TY  - JOUR
PY  - 2020//
TI  - Adherence to antidepressants in underserved communities: a comparison of electronic monitoring and self-report measures
JO  - Community mental health journal
A1  - McClintock, Heather F.
A1  - BeKampis, Angela N.
A1  - Hartmann, Erica
A1  - Bogner, Hillary R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0010-3853
UR  - http://dx.doi.org/10.1007/s10597-019-00533-2
ID  - ref1
ER  -