Various implementations disclosed herein include devices, systems, and methods for monitoring engagement associated with pharmaceutical articles. In various implementations, a device includes a non-transitory memory and a processor coupled with the non-transitory memory. In some implementations, a method includes obtaining engagement data indicating engagement associated with a pharmaceutical article. In some implementations, the method includes identifying a plurality of topics associated with the pharmaceutical article. In some implementations, the method includes determining respective comprehension scores for the plurality of topics based on the engagement data. In some implementations, the method includes recommending a set of one or more media content items related to a subset of the plurality of topics based on the respective comprehension scores for the plurality of topics.