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Updated: May 16, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Published on: July 27, 2018

Measuring adherence in a community-based elderly population.

Penny S Shelton¹, D Brian Mozingo, Patricia S Avissar

¹Department of Pharmacy Practice, Campbell University, College of Pharmacy & Health Sciences, Buies Creek, North Carolina.

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists

|November 22, 2012

Summary

This summary is machine-generated.

The Medication Adherence Individual Review-Screening Tool (MedAdhIR-ST) demonstrates good reliability and validity for assessing medication adherence in older adults living independently. This screening tool shows promise for identifying nonadherence in this population.

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Last Updated: May 16, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data

Published on: July 27, 2018

Area of Science:

Gerontology
Pharmaceutical Sciences
Health Services Research

Background:

Medication adherence is critical for managing chronic conditions in the elderly.
Assessing adherence in community-dwelling older adults presents unique challenges.
Validated screening tools are needed to identify nonadherence effectively.

Purpose of the Study:

To evaluate the reliability and validity of the Medication Adherence Individual Review-Screening Tool (MedAdhIR-ST).
To assess the MedAdhIR-ST's performance in a community-dwelling elderly population.
To compare MedAdhIR-ST with the Medication Adherence Questionnaire (MAQ).

Main Methods:

A prospective, observational pilot study.
Inclusion of community-dwelling individuals aged 60 years and older managing their own medications.
Administration of MedAdhIR-ST and MAQ at two separate visits, with comparison to refill records.

Main Results:

MedAdhIR-ST exhibited moderate-to-high test/retest reliability (0.699) and moderate internal consistency (Cronbach's α=0.584).
The tool showed moderate concordance with MAQ (r=0.450).
MedAdhIR-ST demonstrated higher sensitivity (67%) and specificity (60%) than MAQ in detecting adherence when compared to refill records.

Conclusions:

The MedAdhIR-ST is a reliable and valid tool for screening medication nonadherence.
It is suitable for use in community-dwelling elderly populations.
The tool's multidimensional nature warrants further investigation.