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. 2022 Mar 21;17(3):e0265715. doi: 10.1371/journal.pone.0265715

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.