Table 2. Effect of study-level characteristics on medication adherence (n = 27).
Variable | Subgroups | No. of studies | No. of participants | SMD | CI | p-value for interaction* |
---|---|---|---|---|---|---|
Age | Children (<18 years) | 4 | 467 | 1.28 | 0.36 to 2.2 | 0.37 |
Adults (≥18 years) | 23 | 2097 | 0.85 | 0.62 to 1.02 | ||
Healthcare setting | Primary / ambulatory care /outpatient | 20 | 2023 | 0.85 | 0.59 to 1.10 | 0.32 |
hospital setting | 7 | 561 | 1.14 | 0.63 to 1.64 | ||
Complexity of the intervention | EAM only | 3 | 235 | 0.24 | -0.35 to 0.84 | 0.01 |
EAM + EAM reminder | 7 | 829 | 1.51 | 0.81 to 2.22 | ||
EAM + health professional input | 13 | 1288 | 0.73 | 0.54 to 0.93 | ||
EAM + EAM reminder + health professional input | 4 | 232 | 1.05 | 0.77 to 1.33 | ||
Method of adherence feedback a | Direct-to-patient | 6 | 655 | 0.96 | 0.37 to 1.54 | 0.15 |
Healthcare provider facilitated | 12 | 1062 | 0.79 | 0.54 to 1.03 | ||
Both | 7 | 665 | 1.42 | 0.82 to 2.01 | ||
Timing of adherence feedback | Real time (immediate) | 9 | 1048 | 1.03 | 0.66 to 1.40 | 0.53 |
Delayed | 18 | 1536 | 0.88 | 0.57 to 1.19 | ||
Study duration | Short (6 months) | 11 | 856 | 0.70 | 0.40 to 0.99 | 0.09 |
Long (over 6 months) | 16 | 1728 | 1.08 | 0.74 to 1.43 | ||
Blinding b | Blinded to adherence monitoring function | 7 | 741 | 1.06 | 0.59 to 1.53 | 0.09 |
No blinding | 10 | 982 | 0.62 | 0.46 to 0.79 |
SMD, standardised mean difference; CI, confidence intervals for effect size; EAM, Electronic medication monitor
aTwo studies did not provide adherence feedback to participants and were not included in the subgroup analysis.
bIt was not clear in 10 studies whether participants were blinded to adherence monitoring. These were excluded from the subgroup analysis.