The concordance of self-report with other measures of medication adherence - A summary of the literature

The concordance of self-report with other measures of medication adherence - A summary of the literature
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DOI:
10.1097/01.mlr.0000129496.05898.02
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发表时间:
2004-07-01
期刊:
影响因子:
3
通讯作者:
Lawrence, JB
Lawrence, JB
中科院分区:
医学3区
文献类型:
--
作者:
Garber, MC;Nau, DP;Lawrence, JB

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目的:本研究的目的是评估自我报告的服药依从性测量(访谈、日记或问卷)与非自我报告的依从性测量(行政声明、药片数量或药罐重量、血浆药物浓度、电子监测器或临床意见)的一致性。方法:通过文献检索确定同一研究中使用自我报告和非自我报告依从性测量的已发表报告。根据依从性估计的比较,每项研究中测量的一致性被归类为高、中或低。结果:自我报告和非自我报告的依从性测量结果确定了86个比较。在86项比较中,有37项(43%)被归类为高度一致。然而,一致性因自我报告测量和非自我报告测量的类型而有很大差异。总体而言,自我报告测量与电子测量在17%的比较中高度一致,而在58%的比较中与其他类型的非自我报告测量高度一致(卡方=14.30,P
Objective: The objective of this study was to evaluate the concordance of self-report measures of medication adherence (interview, diary, or questionnaire) with nonself-report measures of adherence (administrative claims, pill count or canister weight, plasma drug concentration, electronic monitors, or clinical opinion).Methods: A literature search was conducted to identify published reports in which self-report and nonself-report measures of adherence were used within the same study. The concordance of measures within each study was categorized as high, moderate, or low based on a comparison of the adherence estimates.Results: Eight-six comparisons of self-report to nonself-report measures of adherence were identified. Thirty-seven of the 86 comparisons (43%) were categorized as highly concordant. However, concordance varied substantially by type of self-report measure and nonself-report measure. Self-report measures, in general, were highly concordant with electronic measures in only 17% of comparisons, whereas they were highly concordant with other types of nonself-report measures in 58% of comparisons (chi-square = 14.30, P