Cited by 16Medication Adherence and ComplianceMobile Health and mHealth ApplicationsEthics in Clinical Research

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Desirability and feasibility of wireless electronic monitoring of medications in clinical trials

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Robiner, William N., Flaherty, Nancy, Fossum, Thyra A., Nevins, Thomas E.·2015·Translational Behavioral Medicine

Abstract

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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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.
Venue
Translational Behavioral Medicine
Published
2015-04-07
Volume
5
Issue
3
Pages
285-293
ISSN
  • 1613-9860 (ISSN-L)
  • 1869-6716
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
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