Abstract:
OBJECTIVES:To develop a scale and survey the measurement of patient adherence and patient recruitment, and to explore how these methods impact the results in randomized controlled trials of interventions to improve patient adherence to medications. STUDY DESIGN:Analytic survey of a purposively selected sample of patient adherence intervention trials from a systematic review, assessing the quality of adherence measurement and patient recruitment methods. RESULTS:We identified 44 different measures of adherence, with qualities ranging from valid and objective to unreliable and subjective. The median overall quality of measures of adherence was 5 (interquartile range [IQR], 3; range, 0-9, 9 is high quality). The quality of the measures was associated with variation in the estimate of adherence (Spearman r = 0.66; 95% confidence interval: 0.39, 0.83). The median overall quality of patient recruitment methods was 2 (IQR, 1; maximum score 6, higher is better). There was no significant correlation between the power of the trial to detect an effect and the quality of the patient recruitment methods. CONCLUSION:Measurement and recruitment methods in adherence trials varied considerably, and most methods were of low quality. Adherence research could be advanced by using higher quality measures of adherence and better selection and baseline assessment of study participants.
journal_name
J Clin Epidemioljournal_title
Journal of clinical epidemiologyauthors
Jeffery RA,Navarro T,Wilczynski NL,Iserman EC,Keepanasseril A,Sivaramalingam B,Agoritsas T,Haynes RBdoi
10.1016/j.jclinepi.2014.06.008subject
Has Abstractpub_date
2014-10-01 00:00:00pages
1076-82issue
10eissn
0895-4356issn
1878-5921pii
S0895-4356(14)00234-0journal_volume
67pub_type
杂志文章,评审abstract::Trialists argue about the usefulness of stratified randomization. For investigators designing trials and readers who use them, the argument has created uncertainty regarding the importance of stratification. In this paper, we review stratified randomization to summarize its purpose, indications, accomplishments, and a...
journal_title:Journal of clinical epidemiology
pub_type: 杂志文章,评审
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abstract::Altogether, 3365 men and 3266 women who attended two cardiovascular screenings in 1974-1975 and 1977-1978, have been followed with respect to death for an average of 15 years. The mortality from coronary heart disease was lower in men who reported being of Lappish origin than in men who reported Norse origin at both s...
journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
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abstract::Plasma fibrinogen was measured in a sample of 8824 men and women aged 40-59 years participating in the Scottish Heart Health Study, and related to cardiovascular risk factors. Women had higher fibrinogen levels than men. In both sexes, multivariate analysis showed that fibrinogen was positively associated with age, sm...
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journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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journal_title:Journal of clinical epidemiology
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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journal_title:Journal of clinical epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2005-09-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:2006-06-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章,评审
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更新日期:2014-01-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:1997-12-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
doi:10.1016/j.jclinepi.2008.02.007
更新日期:2009-04-01 00:00:00
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journal_title:Journal of clinical epidemiology
pub_type: 杂志文章
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2001-11-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2013-10-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
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更新日期:2002-09-01 00:00:00