2009 issue 2

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Volume 18, issue 2

Review

Available methods of compliance assessment in pharmacological treatment of psychoses

Karolina Friemann1, Jacek Wciórka1
1. I Klinika Psychiatryczna Instytutu Psychiatrii i Neurologii w Warszawie
Postępy Psychiatrii i Neurologii 2009; 18 (2): 169-181
Keywords: compliance, adherence, assessment methods

Abstract

Objectives. To discuss methods of assessment of adherence to medical recommendations, their respective accuracy and comparability.
Review. Available methods of measurement of compliance with medical recommendations are presented. Their advantages and limita-tions are discussed. Methodological flaws of compliance studies are outlined. The review includes objective, subjective, indirect and direct assessment methods.
Conclusions. There are many methods of compliance assessment, some very modern (using electronics and virtual reality), but none seems to deserve the name of a golden standard, being: reliable, not too intruding into the patient 's life, and free from biases typical of self-report techniąues. Certain compliance assessment methods may bepreferable to other ones in a specific clinical situation, but a combination of many methods increases the reliability and validity of obtained results.

Address for correspondence:
Lek. Karolina Friemann
I Klinika Psychiatryczna IPiN
al. Sobieskiego 9, 02-957 Warszawa
tel. (22) 4582 532
e-mail: friemann@ipin.edu.pl