Self Report Measures

Self-report is not a reliable way to assess adherence. The consensus is that self-report measures should not be used in isolation to assess adherence (Bender et al. 2000, 2003; Brener et al. 2003; Chapman 2004; Choo et al. 1999; De Geest and Vanhaecke 1999; De Geest et al. 1996; Farley et al. 2003; Freund et al. 1991; Goverover et al. 2005; Inui et al. 1981; Newell et al. 1999; Osterberg and Blaschke 2005; Shemesh et al. 2004; Waterhouse et al. 1993). Patients are more likely to acknowledge nonadherence if they are approached in a nonjudgmental way and believe that adherence is an important part of their disease management (Penkower et al. 2003). However, although patient reports of adherence are unreliable, self-reports by patients who do admit to nonadherence are considered reliable (Gehi et al. 2007).

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