Evidence map›Paper›PMID 41308044›Full record

Trial reportJournal of evaluation in clinical practice2025

Healthcare Professionals' Perspectives on Addressing Patients' Medication Adherence in Primary Care Settings.

Tiffany R Martinez, Antoinette M Schoenthaler, Devin M Mann, Hayley Belli, Harris R Bearnot, Ian Lustbader, Saul Blecker

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05349422 (Addressing Antihypertensive Medication Adherence Through EHR-enabled Teamlets in Primary Care), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05349422 nacompletednot on this map

Addressing Antihypertensive Medication Adherence Through EHR-enabled Teamlets in Primary Care

TypeinterventionalSponsorNYU Langone HealthRan2022 to 2025Enrolled1,842ConditionsBlood Pressure, Medication AdherenceArmsElectronic Health Record (EHR) Enabled Teamlets
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tiffany R MartinezDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.ORCID 0000-0001-8038-307X
Antoinette M SchoenthalerDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Devin M MannDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Hayley BelliDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Harris R BearnotDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Ian LustbaderDepartment of Medicine, NYU Grossman School of Medicine, New York, New York, USA.
Saul BleckerDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.

Funding

Addressing antihypertensive medication adherence through EHR-enabled teamlets in primary care - Resubmission - 1R01HL156355 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BLECKER, SAUL B., MANN, DEVIN M · 2021 to 2025
$4.0M
NHLBI NIH HHS R01 HL156355This study was supported by the National Heart, Lung, and Blood Institute, National Institutes of Health, R01HL156355.
6 · The paper itself

Abstract

backgroundMedication nonadherence is a common issue among patients with hypertension. Healthcare professionals often overlook medication nonadherence due to limited tools, time constraints, and competing demands. Integrating pharmacy medication fill data into electronic health records (EHRs) presents an opportunity to enhance medication adherence measurement and monitoring in real-time. This study identified facilitators and barriers to addressing adherence to antihypertensive medications by Medical Assistants (MAs), Registered Nurses (RNs), and Primary Care Providers (PCPs) in primary care settings.

methodsWe conducted a qualitative study with, 15 healthcare professionals (5 MAs, 5 RNs, and 5 PCPs) caring for patients with hypertension. Semi-structured interviews, guided by the Consolidated Framework for Implementation Research (CFIR), explored barriers and facilitators related to screening and addressing medication non-adherence during primary care clinical encounters. Thematic analysis and deductive coding were used to analyze the data.

resultsFour major themes emerged: motivation, work infrastructure, capability, and opportunity. MAs and PCPs were motivated to discuss medication adherence and build relationships. Capability varied; RNs were confident in their counseling skills based on their training and patient trust, and PCPs described adherence counseling as part of their role, particularly through motivational interviewing. Work infrastructure presented structural hurdles due to RN workflow limitations and MA role constraints. Opportunity to address non-adherence were constrained by tight schedules and competing clinical demands during brief visits.

conclusionsRNs and PCPs felt capable in their ability to address medication adherence but cited time and competing demands as significant barriers; conversely, MAs reported motivation but were limited by their role. These findings suggest opportunities for effective management of medication adherence in practice settings through a more coordinated strategy across multiple healthcare professionals.

trial registrationClinicalTrials.gov; NCT05349422; https://clinicaltrials.gov/ct2/show/NCT05349422.

Indexed as

Attitude of Health PersonnelHealth PersonnelHypertensionMedication AdherencePrimary Health CareAdultAntihypertensive AgentsFemaleHumansInterviews as TopicMaleMiddle AgedMotivationQualitative ResearchAntihypertensive Agentshypertensionmedication adherenceprimary care

Identifiers

PMID41308044
PMCPMC12983409

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.