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Stakeholder Consensus on an Interdisciplinary Terminology to Enable the Development and Uptake of Medication
Alexandra Lelia Dima1,2,3, Urska Nabergoj Makovec4, Janette Ribaut5,6
1Avedis Donabedian Research Institute (FAD), Universitat Autònoma de Barcelona (UAB), Barcelona, Spain.
Journal of Medical Internet Research
|March 25, 2025
Summary
A consensus on terminology for medication adherence technologies (MATechs) was reached, crucial for the ENABLE repository. This standardized language will improve the development and implementation of adherence tools across Europe.
Area of Science:
- Health Informatics
- Digital Health
- Health Services Research
Background:
- Technology-mediated medication adherence interventions show promise but face low clinical implementation.
- The European Network to Advance Best Practices and Technology on Medication Adherence (ENABLE) developed an online repository (MATechs) for medication adherence technologies.
- A shared interdisciplinary terminology is essential for the repository's optimal use and collaboration.
Purpose of the Study:
- To consult stakeholders on proposed terminology for the ENABLE repository.
- To achieve consensus on terms and definitions related to medication adherence technologies (MATechs).
Main Methods:
- A real-time web-based Delphi study involving 117 stakeholders from 39 countries.
- Participants rated the relevance, clarity, and completeness of MATech definitions and 21 attribute clusters.
- Consensus was defined as a disagreement index of <1; results informed terminology and repository structure improvements.
Main Results:
- Consensus was reached for all evaluated items, with the MATech definition deemed appropriate and clear.
- Most attributes were considered relevant and mandatory; ISO certification was deemed optional.
- Specific attributes like medication adherence phase, measurement, and intervention were candidates for optional changes, with subgroup analyses identifying areas for further discussion.
Conclusions:
- Agreement on a comprehensive MATech terminology is a key step for the ENABLE initiative.
- The developed terminology and identified challenges provide a roadmap for further repository development and MATech implementation in Europe.
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