ORIGINAL RESEARCH article
Front. Med.
Sec. Healthcare Professions Education
Impact of Structured Adherence Training on Healthcare Professionals: A Pilot Study in Mexico and Thailand
Pattarapong Makarawate 1,2
Diego Araiza Garaygordobil 3
Tania Carmona-Luna 4
Patthanun Pruksamonthol 5
Andressa Da Silva Van Der Laan 6
1. Queen Sirikit Heart Center of the Northeast, Khon Kaen, Thailand
2. Khon Kaen University Faculty of Medicine, Khon Kaen, Thailand
3. Instituto Nacional de Cardiologia Ignacio Chavez, State of Mexico, Mexico
4. Medical Affairs cardiometabolic division Abbott Mexico, Mexico, Mexico
5. Medical Affairs Abbott Laboratories Limited, Bangkok, Thailand
6. Abbott Product Operations AG, Allschwil, Switzerland
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Abstract
Background: Medication non-adherence is a significant global challenge, particularly in chronic disease management, and is associated with increased morbidity, mortality, and healthcare costs. Healthcare professionals (HCPs) play an important role in supporting adherence, yet often lack training and practical tools. Objectives: This pilot study evaluated the impact of a structured 6-month adherence training program-including educational sessions and self-learning, the Insight tool, and the my a:care app-on HCPs’ knowledge and practices in Mexico and Thailand. Design: A prospective, dual-center pilot study was conducted among HCPs managing dyslipidemic patients in two hospitals (Mexico: n=15; Thailand: n=27). The intervention included three in-person meetings (baseline, 3 months, 6 months) with lectures, resources, and repeated online questionnaires assessing knowledge, and clinical practices regarding medication adherence. Adoption and use of digital tools were also evaluated. Statistical analyses included Chi-squared and Student’s tests. Results: Both centers demonstrated significant improvements in HCPs’ awareness, knowledge, and practices related to medication adherence. Routine assessment of adherence increased from 47% to 87% in Mexico, and from 22% to 80% in Thailand. Use of the Insight tool rose from 0% to 53% in Mexico and from 11% to 96% in Thailand. Recommendation of the my a:care app increased from 33% to 100% in Mexico and from 15% to 92% in Thailand. HCPs’ confidence in addressing adherence improved, and more personalized support strategies were implemented. Baseline differences between centers reflected contextual factors such as prior resource access and local healthcare organization. Conclusion: A structured and standardized training program integrating behavioral science and digital tools improved HCPs’ knowledge and clinical practices regarding medication adherence in two culturally distinct settings. These results need further research to confirm the findings on a larger scale and in diverse healthcare environments.
Summary
Keywords
Chronic disease management, Digital Health, Healthcare professionals training, Insight tool, Medication Adherence, my a:care app
Received
08 December 2025
Accepted
27 January 2026
Copyright
© 2026 Makarawate, Araiza Garaygordobil, Carmona-Luna, Pruksamonthol and Da Silva Van Der Laan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Andressa Da Silva Van Der Laan
Disclaimer
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