Strategies to Measure and Improve Patient Adherence in Clinical Trials
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Although the many types of monitoring methods have limitations, they can inform the interpretation of the trial result.
“Although the many types of monitoring methods have limitations,243 they can inform the interpretation of the trial result.”
From SPIRIT 2025 explanation and elaboration: updated guideline for protocols of randomised trials (2025) · cites this paper as [243]
Cites
Osterberg, L., & Blaschke, T. (2005) · New England Journal of Medicine · doi:10.1056/nejmra050100 · Cited by 7,974 · see citing works
Clinical Epidemiology: A Basic Science for Clinical Medicine.
(1991) · Annals of Internal Medicine · doi:10.7326/0003-4819-114-9-825_9 · Cited by 3,497 · see citing works
Interventions for enhancing medication adherence
Nieuwlaat, R., Wilczynski, N., Navarro, T., Hobson, N., Jeffery, R., Keepanasseril, A., Agoritsas, T., Mistry, N., Iorio, A., Jack, S., et al. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000011.pub4 · Cited by 2,945 · see citing works
A systematic review of the associations between dose regimens and medication compliance
Claxton, A. J., Cramer, J., & Pierce, C. (2001) · Clinical Therapeutics · doi:10.1016/s0149-2918(01)80109-0 · Cited by 2,388 · see citing works
Medication compliance and persistence: terminology and definitions
Cramer, J. A., Roy, A., Burrell, A., Fairchild, C. J., Fuldeore, M. J., Ollendorf, D. A., & Wong, P. K. (2008) · Value in Health · doi:10.1111/j.1524-4733.2007.00213.x · Cited by 2,220 · see citing works
DiMatteo, M. R. (2004) · Medical Care · doi:10.1097/01.mlr.0000114908.90348.f9 · Cited by 2,169 · see citing works
Patient Adherence and Medical Treatment Outcomes: A Meta-Analysis
Robin DiMatteo, M., Giordani, P. J., Lepper, H. S., & Croghan, T. W. (2002) · Medical Care · doi:10.1097/00005650-200209000-00009 · Cited by 1,490 · see citing works
Medication Adherence: Its Importance in Cardiovascular Outcomes
Ho, P. M., Bryson, C. L., & Rumsfeld, J. S. (2009) · Circulation · doi:10.1161/circulationaha.108.768986 · Cited by 1,488 · see citing works
A meta-analysis of the association between adherence to drug therapy and mortality
Simpson, S. H., Eurich, D. T., Majumdar, S. R., Padwal, R. S., Tsuyuki, R. T., Varney, J., & Johnson, J. A. (2006) · BMJ · doi:10.1136/bmj.38875.675486.55 · Cited by 1,353 · cited 1× · see citing works
“63).([17]) This article will provide an overview of patient adherence with drugs in the clinical trial setting including factors that affect patient adherence, methods to monitor adherence and strategies to minimize the barriers to adherence, including the use of newer technologies.”
BackgroundInterventions for enhancing medication adherence
Haynes, R. B., Ackloo, E., Sahota, N., McDonald, H. P., & Yao, X. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000011.pub3 · Cited by 1,244 · see citing works
Fixed-Dose Combinations Improve Medication Compliance: A Meta-Analysis
Bangalore, S., Kamalakkannan, G., Parkar, S., & Messerli, F. H. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2006.08.033 · Cited by 1,075 · see citing works
Patient compliance with paper and electronic diaries
Stone, A. A., Shiffman, S., Schwartz, J. E., Broderick, J. E., & Hufford, M. R. (2003) · Controlled Clinical Trials · doi:10.1016/s0197-2456(02)00320-3 · Cited by 910 · see citing works
Farmer, K. C. (1999) · Clinical Therapeutics · doi:10.1016/s0149-2918(99)80026-5 · Cited by 889 · see citing works
Healthcare via Cell Phones: A Systematic Review
Krishna, S., Boren, S. A., & Balas, E. A. (2009) · Telemedicine and e-Health · doi:10.1089/tmj.2008.0099 · Cited by 882 · see citing works
Vrijens, B., Vincze, G., Kristanto, P., Urquhart, J., & Burnier, M. (2008) · BMJ · doi:10.1136/bmj.39553.670231.25 · Cited by 865 · see citing works
Interventions to Enhance Medication Adherence in Chronic Medical Conditions: A Systematic Review
Kripalani, S., Yao, X., & Haynes, R. B. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.6.540 · Cited by 810 · see citing works
The impact of medication regimen factors on adherence to chronic treatment: a review of literature
Ingersoll, K. S., & Cohen, J. X. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-007-9147-y · Cited by 585 · see citing works
Patient adherence and persistence with oral anticancer treatment
Ruddy, K., Mayer, E., & Partridge, A. (2009) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.20004 · Cited by 569 · see citing works
Franklin, V. L., Waller, A., Pagliari, C., & Greene, S. A. (2006) · Diabetic Medicine · doi:10.1111/j.1464-5491.2006.01989.x · Cited by 543 · see citing works
Adherence to treatment in adolescents
Taddeo, D., Egedy, M., & Frappier, J. (2008) · Paediatrics & Child Health · doi:10.1093/pch/13.1.19 · Cited by 379 · see citing works
(2009) · PubMed · Cited by 359 · see citing works
Nonadherence Consensus Conference Summary Report
Fine, R. Ν., Becker, Y. T., Geest, S. D., Eisen, H. J., Ettenger, R. B., Evans, R., Rudow, D. L., McKay, D. B., Neu, A. M., Nevins, T. E., et al. (2008) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2008.02495.x · Cited by 297 · see citing works
The impact of reducing dose frequency on health outcomes
Richter, A., Anton, S., Koch, P., & Dennett, S. L. (2003) · Clinical Therapeutics · doi:10.1016/s0149-2918(03)80222-9 · Cited by 271 · see citing works
A test of financial incentives to improve warfarin adherence
Volpp, K. G. M., Loewenstein, G. F., Troxel, A. B., Doshi, J. A., Price, M., Laskin, M. S., & Kimmel, S. E. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-272 · Cited by 262 · see citing works
On White-Coat Effects and the Electronic Monitoring of Compliance
Feinstein, A. R. (1990) · Archives of Internal Medicine · doi:10.1001/archinte.1990.00390190043003 · Cited by 236 · see citing works
Improved Adherence and Outcomes for Pediatric Liver Transplant Recipients by Using Text Messaging
Miloh, T., Annunziato, R. A., Arnon, R., Warshaw, J. K., Parkar, S., Suchy, F. J., Iyer, K. R., & Kerkar, N. N. (2009) · PEDIATRICS · doi:10.1542/peds.2009-0415 · Cited by 207 · see citing works
Reminder packaging for improving adherence to self-administered long-term medications
Mahtani, K. R., Heneghan, C. J., Glasziou, P., & Perera, R. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005025.pub3 · Cited by 201 · see citing works
Role of Patient Compliance in Clinical Pharmacokinetics
Urquhart, J. (1994) · Clinical Pharmacokinetics · doi:10.2165/00003088-199427030-00004 · Cited by 195 · see citing works
How Do You Improve Compliance?
Winnick, S., Lucas, D. O., Hartman, A. L., & Toll, D. (2005) · PEDIATRICS · doi:10.1542/peds.2004-1133 · Cited by 190 · see citing works
Microelectronic Systems for Monitoring and Enhancing Patient Compliance With Medication Regimens
Cramer, J. A. (1995) · Drugs · doi:10.2165/00003495-199549030-00001 · Cited by 174 · see citing works
An Electronic Pillbox for Continuous Monitoring of Medication Adherence
Hayes, T. L., Hunt, J. M., Adami, A., & Kaye, J. A. (2006) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2006.260367 · Cited by 157 · see citing works
Do fixed-dose combination pills or unit-of-use packaging improve adherence? A systematic review.
CONNOR, J. L., Rafter, N., & Rodgers, A. (2004) · Europe PMC (PubMed Central) · Cited by 155 · see citing works
Enhancing adherence in clinical research
Robiner, W. N. (2005) · Contemporary Clinical Trials · doi:10.1016/j.cct.2004.11.015 · Cited by 137 · see citing works
Matsui, D. M. (1997) · Pediatric Clinics of North America · doi:10.1016/s0031-3955(05)70459-4 · Cited by 132 · see citing works
Self-citationDaily regimen and compliance with treatment
Bloom, B. S. (2001) · BMJ · doi:10.1136/bmj.323.7314.647 · Cited by 127 · see citing works
Simmons, M. S., Nides, M. A., Rand, C. S., Wise, R. A., & Tashkin, D. P. (2000) · CHEST Journal · doi:10.1378/chest.118.2.290 · Cited by 113 · see citing works
Use of an on-line pager system to increase adherence to antiretroviral medications
Safren, S. A., Hendriksen, E. S., Desousa, N., Boswell, S. L., & Mayer, K. H. (2003) · AIDS Care · doi:10.1080/09540120310001618630 · Cited by 110 · see citing works
Measuring Adherence to Antiretroviral Medications in Clinical Trials
Miller, L. G., & Hays, R. D. (2000) · HIV Clinical Trials · doi:10.1310/enxw-95pb-5ngw-1f40 · Cited by 105 · see citing works
Compliance with cyclosporine in adolescent renal transplant recipients
Blowey, D. L., Hébert, D., Arbus, G. S., Pool, R., Korus, M., & Koren, G. (1997) · Pediatric Nephrology · doi:10.1007/s004670050335 · Cited by 100 · see citing works
Cocosila, M., Archer, N., Brian Haynes, R., & Yuan, Y. (2009) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2008.07.011 · Cited by 90 · see citing works
Adherence, T. I. E. F. O. P., van Dulmen, S., Sluijs, E. M., van Dijk, L., de Ridder, D. T. D., Heerdink, E. R., & Bensing, J. M. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-47 · Cited by 89 · see citing works
MEDICATION COMPLIANCE AS A FEATURE IN DRUG DEVELOPMENT
and, H. K., & Blaschke, T. F. (1997) · The Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev.pharmtox.37.1.451 · Cited by 87 · see citing works
Christensen, A., Osterberg, L. G., & Hansen, E. (2009) · Journal of Hypertension · doi:10.1097/hjh.0b013e32832d50ef · Cited by 84 · see citing works
Ascertaining how much compliance is enough with outpatient antibiotic regimens.
Urquhart, J. (1992) · PubMed · Cited by 84 · see citing works
Wise, J., & Operario, D. (2008) · AIDS Patient Care and STDs · doi:10.1089/apc.2007.0180 · Cited by 83 · see citing works
The use of handheld computers in clinical trials
Koop, A., & Mösges, R. (2002) · Controlled Clinical Trials · doi:10.1016/s0197-2456(02)00224-6 · Cited by 81 · see citing works
Paschal, A. M., Hawley, S. R., Romain, T. S., & Ablah, E. A. (2008) · Epilepsia · doi:10.1111/j.1528-1167.2008.01645.x · Cited by 74 · see citing works
McNamara, P. S., McCormack, P., McDonald, A. J., Heaf, L., & Southern, K. W. (2009) · Journal of Cystic Fibrosis · doi:10.1016/j.jcf.2009.04.006 · Cited by 72 · see citing works
Drug Compliance in Therapeutic Trials
Boudes, P. F. (1998) · Controlled Clinical Trials · doi:10.1016/s0197-2456(98)00005-1 · Cited by 68 · see citing works
Enhancing Adherence in Randomized Controlled Clinical Trials
Shumaker, S. A., Dugan, E., & Bowen, D. J. (2000) · Controlled Clinical Trials · doi:10.1016/s0197-2456(00)00083-0 · Cited by 67 · see citing works
Adherence or Compliance? Changes in Terminology
Tilson, H. H. (2003) · Annals of Pharmacotherapy · doi:10.1345/aph.1d207 · Cited by 65 · see citing works
The challenges of using medication event monitoring technology with pediatric transplant patients
Shellmer, D. A., & Zelikovsky, N. (2007) · Pediatric Transplantation · doi:10.1111/j.1399-3046.2007.00681.x · Cited by 65 · see citing works
Lau, R. C. W., Matsui, D. M., Greenberg, M., & Koren, G. (1998) · Medical and Pediatric Oncology · doi:10.1002/(sici)1096-911x(199802)30:2 · Cited by 64 · see citing works
Self-citationPilot study of an interactive voice response system to improve medication refill compliance
Reidel, K. E., Tamblyn, R. M., Patel, V., & Huang, A. R. (2008) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-8-46 · Cited by 63 · see citing works
Halkitis, P. N., Palamar, J. J., & Mukherjee, P. P. (2008) · AIDS Patient Care and STDs · doi:10.1089/apc.2007.0122 · Cited by 60 · see citing works
Understanding Medication Adherence in Pediatric Acute Lymphoblastic Leukemia: A Review
Pritchard, M. T., Butow, P. N., Stevens, M. M., & Duley, J. A. (2006) · Journal of Pediatric Hematology/Oncology · doi:10.1097/01.mph.0000243666.79303.45 · Cited by 53 · see citing works
Clinical evaluation of IDAS II, a new electronic device enabling drug adherence monitoring
Santschi, V., Wuerzner, G., Schneider, M. P., Bugnon, O., & Burnier, M. (2007) · European Journal of Clinical Pharmacology · doi:10.1007/s00228-007-0364-7 · Cited by 47 · see citing works
Adherence to Pharmacological Interventions
Ellis, S. D., Shumaker, S. A., Sieber, W. J., & Rand, C. S. (2000) · Controlled Clinical Trials · doi:10.1016/s0197-2456(00)00082-9 · Cited by 46 · see citing works
Patient Compliance Assessment in Drug Trials: Usage and Methods
Soutter, B. R., & Kennedy, M. C. (1974) · Australian and New Zealand Journal of Medicine · doi:10.1111/j.1445-5994.1974.tb03205.x · Cited by 42 · see citing works
Huang, H. Y. (2000) · American Journal of Epidemiology · doi:10.1093/aje/152.8.780 · Cited by 42 · see citing works
Pullar, T. (1991) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1991.tb03948.x · Cited by 40 · see citing works
Persistence with hypertension treatment among community-dwelling BC seniors.
Morgan, S. G., & Yan, L. (2004) · PubMed · Cited by 40 · see citing works
Clinical trials: are these your patients?
Storms, W. W. (2003) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2003.09.019 · Cited by 39 · see citing works
Measuring adherence to highly active antiretroviral therapy: Implications for research and practice
Kerr, T. H., Walsh, J. C., Lloyd‐Smith, E., & Wood, E. (2005) · Current HIV/AIDS Reports · doi:10.1007/s11904-005-0017-3 · Cited by 38 · see citing works
Hughes, D. A. (2007) · PharmacoEconomics · doi:10.2165/00019053-200725080-00001 · Cited by 32 · see citing works
Electronic reminders to improve medication adherence—are they acceptable to the patient?
Sahm, L. J., MacCurtain, A., Hayden, J. C., Roche, C., & Richards, H. L. (2009) · Pharmacy World & Science · doi:10.1007/s11096-009-9327-7 · Cited by 31 · see citing works
Naditz, A. (2008) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2008.8476 · Cited by 31 · see citing works
A framework for mobile healthcare answers to chronically ill outpatient non-adherence
Cocosila, M., & Archer, N. (2005) · Journal of Innovation in Health Informatics · doi:10.14236/jhi.v13i2.591 · Cited by 27 · see citing works
Medication packaging: Simple solutions to nonadherence problems
Rudd, P. (1979) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt1979253257 · Cited by 26 · see citing works
A prototype home robot with an ambient facial interface to improve drug compliance
Takács, B., & Hanák, D. (2008) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2008.007016 · Cited by 25 · see citing works
Perspectives from the pharmaceutical industry
Bonaccorso, S., & Sturchio, J. L. (2003) · BMJ · doi:10.1136/bmj.327.7419.863 · Cited by 24 · see citing works
Compliance Aids and Medicine Stability: New Evidence of Quality Assurance
Glass, B. D., Haywood, A., Llewelyn, V. K., et al. (2009) · Current Drug Safety · doi:10.2174/157488609787354459 · Cited by 21 · see citing works
Compliance assessment in drug trials: has there been improvement in two decades?
Jayaraman, S., Rieder, M. J., & Matsui, D. M. (2005) · PubMed · Cited by 18 · see citing works
Self-citationEffect of a personal automated dose-dispensing system on adherence: A case series
Sather, B. C., Forbes, J. J., Starck Donna, J., & Rovers, J. P. (2007) · Journal of the American Pharmacists Association · doi:10.1331/1544-3191.47.1.82.sather · Cited by 13 · see citing works
Ethics of Monitoring Patient Adherence. An Evolving Dilemma
Klocke, R. A. (1994) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.149.2.8306017 · Cited by 6 · see citing works
Nobles, W. L., Stephens, V. C., Wei, L., et al. (1958) · Journal of the American Pharmaceutical Association (Scientific ed ) · doi:10.1002/jps.3030470203 · Cited by 4 · see citing works
(2008) · AIDS Patient Care and STDs · doi:10.1089/apc.2008.9954 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
SPIRIT 2013 explanation and elaboration: guidance for protocols of clinical trials
Chan, A.-W., Tetzlaff, J. M., Gotzsche, P. C., Altman, D. G., Mann, H., Berlin, J. A., Dickersin, K., Hrobjartsson, A., Schulz, K. F., Parulekar, W. R., et al. (2013) · BMJ · doi:10.1136/bmj.e7586 · Cited by 6,251 · see citing works
SPIRIT 2025 explanation and elaboration: updated guideline for protocols of randomised trials
Hróbjartsson, A., Boutron, I., Hopewell, S., Moher, D., Schulz, K. F., Collins, G. S., Tunn, R., Aggarwal, R., Berkwits, M., Berlin, J. A., et al. (2025) · BMJ · doi:10.1136/bmj-2024-081660 · Cited by 171 · see citing works
- Authors
- Matsui, D.
- Affiliations
- Western University (CA)
- Corresponding author
- Matsui, Doreen
- Venue
- Pharmaceutical Medicine
- Published
- 2009-10
- Volume
- 23
- Issue
- 5-6
- Pages
- 289-297
- ISSN
- 0265-0673 (ISSN-L)
- 1178-2595
- 1179-1993
- OpenAlex
- W1984883552
- Cited by
- 40
- References
- 78
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 1 · 2021: 5 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 4 · 2014: 3 · 2013: 3 · 2012: 1
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Pharmaceutical Medicine (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Keywords
- medication adherence, clinical trial compliance, adherence measurement, pill count, self-report, run-in period, fixed-dose combination, smart pillbox, text messaging, dosing frequency, patient expectations, barriers to adherence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review