The first 30-, 60- and 90-days, commonly referred to as onboarding, are the most important regarding patient adherence. This is the time when a patient is expected to self-administer medication based upon prescribed regimen. While a patient’s first exposure to a drug delivery device typically consists of training with a health care professional onsite at a medical facility, a patient will most often perform their medication administration alone outside of a health care facility and health care provider supervision.

Patient Onboarding with Self-Administration of Autoinjector Syringes, Prefilled Syringes and MDI and DPI Drug Delivery Devices

While many variables contribute to patient adherence and therapy acceptance during onboarding – patient factors including needle anxiety for injections, confidence, memory and understanding correct administration technique can detrimentally influence attitudes and perception toward medications and drug delivery devices – resulting in training gaps and treatment barriers.

Factors for Patient Nonadherence for Medication

Noble has developed a wide variety of patient-centric onboarding products to help patients administer correctly and improve adherence and patient outcomes. Noble’s offerings range from mechanical training devices to smart error-correcting training platforms, assistive devices and even patient support including travel packs and training instructions for use (IFU). 

The Science of Learning

Advancements in the study of how learning occurs has facilitated a deeper understanding of how patients mentally take in and process information. Memory recall and retention rates are increased when multiple neurological connections are made within and between regions of the brain. This occurs when senses such as audio, visual and touch are stimulated simultaneously.

Percentage Memory Retention

Patients learn best when multiple senses are involved

Noble's training and educational solutions leverage these findings by simultaneity engaging multiple senses in the learning process. This approach incorporates audio, video, and hands-on learning, resulting in improved memory recall and a reduction in errors.

Noble believes learning should occur prior to, not during, the patient's first dose. This is a key factor for increasing patient confidence, improving onboarding, and reducing adverse events.


Developing better educational tools starts with understanding how patients learn. Learning creates new neurological connections in the brain. 

These connections are triggered through sensory stimulation. If only one sense is stimulated, then connections in only one lobe are established. In multisensory learning, multiple pathways are established within and between multiple areas of the brain, resulting in faster recall and longer retention.

Reference: Influences of Multisensory Experience on Subsequent Unisensory Processing. Frontiers in Psychology - October 2011