{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T09:45:00Z","timestamp":1785750300788,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medication non\u2010adherence is common among older adults and represents a major challenge for healthcare systems. Effective interventions are needed to support adherence and inform quality\u2010improvement efforts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess how medication\u2010adherence interventions for older adults are currently implemented in Italy and to identify care\u2010delivery priorities improving quality and feasibility across healthcare settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a mixed\u2010methods study within the Eldercare project. We administered a national benchmarking survey (May\u2013August 2024) to healthcare professionals and patient representatives from scientific societies, professional orders, public institutions, universities, and patient associations. We ran a nested Strengths, Weaknesses, Opportunities and Threats (SWOT) survey (January\u2013March 2025) with key informants. We summarized quantitative responses, compared distributions across professional roles (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \/Fisher's exact tests), and analyzed SWOT free\u2010text using a hybrid deductive\u2013inductive Framework Method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the benchmarking survey (\n                      <jats:italic>n<\/jats:italic>\n                      =\u2009340), Respondents reported that adherence is mainly addressed during routine consultations (78.5%) and most often relied on direct patient\u2010provider communication (51.5%). Respondents reported that monitoring is primarily based on clinical data (55.3%) and access to dispensing\/prescription data and digital tools was less frequent (generally \u2264\u200950%). Respondents rated patient\u2010centered strategies as highly important (e.g., caregiver involvement 94.4%, shared goal setting 90.3%, individual counseling 87.6%), but feasibility ratings were consistently lower. The most frequently reported unmet needs were limited patient awareness (68.8%) and poor coordination among professionals (60.3%). Key barriers included high numbers of daily medicines (69.1%) and lack of clear information on prescribed therapies (64.7%). In the SWOT survey (\n                      <jats:italic>n<\/jats:italic>\n                      =\u200914), strengths included continuity and communication, while weaknesses and threats focused on fragmented interprofessional collaboration, limited training, low digitalisation, and scarce financial\/institutional support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medication\u2010adherence support for older adults in Italy remains largely consultation\u2010based and variably resourced. Strengthening interprofessional coordination, training, and use of digital\/administrative data may help develop more structured and scalable adherence\u2010support pathways as a quality\u2010improvement model of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70596","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T08:54:19Z","timestamp":1785747259000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medication Adherence Interventions for Older Adults: A National Mixed\u2010Methods Study of Implementation Across Italian Healthcare Settings"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3357-5655","authenticated-orcid":false,"given":"Sara","family":"Mucherino","sequence":"first","affiliation":[{"name":"Department of Pharmacy University of Naples Federico II  Naples Italy"},{"name":"Center of Pharmacoeconomics and Drug Utilization 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Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6902-6843","authenticated-orcid":false,"given":"Monia","family":"Donati","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7636-6285","authenticated-orcid":false,"given":"Carlotta","family":"Lunghi","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences University of Bologna  Bologna Italy"},{"name":"Population Health and Optimal Health Practices Research Unit, Centre de Recherche du CHU de Qu\u00e9bec\u2010Universit\u00e9 Laval  Qu\u00e9bec City Canada"},{"name":"Department of Life Sciences, Health and Health Professions Link Campus University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7107-243X","authenticated-orcid":false,"given":"Elena","family":"Olmastroni","sequence":"additional","affiliation":[{"name":"Epidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences University of Milan  Milan Italy"},{"name":"IRCCS MultiMedica  Sesto San Giovanni Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8209-8878","authenticated-orcid":false,"given":"Valentina","family":"Orlando","sequence":"additional","affiliation":[{"name":"Department of Pharmacy University of Naples Federico II  Naples Italy"},{"name":"Center of Pharmacoeconomics and Drug Utilization Research (CIRFF) University of Naples Federico II  Naples 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