When it comes to medication adherence for patients, a detailed mathematical analysis from a Rochester Institute of Technology, NY, scientist found that history is likely to repeat itself. In a new study published in the Journal of Managed Care & Specialty Pharmacy,1 Teresa Gibson, PhD, Professor of Practice, School of Mathematical Sciences, Rochester Institute of Technology, showed that an individual’s previous adherence behavior is an important predictor of future adherence.
Ensuring that patients take medications as prescribed can be crucial for maintaining and improving their health, so doctors, pharmacists, insurers, and public health officials all have an interest in better predicting whether patients will or will not follow medication guidelines. Dr Gibson used mathematical models to analyze the adherence behaviors of more than 53,000 people enrolled in employer-sponsored health plans who filled prescriptions in 3 maintenance medication classes: lipid-lowering medications, antihypertensive medications, and oral antidiabetic medications.
“The goal was to quantify if a patient filled their prescription last quarter, the likelihood they will fill it this quarter,” said Dr Gibson. “It turns out both adherence and nonadherence are very sticky behaviors, and a lot of it has to do with habit formation. If you know a person is adherent, it’s likely they’re likely to stay that way. If they’re not adherent, you know you need to put in some real work to get them to that state.”
The study found that if an enrollee was adherent in the previous quarter, more than 80% of the time they remained adherent in the current quarter. If they were nonadherent in the previous quarter, more than 75% of the time they remained nonadherent. Dr Gibson also found that, using an otherwise unremarkable quarter early in the study, if a patient was adherent or nonadherent in that quarter, it was highly predictive of their future adherence patterns.
Dr Gibson said the results show that interventions that move patients to adherence at any time in their treatment pathway could net better adherence in the future.
- Gibson TB. A dynamic analysis of medication adherence. J Manag Care Spec Pharm. 2022;28:1392-1399.