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Provider Assessments of Compliance With Zidovudine

Provider Assessments of Compliance With Zidovudine Abstract Recently, Broers and colleagues1 reported that injecting drug users were as compliant with zidovudine as patients with human immunodeficiency virus infection in other risk groups.1 The investigators chose two compliance measures for their study: estimation of compliance by the physician treating the patient and the rise in mean corpuscular volume (MCV) of erythrocytes. Numerous studies over the last 30 years have compared physician assessments of compliance with objective measures such as pill counts or electronic medication monitors and have demonstrated that physicians are inaccurate judges of their patients' compliance.2-6 In these studies, the sensitivity of physician judgments of reduced compliance has ranged from 30% to 65% and specificity from 43% to 68% (likelihood ratios, 0.9 to 1.1).3 Product-moment correlations (Pearson or Spearman r) between physician estimates and compliance as measured by pill counts or electronic medication monitors have ranged from 0.01 to 0.48.24"6 Physicians have References 1. Broers B, Morabia A, Hirschel B. A cohort study of drug users' compliance with zidovudine treatment. Arch Intern Med . 1994;154:1121-1127.Crossref 2. Caron HS, Roth HP. Patients' cooperation with a medical regimen. JAMA . 1968; 203:922-926.Crossref 3. Mushlin AL, Appel FA. Diagnosing potential noncompliance: physicians' ability in a behavioral dimension of medical care. Arch Intern Med . 1977;137: 318-321.Crossref 4. Roth HP, Caron HS. Accuracy of doctors' estimates and patients' statements on adherence to a drug regimen. Clin Pharmacol Ther . 1978;23:361-370. 5. Norell SE. Accuracy of patient interviews and estimates by clinical staff in determining medication compliance. Soc Sci Med . 1981;15E:57-61.Crossref 6. Kass MA, Gordon M, Meltzer DW. Can ophthalmologists correctly identify patients defaulting from pilocarpine therapy? Am J Ophthalmol . 1986;101: 524-530. 7. Haynes RB. Patient compliance then and now. Patient Educ Couns . 1987;10: 103-105.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Provider Assessments of Compliance With Zidovudine

Archives of Internal Medicine , Volume 155 (3) – Feb 13, 1995

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1995.00430030133021
Publisher site
See Article on Publisher Site

Abstract

Abstract Recently, Broers and colleagues1 reported that injecting drug users were as compliant with zidovudine as patients with human immunodeficiency virus infection in other risk groups.1 The investigators chose two compliance measures for their study: estimation of compliance by the physician treating the patient and the rise in mean corpuscular volume (MCV) of erythrocytes. Numerous studies over the last 30 years have compared physician assessments of compliance with objective measures such as pill counts or electronic medication monitors and have demonstrated that physicians are inaccurate judges of their patients' compliance.2-6 In these studies, the sensitivity of physician judgments of reduced compliance has ranged from 30% to 65% and specificity from 43% to 68% (likelihood ratios, 0.9 to 1.1).3 Product-moment correlations (Pearson or Spearman r) between physician estimates and compliance as measured by pill counts or electronic medication monitors have ranged from 0.01 to 0.48.24"6 Physicians have References 1. Broers B, Morabia A, Hirschel B. A cohort study of drug users' compliance with zidovudine treatment. Arch Intern Med . 1994;154:1121-1127.Crossref 2. Caron HS, Roth HP. Patients' cooperation with a medical regimen. JAMA . 1968; 203:922-926.Crossref 3. Mushlin AL, Appel FA. Diagnosing potential noncompliance: physicians' ability in a behavioral dimension of medical care. Arch Intern Med . 1977;137: 318-321.Crossref 4. Roth HP, Caron HS. Accuracy of doctors' estimates and patients' statements on adherence to a drug regimen. Clin Pharmacol Ther . 1978;23:361-370. 5. Norell SE. Accuracy of patient interviews and estimates by clinical staff in determining medication compliance. Soc Sci Med . 1981;15E:57-61.Crossref 6. Kass MA, Gordon M, Meltzer DW. Can ophthalmologists correctly identify patients defaulting from pilocarpine therapy? Am J Ophthalmol . 1986;101: 524-530. 7. Haynes RB. Patient compliance then and now. Patient Educ Couns . 1987;10: 103-105.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Feb 13, 1995

References