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. 2017 Oct 23;15(4):434–445. doi: 10.5217/ir.2017.15.4.434

Table 4. Summary of Interventions to Improve Medication Adherence.

Intervention Example Evidence Strength Weakness
Education - RCT48 Most beneficial in addressing accidental non-adherence, which results from misunderstanding of the regimen requirements Benefit is small as a standalone strategy
Behavioral intervention Dose simplification RCT51,52,53 - Easy to implement
- No additional staff or equipment cost
Data on oral mesalazine therapy only; uncertain if the result could generalize to other treatment regimens
Audiovisual reminder system Meta-analysis of RCT54 - Easy to implement
- Low costs
It is part of multifaceted intervention so it does not allow isolation of individual methods contributing to the benefit
Cognitive behavioral therapy Problem-solving skill training RCT55 Improve adherence and HRQOL in youth with IBD Small sample size in the RCT limits generalizability
Multifaceted intervention Education, behavioral modification, cognitive behavioral therapy, motivational interviewing, telemedicine RCT56,57,58,59,60,62,63 Most beneficial in improving adherence Different sample size, patient population, methods make it difficult to compare among studies; it does not allow isolation of individual methods contributing to the benefit

RCT, randomized controlled trial; HRQOL, health-related quality of life.