期刊
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY
卷 87, 期 6, 页码 2521-2533出版社
WILEY
DOI: 10.1111/bcp.14659
关键词
electronic healthcare data; electronic monitoring; measurement; medication adherence; persistence; self‐ report
资金
- Swiss Science Foundation [P2BSP3_178648]
- Providence/Boston Center for AIDS Research [P30AI042853]
- National Institute of General Medical Sciences of the National Institutes of Health from the Rhode Island Institutional Development Award IDeA-CTR award [U54GM115677]
- MRC-NIHR (Trials Methodology Research Partnership) [MR/S014357/1]
- Health and Care Research Wales [SRL-19-18]
- H2020 programme MSCA-IF [GA706028]
- European Community's 7th Framework [GA282593]
- IDEXLyon [ANR16-IDEX-0005]
- Swiss National Science Foundation (SNF) [P2BSP3_178648] Funding Source: Swiss National Science Foundation (SNF)
Managing adherence to medications is a global health priority, but adherence research is limited by methodological constraints, particularly the heterogeneity and low accuracy of adherence measures. Recent guidelines suggest best practices, but operational definitions are rarely included in study reports. Therefore, to support researchers in adherence measurement decision-making, a structured approach has been developed.
Aims Managing adherence to medications is a priority for health systems worldwide. Adherence research is accumulating, yet the quality of the evidence is reduced by various methodological limitations. In particular, the heterogeneity and low accuracy of adherence measures have been highlighted in many literature reviews. Recent consensus-based guidelines advise on best practices in defining adherence (ABC) and reporting of empirical studies (EMERGE). While these guidelines highlight the importance of operational definitions in adherence measurement, such definitions are rarely included in study reports. To support researchers in their measurement decisions, we developed a structured approach to formulate operational definitions of adherence. Methods A group of adherence and research methodology experts used theoretical, methodological and practical considerations to examine the process of applying adherence definitions to various research settings, questions and data sources. Consensus was reached through iterative review of discussion summaries and framework versions. Results We introduce TEOS, a four-component framework to guide the operationalization of adherence concepts: (1) describe treatment as four simultaneous interdependent timelines (recommended and actual use, conditional on prescribing and dispensing); (2) locate four key events along these timelines to delimit the three ABC phases (first and last recommended use, first and last actual use); (3) revisit study objectives and design to fine-tune research questions and assess measurement validity and reliability needs, and (4) select data sources (e.g., electronic monitoring, self-report, electronic healthcare databases) that best address measurement needs. Conclusion Using the TEOS framework when designing research and reporting explicitly on these components can improve measurement quality.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据