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Desirability and feasibility of wireless electronic monitoring of medications in clinical trials
Open accessAbstract
Medication nonadherence is a vexing problem in health care necessitating patients and health professionals' efforts to prevent, minimize, or reverse it. Research participants' inconsistent medication taking obscures treatment efficacy and adds costs to biomedical research. Electronic monitoring devices (EMDs), like the Medication Event Monitoring System (MEMS), have grown in sophistication, providing precise, timely insights into individuals' medication-taking patterns across clinical populations. This article reports on the desirability and feasibility study of using a wireless EMD in clinical research to promote adherence to clinical regimens and research protocols. Nonadherence in transplant patients has been linked to late acute rejection and graft loss. High levels of adherence (97.7 %) were documented for six renal transplant recipients for a mean of 6 months (M = 196.1 ± 71.2 days) who indicated acceptance of the technology. MEMS data confirmed the feasibility of using wireless EMDs to monitor medication use. Monitoring provides greater assurance that research studies reflect the biological impact of medications and provide a basis for targeting adherence enhancement efforts within research investigations.
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“Most publications focus on adherence to immunosuppressants, assessed with electronic medication event monitoring systems (MEMS), self-reports, or surrogate parameters like therapeutic drug monitoring[9,10].”
From Adherence is associated with a favorable outcome after lung transplantation (2019) · cites this paper as [9]
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Sorted by citations
Mitigating the Effects of Nonadherence in Clinical Trials
Shiovitz, T. M., Bain, E. E., McCann, D. J., Skolnick, P., Laughren, T., Hanina, A., & Burch, D. (2016) · The Journal of Clinical Pharmacology · doi:10.1002/jcph.689 · Cited by 114
Adherence is associated with a favorable outcome after lung transplantation
Bertram, A., Fuge, J., Suhling, H., Tudorache, I., Haverich, A., Welte, T., & Gottlieb, J. (2019) · PLoS ONE · doi:10.1371/journal.pone.0226167 · Cited by 34
“Most publications focus on adherence to immunosuppressants, assessed with electronic medication event monitoring systems (MEMS), self-reports, or surrogate parameters like therapeutic drug monitoring[9,10].”
BackgroundZárate-Bravo, E., García-Vázquez, J.-P., Torres-Cervantes, E., Ponce, G., Andrade, Á. G., Valenzuela-Beltrán, M., & Rodríguez, M. D. (2020) · JMIR mHealth and uHealth · doi:10.2196/14680 · Cited by 20
Metadata
- Authors
- Robiner, W. N., Flaherty, N., Fossum, T. A., & Nevins, T. E.
- Affiliations
- University of Minnesota (US)
- Corresponding author
- Robiner, William N.
- Flaherty, Nancy
- Fossum, Thyra A.
- Nevins, Thomas E.
- ORCID
- Robiner, William N.
- Venue
- Translational Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-04-07
- Volume
- 5
- Issue
- 3
- Pages
- 285-293
- ISSN
- 1613-9860 (ISSN-L)
- 1869-6716
- PMC
- PMC4537458
- OpenAlex
- W2047272073
- Cited by
- 16
- References
- 4
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 1
- FWCI
- 2.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Translational Behavioral Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (P01DK013083)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Keywords
- medication adherence, electronic medication monitoring, medication event monitoring system, clinical trials, kidney transplant recipients, graft rejection
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- Robiner, W. N., Flaherty, N., Fossum, T. A., & Nevins, T. E. (2015). Desirability and feasibility of wireless electronic monitoring of medications in clinical trials. Translational Behavioral Medicine. https://doi.org/10.1007/s13142-015-0316-1