A patient diary as a tool to improve medicine compliance
- 251 Downloads
Compliance is a well recognised but still unresolved health problem; improvement of compliance to treatment would increase cost‐effectiveness. One of the current methods used to measure treatment compliance in a clinical drug trial is through the use of a patient diary. In order to interpret data in these diaries it is important to also assess how compliant patients are in completing diaries. Patient compliance of standard diary completion was measured in 69 patients with perennial rhinitis, who were randomised into a double blind, placebo controlled trial with a new corticosteroid drug. During 3 months the patients were instructed to complete a diary twice a day for the following parameters: rhinitis signs and symptoms, dosage times, concomitant medication, use of rescue medication and comments. Diaries were reviewed by the physician at scheduled visits. Twenty patients (30%) completed their diaries for all items perfectly, while 62 patients (94%) completed more than 95% of all items. The compliance of diary completion in a well controlled trial is high. Overall completion of the diary was not influenced by age, gender, race, use of concomitant medication or treatment failure. Significant correlations were found for study duration and physician. This study suggests that completion of a daily diary is positively correlated with patient compliance in medication intake. Physicians could consider using diaries to try to improve compliance. More explicit investigations are needed.
Unable to display preview. Download preview PDF.
- 5.Sackett DL, Haynes RB. Compliance with therapeutic regimens. Baltimore: Johns Hopkins University Press, 1976.Google Scholar
- 9.Masur FT. Adherence to healthcare regimens. In: Prolop CK, Bradley LA, eds. Medical psychology. New York: Academic Press, 1981.Google Scholar
- 10.Schwartz D, Wang M, Leitz L, Goss MEW. Medication errors made by elderly, chronically ill patients. Am J Publ Health 1962;52: 2018-29.Google Scholar
- 11.Tashkin DP, Rand CS, Nides M, Simons MS, Wise RA, Coulson AH, Li VC, Gong H Jr. A nebulizer chronolog to monitor compliance with inhaler use. Am J Med 1991;91 4A:33-6.Google Scholar
- 14.Blackwell B. Compliance. Psychoter Psychosom 1992;58: 161-9.Google Scholar
- 15.Rudd P, Marshall G. Resolving problems of measuring compliance with medication monitors. J Comliance Health Care 1987;2: 23-35.Google Scholar
- 16.Meichenbaum D, Turk DC. Facilitating treatment adherence: a practitioner's guidebook. New York: Plenum Press, 1987.Google Scholar
- 18.Kranegor NA, Epstein L, Johnson SB, Yaffe SJ, eds. Developmental aspects of health compliance behavior. Hillsdale NJ: Laurence Erlbaum ass. 1993;13: 303-19.Google Scholar
- 19.Rand CS, Wise RA. Measuring adherence to asthma medication regimens. Am J Respir Crit Care Med 1994 Feb;149: S69-76.Google Scholar
- 20.Gonder Federick LA, Julian DM, Cox DJ, Clarke WL, Carter WR. Self-measurement of blood glucose. Accuracy of selfreported data and adherence to recommend regimen. Daibetes-Care 1988 Jul-Aug;11(7): 579-85.Google Scholar
- 21.Gong H Jr, Simmons MS, Clark VA, Tashkin DP. metereddose inhaler usage in subjects with asthma: comparison of Nebulizer Chronolog and daily diary recordings. JallergyClin-Immunol 1988 Jul;82(l):5-10.Google Scholar
- 24.Malo Jl, L'Archeveque J, Trudeau C, d'Aquino C, Cartier A. Comment in: J Allergy Clin Immunol 1994 Aug;94(2 Ptl): 273-4. j-Allergy-Clin-Immunol 1993 Mar;91(3):702-9.Google Scholar