Evidence map›Paper›PMID 40833816›Full record

ArticleAnnals of medicine2025

Medication adherence among Jordanian adults with chronic conditions: a combined analysis using regression and machine learning.

Walid Al-Qerem, Anan Jarab, Judith Eberhardt, Salwa Abdo, Lujain Al-Sa'di, Razan Al-Shehadeh, Dana Khasim, Ruba Zumot, Sarah Khalil

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Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Walid Al-QeremDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
Anan JarabDepartment of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Judith EberhardtDepartment of Psychology, School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough, UK.ORCID 0000-0003-0745-178X
Salwa AbdoDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
Lujain Al-Sa'diDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
Razan Al-ShehadehDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
Dana KhasimDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
Ruba ZumotDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.
Sarah KhalilDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManaging chronic illness effectively depends not only on treatment availability but also on patients' ability to adhere to prescribed medications.

objectivesThis study examined the factors influencing medication adherence among Jordanian adults with long-term conditions, using both traditional regression and machine learning methods.

methodIn this cross-sectional study, patients with chronic conditions completed an online survey that assessed demographic, clinical and behavioural variables, including Health Literacy Questionnaire (HLQ-12) and adherence (MARS-5). Quantile regression and machine learning models were applied.

resultsA total of 981 patients (63.1% females) were enrolled in the study. Quantile regression showed that higher health literacy, a diagnosis of diabetes or cardiovascular disease, and fewer prescribed medications were positively associated with adherence. In contrast, being married or having public, military or no insurance was linked to lower adherence scores. The Random Forest model achieved the highest predictive accuracy (

conclusionsThese findings highlight the need for targeted interventions that address both individual understanding and structural challenges, such as insurance type and treatment complexity. Improving health literacy, simplifying medication regimens, and ensuring equitable healthcare access may help support better adherence in this population. The use of explainable machine learning, alongside conventional statistical approaches, offers new opportunities to improve the understanding and prediction of adherence behaviours in resource-constrained settings.

Indexed as

Health LiteracyMachine LearningMedication AdherenceAdultAgedChronic DiseaseCross-Sectional StudiesFemaleHumansJordanMaleMiddle AgedRegression AnalysisSurveys and Questionnairescardiovascular diseaseschronic diseaseshealth literacyJordanMedication adherencerandom Forest

Identifiers

PMID40833816
PMCPMC12369517

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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.