Table 2

Medication adherence

No.ReferenceNon-adherence/
non-persistence
Follow-upMeasurement methodThreshold NA
Poor medication adherence
Pharmacy ROM
1Cassar et al 45 9%1 MCounting returned pillsNR
2Haile et al 32 30%1.5 YCounting pills<80%
3Qvist et al 31 45%*5YNational prescription registerPrimary NA: filling prescription >120 days.
Other: <80%
4Wawruch et al 33 43%5 YCounting returned pills<80%
Pharmacy and patient ROM
5Hess et al 30 8%Md 28 M (IQR: 22–34)Interview NVQ and counting returned pillsNR
Patient ROM
6Ferreira-González et al 46 2%1 YInterview (NVQ)NR
7Halle et al 36 26%NRMorisky Medication Adherence Scale8 points
8Jivegård et al 48 26%3 MPatient diaryNR
9Kremers et al 49 5%1 YMorisky Medication Adherence Scale8 points
10Weissler et al 29 10%30 M (up to 42 M)InterviewNR
Primary non-adherence
1Qvist et al 31 31%6 MNational prescription registerFilling prescription >120 days
Secondary non-adherence
Short-term secondary non-adherence
Pharmacy ROM
1Cassar et al 45 9%1 MCounting returned pillsNR
2Haile et al 32 21%6 MCounting pills<80%
Patient ROM
1Jivegård26%3 MPatient diaryNR
Long-term secondary outcome
Pharmacy ROM
1Haile et al 32 14%1 YCounting pills<80%
2Qvist et al 31 20%5 YNational prescription register<80%
3Wawruch et al 33 20%5 YCounting returned pills<80%
Patient ROM
4Halle et al 36 26%NRCounting pills<80%
5Kremers et al 49 5%1 YMorisky Medication Adherence Scale8 points
Non-persistence†
Pharmacy ROM
1Qvist et al 31 27%5 YNational prescription register<80%
2Wawruch et al 33 33%5 YCounting returned pills<80%
Pharmacy and patient ROM
3Hess et al 30 8%Md 28 M (IQR 22–34)Interview NVQ and counting returned pillsNR
Patient ROM
4Ferreira-González et al 46 2%1 YInterview (NVQ)NR
5Weissler et al 29 10%30 M (up to 42M)InterviewNR
  • *Non-persistence is excluded since the proportion of the patients who were non-adherent and non-persistent is lacking.

  • †Non-persistent due to patients’ decisions.

  • M, months; Md, median; NA, non-adherence; NR, not reported; NVQ, non-validated questionnaire; ROM, reported outcome measurements.