The Role of Medication Organizers and Supportive Interventions in Improving Adherence Among Patients with Chronic Diseases: A Review of the Current State of Knowledge

Abstract

Introduction and objective:Non-adherence to therapeutic recommendations constitutes a significant challenge in the management of chronic diseases and is associated with poorer disease control, increased risk of hospitalization, and higher healthcare costs. It particularly affects older adults, patients with multimorbidity, and those receiving polypharmacy. The aim of this study is to present the current state of knowledge regarding the role of medication organizers and supportive interventions in improving adherence. Review methods: A narrative review was conducted based mainly on PubMed-indexed publications and references cited in selected studies concerning adherence-supporting interventions in adults with chronic diseases. Brief description of the current state of knowledge: Available evidence suggests that medication organizers, blister packaging, electronic dispensers, mobile applications, text message reminders, and remote monitoring systems may support regular medication intake. The greatest benefits are observed when non-adherence results from forgetfulness, organizational difficulties, or complex treatment regimens. Their effectiveness depends on the type of intervention, patient characteristics, follow-up duration, and additional educational or behavioral support. Summary: Medication organizers and supportive interventions may improve adherence among patients with chronic diseases, particularly in high-risk groups. However, they should not be considered a standalone solution, but rather a component of comprehensive care. Further studies are needed to assess the durability of effects and the optimal selection of interventions.