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However, there is no standard method for measuring adherence in the scientific literature.
Continuous quality improvement of such services requires a regular working method of measuring adherence in order to monitor effectiveness.
Methods for measuring adherence in clinical trials often include participant self-report, electronic monitoring devices, pill counts, pharmacy refills, and drug concentrations in biological samples.
First, we used the recorded adherence level from the clinical records which may not be as accurate as measuring adherence in a study setting.
There is no perfect method of measuring adherence; in the absence of a true gold standard, electronic monitoring is considered the best available method [ 23].
At the moment, medication return and caretaker report, are methods used routinely for measuring adherence in paediatric patients on ART in HIV care and treatment clinics.
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To measure adherence in older adults with the use of a novel visual scale screening tool and to compare this adherence measurement with other adherence measures.
Most instruments used to measure adherence in bipolar disorder focus on the number of missing days and the attitudes and behaviors associated with adherence, rather than on what was ingested (Berk et al. 2010; Sajatovic et al. 2010).
In addition to questionnaire methods, several studies used patients' diaries to measure adherence in acne medication.
Several methods exist to measure adherence in COPD, each with its own strengths and limitations.
In clinical practice we need to measure adherence in a cheap and relatively unobtrusive way which can be used routinely.
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