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Title

The use of incentives to reinforce medication adherence.

Authors

DeFulio A, Silverman K.

Network Affiliation

Other

Organization

 

Journal Name

Prev Med

Publication Date

11/1/2012

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/22580095

Link to full-text

 

PMID

22580095

Abstract

OBJECTIVE:

Poor medication adherence is a longstanding problem, and is especially pertinent for individuals with chronic conditions or diseases. Adherence to medications can improve patient outcomes and greatly reduce the cost of care. The purpose of the present review is to describe the literature on the use of incentives as applied to the problem of medication adherence.

METHODS:

We conducted a systematic review of peer-reviewed empirical evaluations of incentives provided to patients contingent upon medication adherence.

RESULTS:

This review suggests that incentive-based medication adherence interventions can be very effective, but there are few controlled studies. The studies on incentive-based medication adherence interventions most commonly feature patients taking medication for drug or alcohol dependence, HIV, or latent tuberculosis. Across studies that reported percent adherence comparisons, incentives increased adherence by a mean of 20 percentage points, but effects varied widely. Cross-study comparisons indicate a positive relationship between the value of the incentive and the impact of the intervention. Post-intervention evaluations were rare, but tended to find that adherence effects diminish after the interventions are discontinued.

CONCLUSIONS:

Incentive-based medication adherence interventions are promising but understudied. A significant challenge for research in this area is the development of sustainable and cost-effective long-term interventions.

Keywords

 

Topic

Adherence; Behavior; Financial Incentive; Intervention; incentives

Attachments

Created at 5/17/2013 11:24 AM by Davis, Gregory P
Last modified at 5/17/2013 11:24 AM by Davis, Gregory P