Loyalty Marketing    
MonthlyTM
Pharmacist counseling a patient
compliments of pskw
NOVEMBER 2012

This month's lead article, from the October issue of  Annals of Internal Medicine, suggests that in order to meet new Medicare Advantage quality goals, practitioners and policy makers (including biopharma marketers) need to rethink their adherence intervention strategies. See "Rethinking Adherence" below. 

Our second article is an October report of original research that confirms the notion that while Patient Assistance Programs are an important resource for uninsured patients, free medication alone does not guarantee 100% adherence.

Finally, we review a just-published report of a study suggesting that efforts to increase adherence should focus on the most important proximal determinants of adherence: perceived need for medication, perceived medication concerns, and perceived medication affordability.

We trust that you will enjoy and gain from this issue of Loyalty Marketing Monthly!

Rethinking Adherence 
by John Steiner

This October 2012 article from  Annals of Internal Medicine  notes upcoming changes to the Medicare Advantage Plan Star Ratings program, and links those changes to a challenge to practitioners and policy makers as they seek strategies to improve adherence. Steiner suggests three core concepts to replace common -- but flawed -- non-adherence assumptions: (1) Adherence is a cluster of behaviors, not a single construct; (2) Adherence must be measured, not inferred; and (3) Improving adherence requires coordinated care, not just individual effort. 

See the complete article here:
Rethinking Adherence  

Medication Adherence of Patient Assistance Program Recipients: A Pilot Study
by Christian Conley and Peter Hughes

In this October 2012 report in Innovations in Pharmacy, Conley and Hughes evaluate medication adherence of prescription assistance program recipients at an inner-city clinic. They conclude that although PAPs are a resource that can help the uninsured obtain medications, access to free or low-cost medication and usual counseling should not be the only interventions. Instead, subsidized medication should be augmented with behavioral interventions that focus on the patient’s motivation to adhere to a specific medication regimen.

See the complete article here:
Medication Adherence of Patient Assistance Program Recipients


Structural Equation Modeling of the Proximal–Distal Continuum of Adherence Drivers
by Colleen McHorney, et al

From the November 2012 issue of Patient Preference and Adherence, McHorney and colleagues approach the adherence challenge by categorizing adherence drivers into three clusters: distal drivers (generic beliefs, states, and skills), intermediate drivers (disease-related states and skills), and proximal drivers (treatment-related beliefs). The authors conclude that interventions that focus on distal drivers should be deprioritized. Instead, they suggest that future adherence interventions should target persons who are deficit in the treatment-related beliefs that comprise the most important proximal determinants of adherence: perceived need for medication, perceived medication concerns, and perceived medication affordability.

See the complete article here:
Structural Equation Modeling of the Contiuum of Adherence Drivers


"Ask the Expert" by Bob Caprara, PSKW Chief Methodologist

Q: Do email and mobile engagement programs really increase adherence?

A: Yes! PSKW recently launched a multi-intervention program for a dermatologic brand (derm brands have notoriously low refill rates). 3-month response: 


So, it seems that technology can offer an important conduit to patients that can successfully remind them to stay on therapy.

Differences in age and gender showed no significant influence.

Upcoming Loyalty/Adherence Conferences
 
ExL's 3rd Patient Adherence and Advocacy Summit
Feb 25-26, 2013       
Philadelphia, PA 
Patient Adherence Summit

World Congress Summit to Improve Adherence and Enhance Patient Engagement
Mar 14-15, 2013
Philadelphia, PA
World Congress Adherence

CBI's 12th Annual Patient Adherence and Support Summit 
April 29-30, 2013
Philadelphia, PA
Patient Adherence & Support 

What PSKW Does
 
Co-pay Assistance Initiatives
   - Tangible Vehicles
   - Virtual Vehicles
 
Digital Relationship Tools
   - Loyalty Card Key
   - Time-Release Messaging
   - EngagedPatient
   - Personalized One2One
   - ePrescription Co-pay Offers
   - Universal Pharmacy Offers
   - and more!

Copyright © 2012 PSKW, LLC. Inc. www.pskw.com
 
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