Original scientific paper
From Morisky to Hill-Bone; Self-reports Scales for Measuring Adherence to Medication
Josip Culig
; University of Zagreb, School of Medicine, »Andrija Stampar« Institute of Public Health, Department of Pharmacoepidemiology, Zagreb, Croatia
Marcel Leppée
; »Josip Juraj Strossmayer« University, School of Medicine, Department of Pharmacology, Osijek, Croatia
Abstract
There are a number of approaches to studying medication-taking behavior. Self-report measures that have the benefits of being cheap, easy to administer, non-intrusive, and able to provide information on attitudes and beliefs about medication. Potential limitations to self-report are that ability to understand the items, and willingness to disclose information, can affect response accuracy and thus questionnaire validity. A computerized systematic search of the PubMed databases identified articles on scales for medication adherence measuring using the MeSH terms medication adherence, compliance, and persistence combined with the terms questionnaire self-report. Adherence scales are identified mostly in the last few years (2005-2012). One of the main sources was article (Lavsa et. al) which evaluated literature describing medication adherence surveys/scales to gauge patient behaviors at the point of care. Articles were included if they evaluated or reviewed self-reported adherence medication scale applicable at chronic diseases and with good coefficient of internal consistency reliability (Cronbach's α (alpha). Articles that contained data about self-report medication adherence scales use were included. A total of about hundred articles were identified. Of the articles, 20% (20 of 100) were included in the review because of their relevance to the article topic. This article describes various self-report scales by which to monitor medication adherence, their advantages and disadvantages, and discusses the effectiveness of their application at different chronic diseases. There are many self-report scales for measuring medication adherence and their derivatives (or subscales). Due to the different nature of the diseases, there is no gold-standard scale for measuring medication adherence. It can be nevertheless concluded that the nearest to gold-standard is a Medication Adherence Questionnaire (MAQ) scale by Morisky et.al.
Keywords
adherence; medication; scale, self-report; Zagreb; Croatia
Hrčak ID:
120782
URI
Publication date:
31.3.2014.
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