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Measuring the adherence to medication of elderly patients with heart failure: Is there a gold standard?
journal contribution
posted on 2023-06-08, 12:03 authored by Helen Smith, Matthew Hankins, Andrew Hodson, Charles GeorgeACE inhibitors and loop diuretics are treatments of first choice for heart failure, but patients must take their medications regularly to achieve maximum benefit. Adherence is commonly assessed using pill counts, self-report or electronic monitoring, with the latter widely considered the 'gold standard'. We assessed the concordance of these three methods in a sample of 52 elderly patients with heart failure over a six-week period. Substantial differences in adherence were found between the three methods. Adherence by self-report was very high for both ACE-I and diuretic, with little between-person variation. This was, however, uncorroborated by pill count and electronic monitoring. Closer examination of the electronic record suggested that the mean level of adherence overlooked patterns of openings more consistent with adherent behaviour. There seems to be no gold standard for measurement of adherence in this population.
History
Publication status
- Published
File Version
- Published version
Journal
International Journal of CardiologyISSN
0167-5273Publisher
ElsevierExternal DOI
Issue
1Volume
145Page range
122-123Department affiliated with
- Primary Care and Public Health Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2012-07-13First Compliant Deposit (FCD) Date
2012-07-02Usage metrics
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