Validity of medication adherence self-reports in adults with Type 2 diabetes

Source: Diabetes Care Area: Evidence > Medicines Management > References Objective: To assess the validity of self-report measures of diabetes medication adherence and evaluate the effect of depression on the validity of these reports. Research Design and Methods: Adults with type 2 diabetes, treated with oral medications in the USA, completed a set of medication adherence self-reports that varied response scales and time frames, were administered structured clinical interviews for depression, and provided blood samples for HbA1c as part of a screening for an intervention study.  A subsample of participants with HbA1c 7.0% or higher and clinically significant depression received Medication Event Monitoring System (MEMS) bottle caps to record adherence.  Analyses examined relationships between adherence measures and HbA1c and, in the subsample, MEMS.  Moderated linear regression evaluated whether depression severity modified relationships with HbA1c. Results: Participant (n = 170; 57% men; 81% white; mean HbA1c 8.3% (SD, ...
Source: NeLM - Mental Health - Category: Psychiatry Source Type: news