Test performance of self‐report adherence tools in patients with hypertension: A systematic review and a meta‐analysis

Abstract

What Is Known and Objectives: Adherence has proved to have a positive influence on achieving plausible treatment outcomes. Self-report questionnaires are widely used in evaluating adherence, creating thus a high-powered research field. This review aims to provide an update of scales used in hypertension, which are compared and analysed against reliability and validity.Methods: PubMed, Web of Science and Cochrane Library were searched in May 2022 to identify studies. We extracted the study characteristics and evaluated their quality. A random-effects model with subgroup analysis was used to calculate estimates and heterogeneity parameters as well as regressions, funnel and forest plots. A bivariate model was selected to conduct validity analyses and draw receiver operating characteristic (ROC) curves.Results and Discussion: Fifty-five articles were identified and classified into 22 different reliable and validated tools. Pooled analyses predicted an overall good Cronbach's alpha of 0.76 (95%CI:0.67-0.83), a good ICC of 0.8 (95%CI:0.72-0.86) and an excellent correlation coefficient of 0.91 (95%CI:0.86-0.95), which all showed high heterogeneity and slight detection of asymmetry. Regression analyses showed that only

Innovative Approaches to Enhance and Measure Medication Adherence in Chronic Disease Management: A Review

“…Utilizing a user-friendly 4-point Likert scale, ARMS and ARMS-7 are available free of charge to students and non-profit organizations [61]. This conclusion is also upheld for medication adherence to antihypertensive drugs, showing that ARMS is the most promising free, non-inferior alternative to Morisky, the most commonly used scale [62].…”