2. Primary outcome ‐ adherence (studies not included in meta‐analyses).
Study | Measure of adherence | Outcome |
Al‐Rashed 2002 | Objective measure: percentage compliance using home medicines stocks and refill prescriptions between visits 1 and 2 | Intervention: 70% (n = 342 medications) vs control 15.8% (n = 328 medications) |
Blalock 2010 | Subjective measure: Brief Medication Questionnaire (5‐item regimen screen that assesses how medication is used) | Not reported |
Bond 2007 | Subjective measure: Extended Medication Adherence Report Scale (MARS) questionnaire (12 statements about medicine‐taking; score range 12 to 60) | Med (IQR): intervention 59 (57 to 60) vs control 59 (57 to 60) |
Cargill 1992 | Objective measure: pill count, percentage of pills taken compared to those prescribed | Mean scores: control: 74.5; intervention (group 3): 76.2; intervention (group 2): 74; intervention (group 3): 76.2 |
Cohen 2011 | Objective measure: medication possession ratios | Not clearly reported |
Hanlon 1996 | Subjective measure: self‐report proportion of medications for which the patient's response agreed with the directions for use on the action profile | Intervention 77.4% (n = 86 people) vs usual care 76.1% (n = 83 people) |
Holland 2007 | Subjective measure: Medication Adherence Report Scale (MARS) scores from 5 (very poor adherence) to 25 (perfect adherence) | Mean (median): 23.74 (25), n = 101 vs 23.55 (25), n = 103 |
Krska 2001 | Subjective measure: pharmaceutical care issues including potential or actual compliance issues, number of baseline issues resolved at 3 months | 51 of 74 issues resolved (n = 168) vs 21 of 69 issues resolved (n = 164) |
Lim 2004 | Subjective measure: self‐reported; patients asked if they 'forgot to take medication as directed'. Then categorised as least compliant (compliant base, not at 2 months), not compliant (not compliant at base or at 2 months), compliant (compliant at 2 months) | Not clearly reported; unadjusted OR 1.50, 90% CI 0.73 to 3.08 |
Marek 2013 | Objective measure: machine recorded or nurse pill count, average percentage of correct doses per month | Not reported for control group MD.2: 98.8% (SD 0.32), planner: 97.4% (SD 5.19) |
Pandey 2017 | Subjective measure: participants used a logbook to record name and timing of medications taken on a daily basis. Absolute medication adherence calculated as percentage of total prescribed doses that were actually taken each month. 12 months adherence calculated as the mean of each of the 12 monthly measurements. Adherence outcome is % of days covered | Intervention: 91% (n = 9), control: 73% (n = 8) |
Pereles 1996 | Objective measure: patients discharged with 40 days worth of medication, pill count conducted in home at 40 days. Number of medication errors as a proportion of the total doses administered | Not clearly reported After controlling for age and MMSE ‐ I: 0.045, C: 0.086; P < 0.001 |
Shimp 2012 | Objective measure: medication possession ratios defined as sum of all days of medication supply received during year divided by total numbers of days supply needed ‐ calculated for top 8 drug classes for chronic conditions | Not reported ‐ MPRs were very high for both groups (range 0.84 to 0.96), and no clinically meaningful changes were observed over time for either group. Fewer patients reported missed doses after the intervention |
Taylor 2003 | Subjective measure: self‐reported number of medication doses missed. Presented as % adherence | Intervention mean 100 vs control mean 88.9 (± SD 6.3) |
Volume 2001 | Subjective measure: Morisky Adherence, scores 0 to 4; lower scores = better adherence | Mean SD: 0.56 ± 0.75 vs 0.47 ± 0.69; number of participants in each group unclear |
Willeboordse 2017 | Subjective measure: self‐reported adherence problems | Persistence of adherence problems = OR 0.83 (0.54 to 1.27) (P = 0.38) (unpublished = adherence worsened or persisted: 65 vs 54; adherence improved or remained the same: 143 vs 144) |
Winland‐Brown 2000 | Objective measure: pill count, average number of missed doses (unclear over what time period). Please note: group 2 vs group 3 was used for comparison of intervention vs usual care; group 1 vs group 2 was used for comparison of intervention vs intervention | Mean: group 1 = 15.1, group 2 = 1.7, control = 19.7 |
Outcome results presented as intervention group vs usual care group unless otherwise stated.
C: control.
CI: confidence interval.
I: intervention.
IQR: interquartile ratio.
MMSE: Mini‐Mental State Examination.
MPR: medication possession ratio.
OR: odds ratio.
SD: standard deviation.