Validity and characteristics of patient-evaluated adherence to medication via smartphones in patients with bipolar disorder: exploratory reanalyses on pooled data from the MONARCA I and II trials
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Validity and characteristics of patient-evaluated adherence to medication via smartphones in patients with bipolar disorder : exploratory reanalyses on pooled data from the MONARCA I and II trials. / Faurholt-Jepsen, Maria; Frost, Mads; Christensen, Ellen Margrethe; Bardram, Jakob Eyvind; Vinberg, Maj; Kessing, Lars Vedel.
In: Evidence-Based Mental Health, Vol. 23, No. 1, 2020, p. 2-7.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Validity and characteristics of patient-evaluated adherence to medication via smartphones in patients with bipolar disorder
T2 - exploratory reanalyses on pooled data from the MONARCA I and II trials
AU - Faurholt-Jepsen, Maria
AU - Frost, Mads
AU - Christensen, Ellen Margrethe
AU - Bardram, Jakob Eyvind
AU - Vinberg, Maj
AU - Kessing, Lars Vedel
PY - 2020
Y1 - 2020
N2 - BACKGROUND: Non-adherence to medication is associated with increased risk of relapse in patients with bipolar disorder (BD). OBJECTIVES: To (1) validate patient-evaluated adherence to medication measured via smartphones against validated adherence questionnaire; and (2) investigate characteristics for adherence to medication measured via smartphones. METHODS: Patients with BD (n=117) evaluated adherence to medication daily for 6-9 months via smartphones. The Medication Adherence Rating Scale (MARS) and the Rogers' Empowerment questionnaires were filled out. The 17-item Hamilton Depression Rating Scale, the Young Mania Rating Scale and the Functional Assessment Short Test were clinically rated. Data were collected multiple times per patient. The present study represents exploratory pooled reanalyses of data collected as part of two randomised controlled trials. FINDINGS: During the study 90.50% of the days were evaluated as 'medication taken', 6.91% as 'medication taken with changes' and 2.59% as 'medication not taken'. Adherence to medication measured via smartphones was valid compared with the MARS (B: -0.049, 95% CI -0.095 to -0.003, p=0.033). Younger age and longer illness duration were significant predictors for non-adherence to medication (model concerning age: B: 0.0039, 95% CI 0.00019 to 0.0076, p=0.040). Decreased affective symptoms measured with smartphone-based patient-reported mood and clinical ratings as well as decreased empowerment were associated with non-adherence. CONCLUSIONS: Smartphone-based monitoring of adherence to medication was valid compared with validated adherence questionnaire. Younger age and longer illness duration were predictors for non-adherence. Increased empowerment was associated with adherence. CLINICAL IMPLICATIONS: Using smartphones for empowerment of adherence using patient-reported measures may be helpful in everyday clinical settings. TRIAL REGISTRATION NUMBER: NCT01446406 and NCT02221336.
AB - BACKGROUND: Non-adherence to medication is associated with increased risk of relapse in patients with bipolar disorder (BD). OBJECTIVES: To (1) validate patient-evaluated adherence to medication measured via smartphones against validated adherence questionnaire; and (2) investigate characteristics for adherence to medication measured via smartphones. METHODS: Patients with BD (n=117) evaluated adherence to medication daily for 6-9 months via smartphones. The Medication Adherence Rating Scale (MARS) and the Rogers' Empowerment questionnaires were filled out. The 17-item Hamilton Depression Rating Scale, the Young Mania Rating Scale and the Functional Assessment Short Test were clinically rated. Data were collected multiple times per patient. The present study represents exploratory pooled reanalyses of data collected as part of two randomised controlled trials. FINDINGS: During the study 90.50% of the days were evaluated as 'medication taken', 6.91% as 'medication taken with changes' and 2.59% as 'medication not taken'. Adherence to medication measured via smartphones was valid compared with the MARS (B: -0.049, 95% CI -0.095 to -0.003, p=0.033). Younger age and longer illness duration were significant predictors for non-adherence to medication (model concerning age: B: 0.0039, 95% CI 0.00019 to 0.0076, p=0.040). Decreased affective symptoms measured with smartphone-based patient-reported mood and clinical ratings as well as decreased empowerment were associated with non-adherence. CONCLUSIONS: Smartphone-based monitoring of adherence to medication was valid compared with validated adherence questionnaire. Younger age and longer illness duration were predictors for non-adherence. Increased empowerment was associated with adherence. CLINICAL IMPLICATIONS: Using smartphones for empowerment of adherence using patient-reported measures may be helpful in everyday clinical settings. TRIAL REGISTRATION NUMBER: NCT01446406 and NCT02221336.
KW - Adherence to medication
KW - Bipolar disorder
KW - Smartphone
U2 - 10.1136/ebmental-2019-300106
DO - 10.1136/ebmental-2019-300106
M3 - Journal article
C2 - 32046986
AN - SCOPUS:85079338752
VL - 23
SP - 2
EP - 7
JO - Evidence - Based Mental Health
JF - Evidence - Based Mental Health
SN - 1362-0347
IS - 1
ER -
ID: 253195082