Evidence map›Paper›PMID 40045247›Full record

ArticleBMC medical education2025

Medication adherence in the curricula of future European physicians, pharmacists and nurses - a cross-sectional survey.

Hanna Gottlieb, Laura Seghers, Francisca Leiva-Fernandez, Cristina Mihaela Ghiciuc, Gaye Hafez, Maria Teresa Herdeiro, Ana Tomas Petrović, Teddy Novais, Marie P Schneider, Alexandra Dima and 3 more

Abstract read
In one paragraph

Article in BMC medical education, 2025. 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
–field-weighted citation impact
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.

  1. Article
  2. Hypertensive patient's journey in Poland.BMC health services research · 2025
    Article
  3. 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

13 authors.

Hanna GottliebDepartment of Pharmacy, Faculty of Pharmacy, Uppsala University, Box 580, Uppsala, 751 23, Sweden. hanna.gottlieb@uu.se.
Laura SeghersDepartment of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.
Francisca Leiva-FernandezAndalusian Health Service, Malaga Biomedical Research Institute (IBIMA-Plataforma BIONAND), University of Malaga, Malaga, Spain.
Cristina Mihaela GhiciucClinical Pharmacology and Algesiology, Faculty of Medicine, Grigore T, Popa University of Medicine and Pharmacy, Iasi, Romania.
Gaye HafezDepartment of Pharmacology, Faculty of Pharmacy, Altinbas University, Istanbul, Turkey.
Maria Teresa HerdeiroInstitute of Biomedicine (iBiMED), Medical Sciences Department, University of Aveiro, Aveiro, Portugal.
Ana Tomas PetrovićDepartment of Pharmacology, Toxicology and Clinical Pharmacology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Teddy NovaisDepartment of Pharmacy, Pharmaceutical Unit, Charpennes Hospital, Hospices Civils de Lyon, University Hospital of Lyon, Villeurbanne, 69100, France.
Marie P SchneiderSchool of Pharmaceutical Sciences, University of Geneva, Geneva, Switzerland.
Alexandra DimaAvedis Donabedian Research Institute, Autonomous University of Barcelona, C / Provença 293, Barcelona, Spain.
Marie EkenbergDepartment of Pharmacy, Faculty of Pharmacy, Uppsala University, Box 580, Uppsala, 751 23, Sweden.
Björn WettermarkDepartment of Pharmacy, Faculty of Pharmacy, Uppsala University, Box 580, Uppsala, 751 23, Sweden.
European Network to Advance Best Practices Technology on Medication Adherence (ENABLE)

Funding

European Cooperation in Science and Technology CA19132
6 · The paper itself

Abstract

aimMany patients are not taking their medicines. It has substantial negative medical and economic consequences for patients and healthcare systems but there is limited knowledge on how medication adherence is integrated in medical education. This study seeks to investigate to what extent students in medicine, pharmacy and nursing in Europe are taught about medication adherence.

methodsA cross-sectional online survey was distributed to 731 persons teaching relevant courses across 142 European universities between February and June 2024. The survey addressed definitions of adherence and The ABC Taxonomy; methods to support adherence, methods to identify and monitor non-adherence; consequences and outcomes of non-adherence, and methods applied in teaching. They were also asked to provide links to their curricula. Responses from quantitative questions were analyzed descriptively. Word frequency and qualitative thematic analysis was used for the curricula inventory and analysis of free-text answers, respectively.

resultsIn total, 212 participants from 114 universities in 34 countries completed the survey. Respondents agreed to similar level on the need to enhance medication adherence teaching, with 72% in pharmacy, 71% medical, and 59% agreement in nursing education. The most taught topic across educations was the clinical impact of non-adherence, according to 89% in pharmacy, 84% medical, and 76% in nursing education. The ABC Taxonomy was taught in more than half of all pharmacy (73%), nursing (60%) and medical education (52%). In the qualitative analysis of free text-answers respondents emphasized the value of early, mixed method teaching. They reported a lack of guidance in teaching medication adherence, causing inconsistency in the educational quality and depth. Time constraints were highlighted as a significant challenge, while interprofessional collaboration and use of medication adherence technologies were seen as opportunities, though not widely implemented in teaching. The curricula inventory showed a substantial variance in how medication adherence content was described.

conclusionThere is a lack of consistent teaching on medication adherence in Europe, underlining the necessity to establish a unified curriculum incorporating the ABC taxonomy, and to include a more patient-centred approach to support medication adherence.

Indexed as

CurriculumEducation, MedicalMedication AdherenceAdultCross-Sectional StudiesEuropeFemaleHumansMaleSurveys and QuestionnairesEducationMedication adherenceMedicineNursingPharmacy

Identifiers

PMID40045247
PMCPMC11881433

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.