Self-Report Adherence Measures in Chronic Illness

BACKGROUND: Patient self-report is a practical method for measuring adherence, but little is known about its optimal use. OBJECTIVES: To examine the retest reliability and predictive validity of 3 different types of self-report adherence measures among patients with common chronic illnesses. RESEARCH DESIGN: Correlation and regression analyses of data from an ongoing randomized controlled trial. SUBJECTS: Patients (N = 415) aged >or=40 years recruited from a primary care network with arthritis, asthma, chronic lung disease, congestive heart failure, depression, and/or diabetes mellitus, plus impairment in >or=1 basic activity and/or a score of >or=4 on the 10-item Center for Epidemiologic Studies Depression Scale. MEASURES: : Self-report adherence (administered variously at baseline, 2, 4, and 6 weeks, and 6 months): number of pills taken/number of pills prescribed (PT/PP), using 1-7 days recall, and global reports of medication adherence and overall adherence tendencies. Six-month functional outcomes: Health Assessment Questionnaire (HAQ) and Short Form-36 (SF-36). RESULTS: Correlation coefficients among contemporaneously administered 1-7 days PT/PP measures were >or=0.78. Correlations among PT/PP measures and global adherence measures, and among PT/PP measures at 2 and 4 weeks, ranged from 0.11 to 0.54. PT/PP measures using >or=3-4 days recall significantly predicted adjusted 6-month HAQ but not SF-36 score. CONCLUSIONS: Self-report PT/PP and general medication adherence measures tap different behavioral constructs. Self-reported PT/PP at a given point in time is not necessarily representative of medication adherence over time. Among chronically ill patients, 3-4 days recall of PT/PP yield adherence estimates, which are practically as reliable and valid as longer intervals and which predict functional outcomes

Context (archaeology) · Feeling · Personality · Presentation (obstetrics) · Psychiatry · Psychosocial · Chronic Disease Management Strategies · Clinical Psychology · Diabetes Management and Education · Medication Adherence and Compliance · Medicine · Psychology · Social Psychology

• Social Risk Factors for Medication Nonadherence

  Gabriela R Oates, Lucia Juarez et al.•American Journal of Health Behavior•2020

  Añadir item

• The Association Between Patient-Centered Communication and Primary Care Quality in Urban China

  Open Access•Min Su, Zhongliang Zhou et al.•Frontiers in Public Health•2022

  Añadir item

• Is Depression Associated with Unhealthy Behaviors among Middle-Aged and Older Women with Hypertension or Heart Disease

  Open Access•Holger Cramer, Romy Lauche et al.•Women s Health Issues•2019

  Añadir item

• Adaptação cultural e validação da versão brasileira do questionário autopercepção do desempenho da medicina centrada na pessoa em medicina geral e familiar

  Open Access•Isadora Machado Valle, Isabelle Faoro Glaser et al.•Revista Brasileira de Medicina de…•2023

  Añadir item

• Communication and patient participation influencing patient recall of treatment discussions

  Open Access•Claude Richard, Emma Glaser et al.•Health Expectations•2017

  Añadir item

• Barriers to Improving Primary Care of Depression

  Open Access•Robin R Whitebird, Leif I Solberg et al.•Qualitative Health Research•2013

  Añadir item

• Personality in Adulthood

  Robert R Mccrae, Paul T Jr Costa et al.•Innovative Assessment in Higher…•2003

  Añadir item

• Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences

  Jacob Cohen, Patricia Cohen et al.•Applied Multiple Regression/Correla…•2014

  Añadir item

• Communication Patterns of Primary Care Physicians

  Debra L Roter•JAMA•1997

  Añadir item

• On the accuracy of personality judgment

  David C Funder•Psychological Review•1995

  Añadir item

• Practical and Conceptual Challenges in Measuring Antiretroviral Adherence

  Karina M Berg, Julia H Arnsten•JAIDS Journal of Acquired Immune…•2006

  Añadir item

• Adherence to Medication

  Lars Osterberg, Terrence F Blaschke et al.•New England Journal of Medicine•2005

  Añadir item

• Patient Participation in the Patient-Provider Interaction

  Open Access•Debra L Roter, Debra Roter•Health Education Monographs•1977

  Añadir item

• Testing a self-determination theory intervention for motivating tobacco cessation

  George C Williams, Geoffrey C Williams et al.•Health Psychology•2006

  Añadir item

• Self-Report Measures of Antiretroviral Therapy Adherence

  Open Access•Jane M Simoni, Ann E Kurth et al.•AIDS and Behavior•2006

  Añadir item

• Screening for Depression in the Older Adult

  Michael R Irwin, Michael Irwin et al.•A.M.A. Archives of Internal…•1999

  Añadir item

• Adherence to protease inhibitors, HIV-1 viral load, and development of drug resistance in an indigent population

  David R Bangsberg, FREDERICK HECHT et al.•AIDS•2000

  Añadir item

• Statistical Analysis of Correlated Data Using Generalized Estimating Equations

  James A Hanley•American Journal of Epidemiology•2003

  Añadir item

• Antiretroviral Therapy Adherence and Viral Suppression in HIV‐Infected Drug Users

  Julia H Arnsten, Penelope Demas et al.•Clinical Infectious Diseases•2001

  Añadir item

• A Comparison Study of Multiple Measures of Adherence to HIV Protease Inhibitors

  Open Access•Honghu Liu, Carol E Golin et al.•Annals of Internal Medicine•2001

  Añadir item

• Measurement of patient outcome in arthritis

  Open Access•James F Fries, Patricia Spitz et al.•Arthritis & Rheumatism•1980

  Añadir item

• Narrative Medicine

  Rita Charon•JAMA•2001

  Añadir item

• Poor Adherence to Placebo or Amiodarone Therapy Predicts Mortality

  Jane Irvine, Brian Baker et al.•Psychosomatic Medicine•1999

  Añadir item

• Physicians’ Responses to Patients’ Medically Unexplained Symptoms

  Ronald M Epstein, Cleveland G Shields et al.•Psychosomatic Medicine•2006

  Añadir item

• The rank-order consistency of personality traits from childhood to old age

  Brent W Roberts, Wendy F DelVecchio•Psychological Bulletin•2000

  Añadir item

• The Concordance of Self-Report With Other Measures of Medication Adherence

  Mathew C Garber, David P Nau et al.•Medical Care•2004

  Añadir item

• Patient Trust

  Kevin Fiscella, Sean Meldrum et al.•Medical Care•2004

  Añadir item

• Primary Care Patients’ Involvement in Decision-Making Is Associated With Improvement in Depression

  Sarah L Clever, Daniel E Ford et al.•Medical Care•2006

  Añadir item

• Connoisseurs of Care? Unannounced Standardized Patients’ Ratings of Physicians

  Malathi Srinivasan, Peter Franks et al.•Medical Care•2006

  Añadir item

• Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence

  Donald E Morisky, Lawrence W Green et al.•Medical Care•1986

  Añadir item

• Chronic Disease Self-Management Program

  Kate Lorig, Kate R Lorig et al.•Medical Care•2001

  Añadir item

• Further Challenges in Adherence Research

  M Robin Dimatteo, Johanna Maria Tynkkynen et al.•Medical Care•2006

  Añadir item

• Physician Practice Styles and Patient Outcomes

  Klea D Bertakis, Edward J Callahan et al.•Medical Care•1998

  Añadir item

• Patient Adherence and Medical Treatment Outcomes

  M Robin Dimatteo, Patrick J Giordani et al.•Medical Care•2002

  Añadir item

• Variations in Patients’ Adherence to Medical Recommendations

  M Robin Dimatteo•Medical Care•2004

  Añadir item

• Evidence Suggesting That a Chronic Disease Self-Management Program Can Improve Health Status While Reducing Hospitalization

  Kate Lorig, Kate R Lorig et al.•Medical Care•1999

  Añadir item

• The Influence of Gender on Physician Practice Style

  Klea D Bertakis, L Jay Helms et al.•Medical Care•1995

  Añadir item

• Depressive Symptoms Moderated the Effect of Chronic Illness Self-Management Training on Self-Efficacy

  Anthony Jerant, Richard L Kravitz et al.•Medical Care•2008

  Añadir item

• Personality trait structure as a human universal

  Robert R Mccrae, Paul T Costa•American Psychologist•1997

  Añadir item

• Agreement among judges of personality

  David C Funder, David C Kolar et al.•Journal of Personality and Social…•1995

  Añadir item

• Measuring patient-centered communication in Patient-Physician consultations

  Open Access•Ronald M Epstein, Peter Franks et al.•Social Science & Medicine•2005

  Añadir item