Targeting cardiovascular medication adherence interventions
dc.contributor.author | Cutrona, Sarah L. | |
dc.contributor.author | Choudhry, Niteesh K. | |
dc.contributor.author | Fischer, Michael A. | |
dc.contributor.author | Servi, Amber | |
dc.contributor.author | Stedman, Margaret R. | |
dc.contributor.author | Liberman, Joshua N. | |
dc.contributor.author | Brennan, Troyen | |
dc.contributor.author | Shrank, William H. | |
dc.date | 2022-08-11T08:09:23.000 | |
dc.date.accessioned | 2022-08-23T16:29:09Z | |
dc.date.available | 2022-08-23T16:29:09Z | |
dc.date.issued | 2012-05-01 | |
dc.date.submitted | 2012-08-22 | |
dc.identifier.citation | <p>J Am Pharm Assoc (2003). 2012 May-Jun;52(3):381-97. DOI:10.1331/JAPhA.2012.10211</p> | |
dc.identifier.issn | 1544-3450 | |
dc.identifier.doi | 10.1331/JAPhA.2012.10211 | |
dc.identifier.pmid | 22618980 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/37180 | |
dc.description.abstract | OBJECTIVES: To determine whether adherence interventions should be administered to all medication takers or targeted to nonadherers. DATA SOURCES AND STUDY SELECTION: Systematic search (Medline and Embase, 1966-2009) of randomized controlled trials of interventions to improve adherence to medications for preventing or treating cardiovascular disease or diabetes. DATA EXTRACTION: Articles were classified as (1) broad interventions (targeted all medication takers), (2) focused interventions (targeted nonadherers), or (3) dynamic interventions (administered to all medication takers; real-time adherence information targets nonadherers as intervention proceeds). Cohen's d effect sizes were calculated. DATA SYNTHESIS: We identified 7,190 articles; 59 met inclusion criteria. Broad interventions were less likely (18%) to show medium or large effects compared with focused (25%) or dynamic (32%) interventions. Of the 33 dynamic interventions, 6 used externally generated adherence data to target nonadherers. Those with externally generated data were less likely to have a medium or large effect (20% vs. 34.8% self-generated data). CONCLUSION: Adherence interventions targeting nonadherers are heterogeneous but may have advantages over broad interventions. Dynamic interventions show promise and require further study. | |
dc.language.iso | en_US | |
dc.relation | <a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=22618980&dopt=Abstract">Link to article in PubMed</a> | |
dc.relation.url | http://dx.doi.org/10.1331/JAPhA.2012.10211 | |
dc.subject | Medication Adherence | |
dc.subject | Health Services Research | |
dc.subject | Primary Care | |
dc.title | Targeting cardiovascular medication adherence interventions | |
dc.type | Journal Article | |
dc.source.journaltitle | J Am Pharm Assoc (2003) | |
dc.source.volume | 52 | |
dc.source.issue | 3 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/meyers_pp/590 | |
dc.identifier.contextkey | 3248051 | |
html.description.abstract | <p>OBJECTIVES: To determine whether adherence interventions should be administered to all medication takers or targeted to nonadherers.</p> <p>DATA SOURCES AND STUDY SELECTION: Systematic search (Medline and Embase, 1966-2009) of randomized controlled trials of interventions to improve adherence to medications for preventing or treating cardiovascular disease or diabetes.</p> <p>DATA EXTRACTION: Articles were classified as (1) broad interventions (targeted all medication takers), (2) focused interventions (targeted nonadherers), or (3) dynamic interventions (administered to all medication takers; real-time adherence information targets nonadherers as intervention proceeds). Cohen's d effect sizes were calculated.</p> <p>DATA SYNTHESIS: We identified 7,190 articles; 59 met inclusion criteria. Broad interventions were less likely (18%) to show medium or large effects compared with focused (25%) or dynamic (32%) interventions. Of the 33 dynamic interventions, 6 used externally generated adherence data to target nonadherers. Those with externally generated data were less likely to have a medium or large effect (20% vs. 34.8% self-generated data).</p> <p>CONCLUSION: Adherence interventions targeting nonadherers are heterogeneous but may have advantages over broad interventions. Dynamic interventions show promise and require further study.</p> | |
dc.identifier.submissionpath | meyers_pp/590 | |
dc.contributor.department | Meyers Primary Care Institute | |
dc.contributor.department | Department of Medicine | |
dc.source.pages | 381-97 |