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. 2020 Jul 20;13:635–645. doi: 10.2147/JMDH.S257273

Table 2.

Medicine Adherence Measurement Methods and Their Characteristics Reported in the Included Studies

Adherence Measurement Method Self-Reported Adherence (MMAS and Its Related Scales) N=7 Refill Record-Based Adherence N=8 Prescription Abandonment N=1 Manual Pill Count N=1
Main Characteristics
  • Common in measuring adherence of antihypertensive drugs

  • Simple and easy to be used

  • Self-reporting style

  • Subjected to overestimation of adherence level

  • High chance of response bias

  • Common in measuring adherence of hyperlipidemia medications

  • Common types:

-Medication possession ratio (MPR)
-The proportion of days covered (PDC)
  • Quantitative measures

  • Less subjected to overestimation of adherence level.

  • Subjected to a possibility that medications being refilled – but not consumed properly.

  • Known as primary medication nonadherence

  • Abandons to prescriptions portrayed that patients do not adhere to their medications

  • Reasons for prescriptions abandon: low perceived benefit due to asymptomatic nature of the condition

  • More objective than self-reporting medication adherence

  • Regarded as the gold standard for validating other methods

  • It can be done without informing patients to avoid the disadvantage of pill dumping, where patients manipulate the number of pills.

Abbreviations: MMAS, Morisky Medication Adherence Scale; PDC, proportions of days covered; MPR, medication possession ratio.