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Validity of the 24-h medication use recall for assessing medication adherence among psychiatric outpatients

机译:24小时药物使用召回对评估精神科门诊患者药物依从性的有效性

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The poor clinical, economic and social outcomes associated with medication non-adherence among patients with schizophrenia (Lacro et al., 2002) underscore the need for regular assessment of their level of adherence. However, till date, there is no "gold standard" measure of medication adherence, as all the available methods have their own limitations.Twenty four-hour medication use recall (24 h MUR) has been employed as a rough guide for assessing medication adherence among psychiatric outpatients (Adebowale and Ogunlesi, 1999). However, its validity as a screening tool for assessing medication adherence in outpatient clinic settings is unknown. This study examined the psychometric properties of 24 h MUR and compared its assessment of medication adherence with the 4-item Morisky Medication Adherence Rating Scale (MMARS), a measure with established psychometric properties (Morisky et al., 1986). The Ethical and Review Board of the Neuropsychiatric Hospital, Aro, Abeokuta, Nigeria approved the study protocol and written informed consent was obtained from the patients after a complete description of the study.
机译:与精神分裂症患者不依从药物治疗相关的不良临床,经济和社会结果(Lacro等,2002)强调了需要定期评估其依从性水平。但是,到目前为止,还没有“金标准”的药物依从性度量标准,因为所有可用方法都有其局限性。二十四小时药物使用召回(24小时MUR)已用作评估药物依从性的粗略指南在精神科门诊患者中(Adebowale和Ogunlesi,1999年)。但是,其作为评估门诊诊所服药依从性的筛选工具的有效性尚不清楚。这项研究检查了24小时MUR的心理测量特性,并将其对药物依从性的评估与4个项目的Morisky药物坚持性评定量表(MMARS)进行了比较,该量表具有确定的心理测量特性(Morisky等,1986)。尼日利亚阿贝库塔阿罗市神经精神病医院的伦理与审查委员会批准了研究方案,并在对研究进行了完整描述后从患者那里获得了书面知情同意书。

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