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In research, the available methods for measuring medication adherence include self-report, pill counts, prescription refill records, surrogate measures of medication adherence and medication bottles with a microchip-embedded cap to record bottle openings.
Barriers to medication adherence include medication side effects, cost, and forgetting to take or refill medications.
Barriers to medication adherence include medication side effects [ 5], cost [ 5, 6], and forgetting to take or refill medications [ 7].
Additional factors associated with diabetes medication adherence include insulin use (28), regimen complexity (23), and psychological distress (23).
For instance, the most efficacious interventions for hypertension and cholesterol medication adherence include multiple telephone or in-person counseling sessions delivered by researchers, nurses, or pharmacists with or without the addition of other approaches, such as medication reminders [ 13, 17].
Medication adherence tools that can be utilized to improve medication adherence include simplifying antiretroviral therapy, pill boxes, social support, and using cues and incorporating dosing into daily routines (eg, taking medications with meals).
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The main challenges of medication adherence included medication responses, cost of medications, and forgetfulness.
Each model of medication adherence included only beneficiaries with the condition of interest.
Future research in this area is warranted, and it must address additional barriers to medication adherence, including regimen complexity, medication beliefs, and treatment of comorbid depression.
Thus, it is beneficial to utilize various strategies in determining medication adherence, including reviewing pharmacy refill records and conducting focused patient medication adherence interviews.
Next, the pharmacists will assess common barriers to medication adherence including poor memory, lack of diabetes knowledge, health beliefs, cost, medication burden, physical disabilities, and social barriers.
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