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The strengths of the program include the targeted nature of the interventions, early intervention focusing on prevention, well-trained staff dedicated to the program, standardized intervention protocols, tracking of adherence to all protocols, and built-in quality assurance procedures [ 16].
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The researchers tested the subjects' mental acuity at three-year intervals, and tracked their degree of adherence to the Mediterranean diet on a 55-point scale.
In future studies, more robust measures of adherence could track actual medication use by recording the dates and times of medicine bottle opening with electronic caps.
Effective adherence data tracking under the supervision of staff trained in adherence interventions allows for monitoring and recognition of adherence.
In Kenya, challenges in monitoring adherence include difficulty in tracking patients and identifying defaulters, weak community linkages, shortage of skilled community health workers, lack of adherence monitoring tools, large numbers of patients, and lack of national guidelines on adherence monitoring [ 15].
Then there is the question of adherence.
Outcome measures: Measures of adherence, adherence rates and factors associated with adherence.
This lack of adherence will certainly create interoperability problems over time.
What is the range of adherence rates?
Provision of adherence data to providers may motivate patients to improve adherence and help providers identify adherence barriers.
Adherence indices account for different aspects of adherence [24].
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