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Perceived appropriateness of medication adherence incentives

BACKGROUND: 50% of prescriptions dispensed in the United States are not taken as prescribed, leading to approximately 125,000 deaths and 10% of hospitalizations per year. Incentives are effective in improving medication adherence; however, information about patient perceptions regarding incentives i...

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Autores principales: Hastings, Tessa J, Hohmann, Natalie S, Jeminiwa, Ruth, Hansen, Richard A, Qian, Jingjing, Garza, Kimberly B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Managed Care Pharmacy 2021
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391207/
https://www.ncbi.nlm.nih.gov/pubmed/34057397
http://dx.doi.org/10.18553/jmcp.2021.27.6.772
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author Hastings, Tessa J
Hohmann, Natalie S
Jeminiwa, Ruth
Hansen, Richard A
Qian, Jingjing
Garza, Kimberly B
author_facet Hastings, Tessa J
Hohmann, Natalie S
Jeminiwa, Ruth
Hansen, Richard A
Qian, Jingjing
Garza, Kimberly B
author_sort Hastings, Tessa J
collection PubMed
description BACKGROUND: 50% of prescriptions dispensed in the United States are not taken as prescribed, leading to approximately 125,000 deaths and 10% of hospitalizations per year. Incentives are effective in improving medication adherence; however, information about patient perceptions regarding incentives is lacking. OBJECTIVES: To (1) explore perceived appropriateness of incentives among patients prescribed at least 1 medication for chronic hypertension, hyperlipidemia, heart disease, diabetes, and/or asthma/chronic obstructive pulmonary disease and (2) examine associations between perceived appropriateness and patient characteristics. METHODS: A cross-sectional online survey was administered via Qualtrics Panels to US adults taking at least 1 prescription medication for a chronic condition. The results describe patient preference for financial or social recognition-based incentive, perceived appropriateness of adherence incentives (5-point Likert scale), self-reported adherence (Medometer), and demographics. Analyses included descriptive statistics with chi-square and independent t-tests comparing characteristics between participants who perceived incentives as being appropriate or inappropriate and logistic regression to determine predictors of perceived appropriateness. RESULTS: 1,009 individuals completed the survey. Of the 1,009 total survey participants, 933 (92.5%) preferred to receive a financial (eg, cash, gift card, or voucher) rather than a social recognition-based incentive (eg, encouraging messages, feedback, individual recognition, or team competition) for medication adherence. 740 participants (73%) perceived medication adherence incentives as being appropriate or acceptable as a reward given for taking medications at the right time each day, whereas 95 (9%) perceived incentives as being inappropriate. Remaining participants were neutral. Hispanic ethnicity (OR = 0.57; 95% CI = 0.37-0.89); income under $75,000 (OR = 0.48; 95% CI = 0.28-0.84); no college degree (OR = 0.60; 95% CI = 0.37-0.96); and adherence (OR = 0.99; 95% CI = 0.98-0.99) were significant predictors. CONCLUSIONS: The majority of patients perceived incentives as appropriate and preferred financial incentives over social recognition-based incentives. Perceived appropriateness for medication adherence incentives was less likely among certain groups of patients, such as those with Hispanic ethnicity, lower annual income, no college degree, and higher levels of adherence. These characteristics should be taken into account when structuring incentives.
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spelling pubmed-103912072023-08-02 Perceived appropriateness of medication adherence incentives Hastings, Tessa J Hohmann, Natalie S Jeminiwa, Ruth Hansen, Richard A Qian, Jingjing Garza, Kimberly B J Manag Care Spec Pharm Research Brief BACKGROUND: 50% of prescriptions dispensed in the United States are not taken as prescribed, leading to approximately 125,000 deaths and 10% of hospitalizations per year. Incentives are effective in improving medication adherence; however, information about patient perceptions regarding incentives is lacking. OBJECTIVES: To (1) explore perceived appropriateness of incentives among patients prescribed at least 1 medication for chronic hypertension, hyperlipidemia, heart disease, diabetes, and/or asthma/chronic obstructive pulmonary disease and (2) examine associations between perceived appropriateness and patient characteristics. METHODS: A cross-sectional online survey was administered via Qualtrics Panels to US adults taking at least 1 prescription medication for a chronic condition. The results describe patient preference for financial or social recognition-based incentive, perceived appropriateness of adherence incentives (5-point Likert scale), self-reported adherence (Medometer), and demographics. Analyses included descriptive statistics with chi-square and independent t-tests comparing characteristics between participants who perceived incentives as being appropriate or inappropriate and logistic regression to determine predictors of perceived appropriateness. RESULTS: 1,009 individuals completed the survey. Of the 1,009 total survey participants, 933 (92.5%) preferred to receive a financial (eg, cash, gift card, or voucher) rather than a social recognition-based incentive (eg, encouraging messages, feedback, individual recognition, or team competition) for medication adherence. 740 participants (73%) perceived medication adherence incentives as being appropriate or acceptable as a reward given for taking medications at the right time each day, whereas 95 (9%) perceived incentives as being inappropriate. Remaining participants were neutral. Hispanic ethnicity (OR = 0.57; 95% CI = 0.37-0.89); income under $75,000 (OR = 0.48; 95% CI = 0.28-0.84); no college degree (OR = 0.60; 95% CI = 0.37-0.96); and adherence (OR = 0.99; 95% CI = 0.98-0.99) were significant predictors. CONCLUSIONS: The majority of patients perceived incentives as appropriate and preferred financial incentives over social recognition-based incentives. Perceived appropriateness for medication adherence incentives was less likely among certain groups of patients, such as those with Hispanic ethnicity, lower annual income, no college degree, and higher levels of adherence. These characteristics should be taken into account when structuring incentives. Academy of Managed Care Pharmacy 2021-06 /pmc/articles/PMC10391207/ /pubmed/34057397 http://dx.doi.org/10.18553/jmcp.2021.27.6.772 Text en Copyright © 2021, Academy of Managed Care Pharmacy. All rights reserved. https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Research Brief
Hastings, Tessa J
Hohmann, Natalie S
Jeminiwa, Ruth
Hansen, Richard A
Qian, Jingjing
Garza, Kimberly B
Perceived appropriateness of medication adherence incentives
title Perceived appropriateness of medication adherence incentives
title_full Perceived appropriateness of medication adherence incentives
title_fullStr Perceived appropriateness of medication adherence incentives
title_full_unstemmed Perceived appropriateness of medication adherence incentives
title_short Perceived appropriateness of medication adherence incentives
title_sort perceived appropriateness of medication adherence incentives
topic Research Brief
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391207/
https://www.ncbi.nlm.nih.gov/pubmed/34057397
http://dx.doi.org/10.18553/jmcp.2021.27.6.772
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