Letter to the Editor: Methods for Measuring Multiple Medication Adherence: A Systematic Review

Mar 1, 2020, 00:00
10.1016/j.jval.2019.08.014
https://www.valueinhealthjournal.com/article/S1098-3015(19)35137-X/fulltext
Title : Letter to the Editor: Methods for Measuring Multiple Medication Adherence: A Systematic Review
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(19)35137-X&doi=10.1016/j.jval.2019.08.014
First page : 406
Section Title : LETTER TO THE EDITOR
Open access? : No
Section Order : 406
To the Editor:

We appreciate the publication by Pedneakar and colleagues,1 which underlines the wide range of methods used in measuring multiple medication adherence (MMA). However, we disagree with several notions and have some suggested improvements for future reviews.

First, we think that assessing the existing measures for their ability to measure “true” MMA is missing the point. An interpretivism or constructivism epistemology rejects the notion of “one truth”2 and is particularly useful here to understand human behaviors in a social context, which is exactly the nature of the construct “adherence.” Different measures or various ways to calculate one measure help to examine human behaviors in specific contexts. As the authors cited other sources in their publication, the choice of a specific MMA measure might hinge on why adherence is being evaluated. Although we agree that standardization to some extent is certainly helpful in reducing the complexity of understanding this phenomenon, measures with variations do not mean that they are not “true.”

Categories :
  • Literature Review & Synthesis
  • Meta-Analysis & Indirect Comparisons
  • Methodological & Statistical Research
  • Study Approaches
  • Survey Methods
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