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Measuring adherence to antipsychotic medications for schizophrenia: Concordance and validity among a community sample in rural China
- Source :
- Schizophrenia Research. 201:307-314
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- BACKGROUND: Despite the abundance of measures to assess medication adherence by persons suffering schizophrenia, few studies have evaluated their concordance and validity against a reference standard in resource-poor community settings. We explored the concordance and validity of several measures to assess antipsychotic medication adherence in a resource-poor community. METHOD: Based on a random sample of 278 villagers diagnosed with schizophrenia from Liuyang, Hunan Province, China, we used a concordance correlation coefficient (r(c)) and Kappa statistic to assess agreement among pill counts, refill records, clinician rating, Drug Attitude Inventory (DAI), and the Brief Adherence Rating Scale (BARS). The validity of various measures was evaluated by their concordance and sensitivity/specificity to home-based unannounced pill count (UPC) as the reference standard. RESULTS: The estimated proportion of adherent patients according to all measures (41%~88%) was substantially higher than identified by UPC (35%). Concordance between any two measures was poor (r(c) /Kappa mostly < 0.30). Validity of various measures also was poor against the UPC (r(c)
- Subjects :
- Adult
Male
Rural Population
China
medicine.medical_specialty
Concordance
Models, Biological
Sensitivity and Specificity
Article
Medication Adherence
03 medical and health sciences
0302 clinical medicine
Cohen's kappa
Rating scale
Humans
Medicine
Biological Psychiatry
business.industry
Middle Aged
medicine.disease
030227 psychiatry
Clinical trial
Psychiatry and Mental health
Concordance correlation coefficient
Schizophrenia
Pill
Family medicine
Female
business
030217 neurology & neurosurgery
Kappa
Antipsychotic Agents
Follow-Up Studies
Subjects
Details
- ISSN :
- 09209964
- Volume :
- 201
- Database :
- OpenAIRE
- Journal :
- Schizophrenia Research
- Accession number :
- edsair.doi.dedup.....f4fb96e0eda27b46ba14c167b210dc47