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These observations are consistent with the trends observed in our data, which showed both the lowest estimates of adherence and the least change in estimated adherence with varying length of the observation window.
For the last missed dose question, the highest agreement was seen with MEMS data, while other clinic-based measures consistently gave higher estimates of adherence.
Thus, our estimates of adherence coverage exclude visits after pregnancy.
This leads to falsely optimistic estimates of adherence.
However, each of these methods has limitations and can provide different estimates of adherence.
Moreover, estimates of adherence were close to maximal in both groups as has been found elsewhere [ 17, 27].
Similar(35)
Refill adherence is a valid estimate of adherence to medication [ 3].
In addition, the actual estimate of adherence may be inflated by use of clinic-based medication measures.
If electronic fill/refill data is available, medication possession ratios can provide an unbiased estimate of adherence [ 147].
As direct measurement of medication consumption is usually not feasible, refill adherence has been applied as an estimate of adherence in population-based studies [ 54].
To generate a more accurate estimate of adherence information, we administered the DMKQ for each diabetes medication in a participant's regimen.
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