@article{ref1,
title="Adherence to antidepressants in underserved communities: a comparison of electronic monitoring and self-report measures",
journal="Community mental health journal",
year="2020",
author="McClintock, Heather F. and BeKampis, Angela N. and Hartmann, Erica and Bogner, Hillary R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Nonadherence to antidepressants is widespread and poses a significant barrier to optimal management and treatment of depression in community settings. The objective of this study was to compare self-reported and electronic monitoring of adherence to antidepressants and to examine the relationship of these measures with depressive symptoms in a medically underserved community. Adherence to antidepressants was measured in 38 primary care patients from the West Philadelphia area using self-report and electronic monitoring (Medication Event Monitoring System caps). Self-report and electronic monitoring of antidepressant adherence showed fair agreement at baseline, slight agreement at 6 weeks, and slight agreement at 12 weeks. Adherence to antidepressants as assessed by electronic monitors was significantly associated with depression remission at 12 weeks [adjusted odds ratio 18.6, 95% confidence interval (1.05, 330.56)]. Compared with electronic monitoring, self-reported adherence tended to overestimate medication adherence to antidepressants. Adherence assessed by electronic monitoring was associated with depression remission.<p /> <p>Language: en</p>",
language="en",
issn="0010-3853",
doi="10.1007/s10597-019-00533-2",
url="http://dx.doi.org/10.1007/s10597-019-00533-2"
}