Sutton, S, Kinmonth, A, Hardeman, W et al. (7 more authors) (2014) Does electronic monitoring influence adherence to medication? Randomized controlled trial of measurement reactivity. Annals of Behavioral Medicine, 48 (3). 293 - 299. ISSN 0883-6612
Abstract
Background Electronic monitoring is recommended for accurate measurement of medication adherence but a possible limitation is that it may influence adherence. Purpose To test the reactive effect of electronic monitoring in a randomized controlled trial. Methods A total of 226 adults with type 2 diabetes and HbA1c ≥58 mmol/mol were randomized to receiving their main oral glucose lowering medication in electronic containers or standard packaging. The primary outcomes were self-reported adherence measured with the MARS (Medication Adherence Report Scale; range 5–25) and HbA1c at 8 weeks. Results Non-significantly higher adherence and lower HbA1c were observed in the electronic container group (differences in means, adjusting for baseline value: MARS, 0.4 [95 % CI −0.1 to 0.8, p = 0.11]; HbA1c (mmol/mol), −1.02 [−2.73 to 0.71, p = 0.25]). Conclusions Electronic containers may lead to a small increase in adherence but this potential limitation is outweighed by their advantages. Our findings support electronic monitoring as the method of choice in research on medication adherence. (Trial registration Current Controlled Trials ISRCT N30522359)
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | (c) The Author(s) 2014. This article is published with open access at Springerlink.com |
Keywords: | Measurement reactivity; medication adherence; electronic monitoring; diabetes |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 26 Mar 2015 12:52 |
Last Modified: | 18 Jan 2018 00:40 |
Published Version: | http://dx.doi.org/10.1007/s12160-014-9595-x |
Status: | Published |
Publisher: | Springer Verlag |
Identification Number: | 10.1007/s12160-014-9595-x |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:83918 |