Addressing challenges in developing a core domain set in adherence interventions in rheumatology: A report from the OMERACT-Adherence Group

Kelly, Ayano; Bartlett, S. J.; de Wit, Maarten; Beaton, Dorcas; Dawson, T.; Evans, Vicki; Gill, Michael; Hassett, Geraldine; March, Lyn; Scholte-Voshaar, M.; Singh, J. A.; Tong, Allison; Tugwell, Peter; Wong, Peter; Tymms, Kathleen

Addressing challenges in developing a core domain set in adherence interventions in rheumatology: A report from the OMERACT-Adherence Group

Date

2019

Authors

Kelly, Ayano

Bartlett, S. J.

de Wit, Maarten

Beaton, Dorcas

Dawson, T.

Evans, Vicki

Gill, Michael

Hassett, Geraldine

March, Lyn

Scholte-Voshaar, M.

Publisher

Journal of Rheumatology Publishing

Abstract

Objective. The OMERACT-Adherence meeting was convened to discuss the conceptual and methodological challenges in developing a core domain set (Adherence-CDS) for trials of interventions for medication adherence in rheumatology. Methods. Forty participants from nine countries participated. Results. Four ideas emerged: for adherence trials, the Adherence-CDS could include adherence and the condition-specific CDS; many factors affect adherence and are intervention targets, contextual factors, or outcome domains; adherence is a critical factor in drug trials; and standardized adherence measures are needed. Conclusion. Despite the challenges, the meeting clarified an approach to developing an Adherence-CDS that complements existing OMERACT work and methodology.