Tulane University, New Orleans, Louisiana, USA.
Pharmacoeconomics. 2010;28(12):1097-107. doi: 10.2165/11537400-000000000-00000.
The primary objective of this review was to identify and examine the literature on the association between medication adherence self-reported questionnaires (SRQs) and medication monitoring devices. The primary literature search was performed for 1980-2009 using PubMed, PubMed In Process and Non-Indexed, Ovid MEDLINE, Ovid MEDLINE In-Process, PsycINFO (EBSCO), CINAHL (EBSCO), Ovid HealthStar, EMBASE (Elsevier) and Cochrane Databases and using the following search terms: 'patient compliance', 'medication adherence', 'treatment compliance', 'drug monitoring', 'drug therapy', 'electronic', 'digital', 'computer', 'monitor', 'monitoring', 'drug', 'drugs', 'pharmaceutical preparations', 'compliance' and 'medications'. We identified studies that included SRQs and electronic monitoring devices to measure adherence and focused on the SRQs that were found to be moderately to highly correlated with the monitoring devices. Of the 1679 citations found via the primary search, 41 full-text articles were reviewed for correlation between monitoring devices and SRQs. A majority (68%) of articles reported high (27%), moderate (29%) or significant (12%) correlation between monitoring devices (37 using Medication Event Monitoring System [MEMS®] and four using other devices) and SRQs (11 identified and numerous other unnamed SRQs). The most commonly used SRQs were the Adult/Pediatric AIDS Clinical Trial Group (AACTG/PACTG; 24.4%, 10/41) followed by the 4-item Morisky (9.8%, 4/41), Brief Medication Questionnaire (9.8%, 4/41) and visual analogue scale (VAS; 7.3%, 3/41). Although study designs differed across the articles, SRQs appeared to report a higher rate of medication adherence (+14.9%) than monitoring devices. In conclusion, several medication adherence SRQs were validated using electronic monitoring devices. A majority of them showed high or moderate correlation with medication adherence measured using monitoring devices, and could be considered for measuring patient-reported adherence prospectively.
本研究的主要目的是识别和研究与药物依从性自我报告问卷 (SRQs) 和药物监测设备相关的文献。主要文献检索于 1980 年至 2009 年期间在 PubMed、PubMed In Process 和 Non-Indexed、Ovid MEDLINE、Ovid MEDLINE In-Process、PsycINFO(EBSCO)、CINAHL(EBSCO)、Ovid HealthStar、EMBASE(Elsevier)和 Cochrane 数据库中进行,并使用以下搜索词:“患者依从性”、“药物依从性”、“治疗依从性”、“药物监测”、“药物治疗”、“电子”、“数字”、“计算机”、“监测”、“监测”、“药物”、“药物”、“药物制剂”、“依从性”和“药物”。我们确定了使用 SRQs 和电子监测设备来测量依从性的研究,并侧重于与监测设备中度至高度相关的 SRQs。在通过主要搜索找到的 1679 篇引文,有 41 篇全文文章被审查了监测设备和 SRQs 之间的相关性。大多数(68%)文章报告了监测设备(37 篇使用 Medication Event Monitoring System [MEMS®],4 篇使用其他设备)和 SRQs(11 篇确定的和许多其他未命名的 SRQs)之间的高度(27%)、中度(29%)或显著(12%)相关性。最常用的 SRQs 是成人/儿科艾滋病临床试验组(AACTG/PACTG;24.4%,10/41),其次是 4 项 Morisky(9.8%,4/41)、简短药物问卷(9.8%,4/41)和视觉模拟量表(VAS;7.3%,3/41)。尽管文章中的研究设计有所不同,但 SRQs 似乎报告了更高的药物依从率(+14.9%)。结论:几个药物依从性 SRQs 已使用电子监测设备进行了验证。大多数 SRQs 与使用监测设备测量的药物依从性呈高度或中度相关,可考虑用于前瞻性测量患者报告的依从性。