Predicting and mitigating nonadherence in clinical trials and patient support programmes

The Challenge

Nonadherence to treatment is a major barrier to achieving optimal health outcomes and imposes substantial costs on healthcare systems. It is often detected only after treatment has been compromised.

Our clients need a disease-agnostic, validated tool that identifies patients at risk of nonadherence and helps them understand the behavioural drivers underlying that risk.

Personia Solution

We developed and validated TARA™ (Treatment Activation and Adherence Risk Assessment), an evidence-based behavioural segmentation tool underpinned by the Perceptions and Practicalities Approach (PaPA™), a behavioural framework endorsed by NICE as best practice for supporting medication adherence.

TARA™ was validated using data from 789 adults with long-term conditions receiving prescription medication across multiple therapeutic areas, including cardiovascular disease, diabetes, respiratory disease, rheumatology and oncology.

Outcomes

TARA™ successfully stratified patients into four distinct adherence risk groups.

These findings demonstrated that TARA™ could reliably distinguish between different levels of adherence risk.

Consequently, TARA™ was adopted in a number of large-scale GLP1 clinical studies to identify participants at risk of poor adherence or early withdrawal.

Using TARA-Activate™, we can subsequently propose behaviourally informed interventions that keep patients engaged during trials or whilst in treatment.

Want to know more about how we could help you make the most of your medicines and vaccines?