Related Experiment Video
Updated: Mar 29, 2026
09:42
Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
Published on: November 8, 2013
14.1K
Self-report measures of medication adherence behavior: recommendations on optimal use
Michael J Stirratt1, Jacqueline Dunbar-Jacob2, Heidi M Crane3
1NIH/National Institute of Mental Health Division of AIDS Research, Bethesda, MD USA.
Translational Behavioral Medicine
|December 2, 2015
Summary
Self-report medication adherence measures are common but often overestimate adherence. Despite limitations, they offer valuable, low-cost insights for chronic illness management when validated scales and improved methods are used.
Area of Science:
- Health Services Research
- Clinical Pharmacy
- Patient Adherence
Background:
- Medication adherence is crucial for managing chronic illnesses effectively.
- Self-report is the most prevalent method for assessing adherence in research and clinical settings.
- Concerns exist regarding the validity and precision of self-report adherence measures.
Purpose of the Study:
- To review self-report medication adherence measures and their validity.
- To identify factors influencing the quality and utility of self-report adherence data.
- To provide recommendations for enhancing the use of self-report adherence measures.
Main Methods:
- A panel of adherence research experts across various chronic illnesses was convened.
- Review of existing literature on self-report medication adherence measures and their validity.
- Analysis of variations in question phrasing, recall periods, and response items in self-report measures.
Main Results:
- Self-report measures tend to overestimate adherence compared to other methods.
- These measures generally exhibit high specificity but low sensitivity.
- Evidence suggests moderate correspondence with other adherence measures and predictive value for clinical outcomes.
Conclusions:
- Self-report medication adherence measures provide actionable information despite inherent limitations.
- Enhancements can be achieved through validated scales, improved estimation, recall facilitation, bias reduction, and technological delivery.
- Self-report measures remain valuable for situations requiring speed, efficiency, and low-cost assessment in clinical care.
Related Concept Videos
01:28Drug Therapy
401
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
401
01:26Types of Reports III: Telephone and Verbal Reports
1.1K
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
1.1K
01:15Drug Dosage Regimen: Overview
4.7K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
4.7K
01:15Drug Dosing: Geriatric Patients
347
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
347
01:15Drug Abuse and Addiction: Pharmacological Phenomena
1.5K
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
1.5K
01:28Dosage Regimens: Designs and Approaches
460
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
460