{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:15:39Z","timestamp":1772237739835,"version":"3.50.1"},"reference-count":42,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n Technology-mediated medication adherence interventions have proven useful, yet implementation in clinical practice is low. The European Network to Advance Best Practices and Technology on Medication Adherence (ENABLE) European Cooperation in Science and Technology Action (CA19132) online repository of medication adherence technologies (MATechs) aims to provide an open access, searchable knowledge management platform to facilitate innovation and support medication adherence management across health systems. To provide a solid foundation for optimal use and collaboration, the repository requires a shared interdisciplinary terminology.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We consulted stakeholders on their views and level of agreement with the terminology proposed to inform the ENABLE repository structure.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A real-time web-based Delphi study was conducted with stakeholders from 39 countries active in research, clinical practice, patient representation, policy making, and technology development. Participants rated terms and definitions of MATech and of 21 attribute clusters on product and provider information, medication adherence descriptors, and evaluation and implementation. Relevance, clarity, and completeness criteria were rated on 9-point scales, and free-text comments were provided interactively. Participants could reconsider their ratings based on real-time aggregated feedback and revisit the survey throughout the study period. We quantified agreement and process indicators for the complete sample and per stakeholder group and performed content analysis on comments. Consensus was considered reached for ratings with a disagreement index of <1. Median ratings guided decisions on whether attributes were considered mandatory, optional, or not relevant. We used the results to improve the terminology and repository structure.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of 250 stakeholders invited, 117 (46.8%) rated the MATech definition, of whom 83 (70.9%) rated all attributes. Consensus was reached for all items. The definition was considered appropriate and clear (median ratings 7.02, IPR 6.10-7.69, and 7.26, IPR 6.73-7.90, respectively). Most attributes were considered relevant, mandatory, and sufficiently clear to remain unchanged except for ISO certification (considered optional; median relevance rating 6.34, IPR 5.50-7.24) and medication adherence phase, medication adherence measurement, and medication adherence intervention (candidates for optional changes; median clarity ratings 6.07, IPR 4.86-7.17; 6.37, IPR 4.80-6.67; and 5.67, IPR 4.66-6.61, respectively). Subgroup analyses found several attribute clusters considered moderately clear by some stakeholder groups. Results were consistent across stakeholder groups and time, yet response variation was found within some stakeholder groups for selected clusters, suggesting targets for further discussion. Comments highlighted issues for further debate and provided suggestions informing modifications to improve comprehensiveness, relevance, and clarity.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n By reaching agreement on a comprehensive MATech terminology developed following state-of-the-art methodology, this study represents a key step in the ENABLE initiative to develop an information architecture capable of structuring and facilitating the development and implementation of MATech across Europe. The debates and challenges highlighted in stakeholders\u2019 comments outline a potential road map for further development of the terminology and the ENABLE repository.<\/jats:p>\n <\/jats:sec>\n \n International Registered Report Identifier (IRRID)<\/jats:title>\n RR2-10.1136\/bmjopen-2021-059674<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/59738","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T15:55:15Z","timestamp":1734623715000},"page":"e59738","source":"Crossref","is-referenced-by-count":2,"title":["Stakeholder Consensus on an Interdisciplinary Terminology to Enable the Development and Uptake of Medication Adherence Technologies Across Health Systems: Web-Based Real-Time Delphi Study"],"prefix":"10.2196","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3106-2242","authenticated-orcid":false,"given":"Alexandra Lelia","family":"Dima","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5194-3314","authenticated-orcid":false,"given":"Urska","family":"Nabergoj Makovec","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0654-4052","authenticated-orcid":false,"given":"Janette","family":"Ribaut","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7708-9045","authenticated-orcid":false,"given":"Frederik","family":"Haupenthal","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2767-8017","authenticated-orcid":false,"given":"Pilar","family":"Barnestein-Fonseca","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6377-1078","authenticated-orcid":false,"given":"Catherine","family":"Goetzinger","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7775-3022","authenticated-orcid":false,"given":"Sean","family":"Grant","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1151-8791","authenticated-orcid":false,"given":"Cristina","family":"J\u00e1come","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5514-7374","authenticated-orcid":false,"given":"Dins","family":"Smits","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5488-9261","authenticated-orcid":false,"given":"Ivana","family":"Tadic","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2368-2262","authenticated-orcid":false,"given":"Job","family":"van Boven","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7922-7491","authenticated-orcid":false,"given":"Ioanna","family":"Tsiligianni","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0500-4049","authenticated-orcid":false,"given":"Maria Teresa","family":"Herdeiro","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0169-3788","authenticated-orcid":false,"given":"F\u00e1tima","family":"Roque","sequence":"additional","affiliation":[]},{"name":"European Network to Advance Best Practices and Technology on Medication Adherence (ENABLE)","sequence":"additional","affiliation":[]}],"member":"1010","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013030.pub2"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265715"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1093\/ehjqcco\/qcw018"},{"key":"ref4","unstructured":"KhanRSocha-DietrichKInvesting in medication adherence improves health outcomes and health system efficiencyOrganisation for Economic Co-operation and Development2024-04-29https:\/\/www.oecd.org\/en\/publications\/investing-in-medication-adherence-improves-health-outcomes-and-health-system-efficiency_8178962c-en.html"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-019-0212-z"},{"key":"ref6","unstructured":"European digital health uptake (DHU) radarDigital Health Uptake (DHU)2024-02-19https:\/\/digitalhealthuptake.eu\/radar\/"},{"key":"ref7","unstructured":"Health apps repositories in EuropeEuropean mHealth Hub2024-02-19https:\/\/mhealth-hub.org\/health-apps-repositories-in-europe"},{"key":"ref8","unstructured":"Therapietrouwe interventies portalInterventieNet2024-02-19https:\/\/interventienet.nl\/"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.2196\/24890"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.3390\/pharmaceutics15030933"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2021.748702"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.14236\/jhi.v22i2.159"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-021-01534-6"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-S4-S3"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15010145"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-8-S1-S2"},{"key":"ref17","unstructured":"Classification of digital health interventions v1.0World Health Organization2024-02-19https:\/\/www.who.int\/publications-detail-redirect\/WHO-RHR-18.06"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.15902.2"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-059674"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3389\/fphar.2023.1254291"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.2012.04167.x"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/s0168-8510(00)00138-x"},{"key":"ref23","unstructured":"WHO definition of health technologiesWorld Health Organization20072024-04-13https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA60\/A60_R29-en.pdf"},{"key":"ref24","unstructured":"Sabat\u00e9EAdherence to long-term therapies : evidence for actionWorld Health Organization20032024-04-29https:\/\/iris.who.int\/handle\/10665\/42682"},{"key":"ref25","unstructured":"R Core TeamR: a language and environment for statistical computingR Foundation for Statistical Computing2024-04-29https:\/\/www.R-project.org\/"},{"key":"ref26","unstructured":"Turn data complexity into clarityNVivoPro2024-04-29https:\/\/lumivero.com\/"},{"key":"ref27","unstructured":"FitchKBernsteinSJAguilarMDBurnandBThe RAND\/UCLA appropriateness method user's manualRAND Corporation20012024-04-29https:\/\/www.rand.org\/pubs\/monograph_reports\/MR1269.html"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.eujim.2015.07.002"},{"key":"ref29","unstructured":"The ENABLE repositoryEuropean Network to Advance Best Practices and Technology on Medication Adherence2024-04-21https:\/\/enableadherence.eu\/enable-repository-matech\/"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1111\/bcp.15375"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1177\/20552076221113396"},{"key":"ref32","unstructured":"Digital healthDigital Health Europe2024-04-13https:\/\/digitalhealtheurope.eu\/glossary\/digital-health\/"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-023-00982-w"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13303"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191912685"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S481152"},{"key":"ref37","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.15908.3"},{"key":"ref38","doi-asserted-by":"publisher","DOI":"10.1111\/bcp.14172"},{"key":"ref39","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.20609.1"},{"key":"ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2024.101164"},{"key":"ref41","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(21)00292-2"},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-21-00320"}],"container-title":["Journal of Medical Internet Research"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T16:42:14Z","timestamp":1742920934000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jmir.org\/2025\/1\/e59738"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,25]]},"references-count":42,"URL":"https:\/\/doi.org\/10.2196\/59738","relation":{"has-preprint":[{"id-type":"doi","id":"10.2196\/preprints.59738","asserted-by":"object"}]},"ISSN":["1438-8871"],"issn-type":[{"value":"1438-8871","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,25]]}}}