In an exploration of the critical facet of patient adherence in clinical trials, Aad R. Liefveld from Link2Trials, a partner of the BEAMER project, sheds light on the profound impact adherence has on global health, pharmaceutical decision-making, and the successful outcomes of clinical trials.

In this two-part series of articles, Aad speaks about available innovative solutions to improve adherence behaviour today and not tomorrow. In part one, we will identify the severity of the issue, as it concerns both public health and pharmaceutical company finances, and describe the conditions that contribute to nonadherence to treatment. In part two, we will explore the benefits of adherence to treatment for patients, payers, and regulators, as well as offer ways to improve adherence behaviour now.

In the first article, the substantial societal and economic costs linked to non-adherence in clinical trials, emphasise the importance of addressing this issue. Click here to read

The second article provides insights on improving adherence, presenting an opportunity for stakeholders to enhance products in the market while reducing costs. Click here to read

Billions Of Reasons To Improve Adherence

“Treatment adherence is the process in which the patient engages in a health, technology, or medication-enabled treatment, which was discussed and agreed upon together with a healthcare professional. Adherence includes meeting the following conditions that are relevant to the treatment”. See here for more information.

This article highlights the connection between non-adherence and significant societal and economic costs, particularly in certain types of clinical trials which is crucial for stakeholders to understand the urgency of improving adherence.

Promoting Better Adherence for a Healthier Tomorrow

In another article, Liefveld underscores the significance of adherence in optimizing the success of any treatment. In his latest contribution, he emphasizes the role adherence plays in reducing overall healthcare costs and societal expenses related to sick days. Governments worldwide, focusing on healthcare cost reduction, base their decisions on data from clinical trials. However, real-world efficacy often falls short, contributing to unexpected healthcare expenses.

Consequences of Low Adherence

The article outlines the adverse effects of low adherence, including reduced treatment efficacy, increased side effects, elevated risk of complications, and a higher likelihood of hospitalization and mortality. Liefveld advocates for prioritizing drugs or medical devices with high adherence levels, even if they come at a higher cost, stressing the importance of considering both efficacy and affordability in treatment decisions.

Unique Selling Proposition (USP): Real-World Adherence Levels

Liefveld introduces the concept that delivering drugs and medical devices with high real-world adherence levels can become a decisive Unique Selling Proposition (USP) for pharmaceutical companies. With healthcare systems shifting toward value-based pricing models, providers are incentivized to ensure patient adherence, leading to improved outcomes and reduced costs.

Innovative Solutions for Higher Adherence Rates

The article delves into innovative solutions to enhance adherence, such as digital pill bottles that track medication intake and personalized adherence support programs. These programs, driven by adherence data analytics and patient-centred design, aim to identify and support patients at risk of low adherence.

Crucial Role in Reimbursement Decisions

Liefveld highlights the importance of adherence to regulators and payers in reimbursement decisions. While adherence levels in clinical trials are deemed rigorous, real-world adherence data, obtained through various methods like pharmacy claims and patient surveys, provide a more realistic picture. Regulators and payers increasingly use a combination of clinical trials and real-world adherence data in decision-making, reflecting a growing acknowledgement of adherence’s role in achieving optimal patient outcomes.

Improving Adherence in Clinical Trials: A Necessity

Recognizing the significant costs of nonadherence in clinical trials, the article outlines actionable steps to improve adherence. These include patient education, simplifying trial protocols, personalized support programs, leveraging digital technology, and closely monitoring adherence with timely feedback.

A Personal Commitment to Adherence

In a heartfelt note, Liefveld shares his journey into the world of adherence, driven by a passion to improve patient support during clinical trials. He introduces the BEAMER project, an innovative initiative aimed at addressing early dropout rates, improving patient experience, and ultimately making healthcare more sustainable.

Supporting a Healthier Future

Liefveld concludes by urging readers to support initiatives like the BEAMER project and actively incorporate adherence-supporting solutions in their organizations, emphasizing that improving adherence is not just a professional goal but a personal responsibility for the betterment of society.

Click here to read the article on “Why — And How — To Improve Adherence To Treatment In Clinical Trials” and here for “Understanding The Effects Of Non-Adherence To Treatment In Clinical Trials”

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