title: Improving diabetes medication adherence: successful, scalable interventions.
abstract: Effective medications are a cornerstone of prevention and disease treatment, yet only about half of patients take their medications as prescribed, resulting in a common and costly public health challenge for the US health care system. Since poor medication adherence is a complex problem with many contributing causes, there is no one universal solution. This paper describes interventions that were not only effective in improving medication adherence among patients with diabetes, but were also potentially scalable (ie, easy to implement to a large population). We identify key characteristics that make these interventions effective and scalable. This information is intended to inform health care systems seeking proven, low resource, cost-effective solutions to improve medication adherence.
authors: Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Department of Medicine, Duke University, Durham, NC, USA.
authors: Leah L
authors: LL
authors: Zullig
authors: Center for Health Equity Research and Promotion, Pittsburgh Veterans Affairs Medical Center, Pittsburgh, PA, USA ; Division of General Internal Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
authors: Walid F
authors: WF
authors: Gellad
authors: Department of Medicine, Duke University, Durham, NC, USA ; Institute for Genome Sciences and Policy, Duke University, Durham, NC, USA.
authors: Jivan
authors: J
authors: Moaddeb
authors: Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Department of Medicine, Duke University, Durham, NC, USA.
authors: Matthew J
authors: MJ
authors: Crowley
authors: CVS Caremark Corporation, Duke University, Durham, NC, USA.
authors: William
authors: W
authors: Shrank
authors: School of Nursing, Duke University, Durham, NC, USA.
authors: Bradi B
authors: BB
authors: Granger
authors: Department of Medicine, Division of Cardiology, Duke University School of Medicine, Durham, NC, USA.
authors: Christopher B
authors: CB
authors: Granger
authors: North Carolina Community Care Networks, Raleigh, NC, USA.
authors: Troy
authors: T
authors: Trygstad
authors: Pfizer, Inc., and Weill Medical College of Cornell University, New York, NY, USA.
authors: Larry Z
authors: LZ
authors: Liu
authors: Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC, USA ; Department of Medicine, Duke University, Durham, NC, USA ; School of Nursing, Duke University, Durham, NC, USA ; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
authors: Hayden B
authors: HB
authors: Bosworth
keywords: chronic disease; diabetes mellitus; dissemination research; implementation research; medication adherence; review