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Eliciting accurate reports of adherence in a clinical interview: development of the Medical Adherence Measure

Nataliya Zelikovsky1, Aileen P Schast

  • 1Division of Nephrology, Department of Pediatrics, The Children's Hospital of Philadelphia, The University of Pennsylvania Medical School, Philadelphia, PA, USA.

Pediatric Nursing
|June 12, 2008
PubMed

Insights

Reliable methods to assess patient adherence are limited. The Medical Adherence Measure (MAM) is a new interview tool to identify adherence issues and barriers in pediatric patients.

Area of Science:

  • Pediatric Health
  • Clinical Assessment
  • Public Health

Background:

  • Patient nonadherence presents a significant public health challenge.
  • Existing methods for assessing adherence are often unreliable.
  • Accurate assessment is crucial for effective treatment and patient outcomes.

Purpose of the Study:

  • To introduce and evaluate the Medical Adherence Measure (MAM) as a novel tool for assessing patient adherence.
  • To assess the content validity, clinical utility, and ease of use of the MAM.
  • To provide a reliable screening tool for identifying adherence barriers in pediatric care.

Main Methods:

  • The Medical Adherence Measure (MAM) was developed in three phases.
  • A semi-structured clinical interview format was employed.
  • The MAM was administered to 219 pediatric patients (ages 1.3-23) and/or their parents.
  • The MAM assesses knowledge, self-reported adherence, organizational systems, and perceived barriers across medication, diet, and clinic attendance domains.

Main Results:

  • The MAM was developed and administered to a pediatric cohort.
  • The measure covers multiple adherence domains including medication, diet, and clinic attendance.
  • The interview assesses patient knowledge, self-reported adherence, management strategies, and identified barriers.

Conclusions:

  • The Medical Adherence Measure (MAM) is a valuable screening tool for identifying patients at risk of adherence problems.
  • The MAM assists providers in assessing the extent of nonadherence and targeting interventions.
  • The semi-structured interview format supports a collaborative patient-provider relationship to enhance care.

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