A comparison of electronic monitoring vs. clinician rating of antipsychotic adherence in outpatients with schizophrenia

Matthew Byerly, Robert Fisher, Katrina Whatley, Rhiannon Holland, Femina Varghese, Thomas Carmody, Brianne Magouirk, A. John Rush

Research output: Contribution to journalArticle

146 Scopus citations

Abstract

Antipsychotic non-adherence rates of outpatients with schizophrenia or schizoaffective disorder was assessed by electronic monitoring and clinician rating. Antipsychotic adherence was determined monthly over 3 consecutive months with (1) the Medication Event Monitoring System (MEMS®) cap and (2) the Clinician Rating Scale. Non-adherence was defined as daily adherence of <70% during any one of three monthly evaluations for MEMS® and ratings of ≤4 (scale of 1-7) on the Clinician Rating Scale. Non-adherence was detected in 12 of 25 patients (48%) by MEMS® and 0% by the Clinician Rating Scale. Clinician assessment dramatically underestimated antipsychotic non-adherence.

Original languageEnglish (US)
Pages (from-to)129-133
Number of pages5
JournalPsychiatry research
Volume133
Issue number2-3
DOIs
StatePublished - Feb 28 2005

Keywords

  • Antipsychotic adherence and non-adherence
  • Clinician rating
  • Electronic monitoring

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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