Real-Time Delphi Consultation on Medication Adherence Technologies: Consistency of Views Among Different Stakeholder Groups

Urska Nabergoj Makovec (Corresponding Author), Ivana Tadic, Catherine Goetzinger, Janette Ribaut, Pilar Barnestein-Fonseca, Frederik Haupenthal, Maria Teresa Herdeiro, Sean Patrick Grant, Cristina Jácome, Fatima Roque, Dins Šmits, Alexandra Dima

    Research output: Contribution to conferenceAbstractpeer-review

    Abstract

    Objectives: ENABLE COST Action (CA19132) aims to develop an online repository for
    medication adherence technologies (MATech). We explored stakeholders’ level of
    agreement on relevance and clarity of the proposed MATech definition and repository
    structure as well as the consistency among their views. Methods: Researchers,
    healthcare practitioners (HCP), policy makers, patient representatives and health IT
    developers from 29 countries participated in a real-time online Delphi survey to
    consult on the relevance and clarity of the MATech definition and 21 attributes on
    product and provider information, medication adherence content, and evaluation and
    implementation. The Interpercentile Range Adjusted for Symmetry analysis from the
    RAND/UCLA Appropriateness Method was used to determine the level of agreement
    on 9-point scale for each stakeholder group. Responses of participants identifying
    themselves with more than one group were used in all identified groups. Consistency
    of results was calculated with intraclass correlation coefficient (ICC) for relevance and
    clarity, overall and separately. Results: Among the 83 participants, 50 identified as
    researchers, 45 HCP, 19 policy makers, 18 patient representatives and 24 health IT
    developers. Overall ICC was 0.97, ICC for relevance and clarity was 0.95 and 0.97,
    respectively, indicating good consistency across groups. The median level of agree-
    ment with MATech definition ranged from 6.74–7.05 (patients-researchers) and clarity
    from 7.09-7.59 (patients-IT). Implementation reached highest relevance in 4 groups
    (medians 7.54, 7.76, 7.75, 7.72 for research, policy, patient, IT respectively) and clarity
    in 2 groups (7.62, 7.76 for research, IT respectively). ISO certification was the least
    relevant attribute for all groups (median range 6.19-6.33, patient-HCP), and with
    highest clarity for policy (8.01). The least clear were attributes on medication
    adherence intervention features (5.63, 5.67, 5.26 for research, policy, patients
    respectively) and phase (5.59, 5.51 for HCP and IT respectively). Conclusions: High
    consistency across groups indicates a solid common ground for the development of
    the MATech repository.
    Original languageEnglish
    Pages338-338
    Number of pages1
    Publication statusPublished - 1 Dec 2022
    EventISPOR (Professional Society for Health Economics and Outcomes Research) Europe Conference 2022: Collaborating Across Borders: Building & Using Evidence to Enable Access - Vienna & Virtual participation, Vienna, Austria
    Duration: 6 Nov 20229 Nov 2022
    https://www.ispor.org/conferences-education/conferences/upcoming-conferences/ispor-europe-2022

    Conference

    ConferenceISPOR (Professional Society for Health Economics and Outcomes Research) Europe Conference 2022
    Abbreviated titleISPOR Europe 2022
    Country/TerritoryAustria
    CityVienna
    Period6/11/229/11/22
    Internet address

    Field of Science*

    • 3.3 Health sciences

    Publication Type*

    • 3.3. Publications in conference proceedings indexed in Web of Science and/or Scopus database

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