Abstract：
Provider-centered accountability, defined as the anticipation of a social interaction between a patient and their provider, increases patients\' adherence to prescribed treatment. Digital adherence interventions based on accountability may be especially effective at promoting adherence. The current study aimed to assess whether publications on digital adherence interventions discuss accountability, include intervention components related to accountability, and measure feelings of patient accountability as an outcome.
PubMed was queried between January 2010 and March 2021 to identify randomized controlled trials incorporating digital adherence interventions. Full-text articles were assessed for participant demographics, interventions utilized, outcomes, and intervention effectiveness.
A total of 131 publications met inclusion criteria. Only four publications discussed accountability as a potential factor influencing patient adherence. Although 11% of publications included an intervention with direct accountability, only one did so by design. None of the included studies assessed feelings of accountability as an outcome.
While provider-centered accountability has the potential to boost the efficacy of digital adherence interventions, accountability is rarely incorporated in studies of such interventions.
Additional investigation into the influence of accountability on adherence interventions will allow for the development of these interventions as effective tools applicable to the full range of patients.
PubMed was queried between January 2010 and March 2021 to identify randomized controlled trials incorporating digital adherence interventions. Full-text articles were assessed for participant demographics, interventions utilized, outcomes, and intervention effectiveness.
A total of 131 publications met inclusion criteria. Only four publications discussed accountability as a potential factor influencing patient adherence. Although 11% of publications included an intervention with direct accountability, only one did so by design. None of the included studies assessed feelings of accountability as an outcome.
While provider-centered accountability has the potential to boost the efficacy of digital adherence interventions, accountability is rarely incorporated in studies of such interventions.
Additional investigation into the influence of accountability on adherence interventions will allow for the development of these interventions as effective tools applicable to the full range of patients.
摘要：
以提供商为中心的问责制，定义为患者与其提供者之间的社交互动的预期，增加患者对处方治疗的依从性。基于问责制的数字依从性干预措施在促进依从性方面可能特别有效。当前的研究旨在评估有关数字依从性干预措施的出版物是否讨论了问责制，包括与问责制相关的干预部分，并衡量患者责任感的结果。
PubMed在2010年1月至2021年3月期间接受了查询，以确定纳入数字依从性干预措施的随机对照试验。对全文文章进行了参与者人口统计学评估，利用的干预措施，结果，干预效果。
共有131种出版物符合纳入标准。只有四篇出版物讨论了问责制是影响患者依从性的潜在因素。尽管11%的出版物包括直接问责的干预，只有一个是设计的。纳入的研究都没有评估作为结果的责任感。
虽然以提供商为中心的问责制有可能提高数字依从性干预措施的效力，问责制很少被纳入此类干预措施的研究中。
关于问责制对依从性干预措施的影响的进一步调查将允许将这些干预措施发展为适用于所有患者的有效工具。
PubMed在2010年1月至2021年3月期间接受了查询，以确定纳入数字依从性干预措施的随机对照试验。对全文文章进行了参与者人口统计学评估，利用的干预措施，结果，干预效果。
共有131种出版物符合纳入标准。只有四篇出版物讨论了问责制是影响患者依从性的潜在因素。尽管11%的出版物包括直接问责的干预，只有一个是设计的。纳入的研究都没有评估作为结果的责任感。
虽然以提供商为中心的问责制有可能提高数字依从性干预措施的效力，问责制很少被纳入此类干预措施的研究中。
关于问责制对依从性干预措施的影响的进一步调查将允许将这些干预措施发展为适用于所有患者的有效工具。
