Involvement of Serotonergic and Dopaminergic Systems inPharmaceuticals (Basel, Switzerland) · 2026
    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

10 authors at 7 institutions in 1 country.

Tasmania Del Pino-SedeñoCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.
Himar González-PachecoCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.
Beatriz González de LeónNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain.
Pedro Serrano-PérezDepartment of Psychiatry, Hospital Álvaro Cunqueiro, SERGAS, Vigo, Spain.
Francisco Javier Acosta ArtilesService of Mental Health, General Management of Healthcare Programs, The Canary Islands Health Service, Las Palmas, Gran Canaria, Spain.
Cristina Valcarcel-NazcoCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.
Isabel Hurtado-NavarroNetwork for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Barcelona, Spain.
Cristobalina Rodríguez ÁlvarezDepartment of Preventive Medicine and Public Health, University of La Laguna, Tenerife, Canary Islands, Spain.
María M Trujillo-MartínCanary Islands Health Research Institute Foundation (FIISC), Tenerife, Spain.
MAPDep Team
Servicio Canario de la Salud · ESFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESMadrid Health Service · ESRed de Investigación en Actividades Preventivas y Promoción de la Salud · ESUniversidad de La Laguna · ESUniversidad Europea de Canarias · ESUniversity Hospital Complex Of Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To assess the effectiveness of two interventions of knowledge transfer and behavior modification to improve medication adherence in patients with depressive disorders. Methods: An open, multicenter, three-arm clinical trial with random allocation by cluster to usual care or to one of the two interventions. The intervention for psychiatrists (PsI) included an educational program based on a patient-centered care model. The intervention for patients and relatives (PtI) included a collaborative care program plus a reminder system that works using an already available medication reminder application. The primary outcome was patient adherence to antidepressant treatment assessed through the Sidorkiewicz Adherence Instrument. Secondary measures were depression severity, comorbid anxiety and health-related quality of life. Mixed regression models with repeated measures were used for data analysis. Results: Ten psychiatrists and 150 patients diagnosed with depressive disorder from eight Community Mental Health Units in the Canary Islands (Spain) were included. Compared with usual care, no differences in long-term adherence were observed in either group PsI or PtI. The PsI group had significantly improved depression symptoms ( Conclusion: The assessed interventions to improve adherence in patients with depressive disorder were effective for depression symptoms and mental quality of life, even over the long term. However, no effect on antidepressant adherence was observed.

Indexed as

Depressive DisorderQuality of LifeAntidepressive AgentsBehavior TherapyHumansMedication AdherenceAntidepressive Agentsantidepressive agentsdepressionrandomized controlled trialSpaintreatment adherence and compliance

Identifiers

PMID38633230
PMCPMC11022850
OpenAlexW4393854415

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.