{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T06:14:07Z","timestamp":1764828847187,"version":"3.37.3"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:00:00Z","timestamp":1614729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"European Union\u2019s Horizon 2020"},{"name":"Personalizing Health and Care","award":["634886"],"award-info":[{"award-number":["634886"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Suboptimal medication adherence is a serious problem in the treatment of chronic inflammatory diseases. To measure medication adherence, electronic monitoring is regarded as superior to pill count. GLORIA is an ongoing two-year trial on the addition of low-dose (5\u2009mg\/d) prednisolone or placebo to standard care in older people (65+ years) with RA. During the entire trial, adherence is measured with electronic caps, and with pill counts. The objective is to describe medication adherence patterns, and to compare the adherence results of the two methods.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The recorded adherence patterns of patients (blinded for treatment group) were classified according to descriptive categories. The cutoff for good adherence was set at 80% of prescribed pills taken.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Trial inclusion closed in 2018 at 451 patients, but trial follow-up is ongoing; the current dataset contains adherence data of 371 patients. Mean number of recorded 90-day periods per patient was 4 (range 1\u20138). Based on pill count over all periods, 90% of the patients had good adherence; based on cap data, only 20%. Cap data classified 30% of patients as non-user (&amp;lt;20% of days an opening) and 40% as irregular user (different adherence patterns, in or between periods).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>In our trial of older people with RA, the majority appeared to be adherent to medication according to pill count. Results from caps conflicted with those of pill counts, with patterns suggesting patients did not use the bottle for daily dispensing, despite specific advice to do so.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial registration<\/jats:title>\n                  <jats:p>NCT02585258. ClinicalTrials.gov (https:\/\/www.clinicaltrials.gov\/)<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/rheumatology\/keab207","type":"journal-article","created":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T12:33:00Z","timestamp":1614601980000},"page":"5239-5246","source":"Crossref","is-referenced-by-count":11,"title":["Medication adherence in older people with rheumatoid arthritis is lower according to electronic monitoring than according to pill count"],"prefix":"10.1093","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4583-962X","authenticated-orcid":false,"given":"Linda","family":"Hartman","sequence":"first","affiliation":[{"name":"Amsterdam Rheumatology and Immunology Center, Amsterdam UMC, Location VUmc"},{"name":"Epidemiology & Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands"}]},{"given":"Maurizio","family":"Cutolo","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, University of Genoa, Genoa, Italy"}]},{"given":"Reinhard","family":"Bos","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Medical Center Leeuwarden, Leeuwarden, The Netherlands"}]},{"given":"Daniela","family":"Opris-Belinski","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Rheumatology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania"}]},{"given":"Marc R","family":"Kok","sequence":"additional","affiliation":[{"name":"Department of Rheumatology and Clinical immunology, Maasstad Hospital, Rotterdam"}]},{"given":"Hanneke (J) R M","family":"Griep-Wentink","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Antonius Hospital, Sneek"}]},{"given":"Ruth","family":"Klaasen","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Meander Medical Center, Amersfoort"}]},{"given":"Cornelia F","family":"Allaart","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Leids University Medical Center, Leiden"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7020-5798","authenticated-orcid":false,"given":"George A W","family":"Bruyn","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Reumakliniek Flevoland, Lelystad"}]},{"given":"Hennie G","family":"Raterman","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Northwest Clinics, Alkmaar"}]},{"given":"Marieke J H","family":"Voshaar","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, Radboud University, Nijmegen"},{"name":"Tools Patient Empowerment, Amsterdam, The Netherlands"}]},{"given":"Nuno","family":"Gomes","sequence":"additional","affiliation":[{"name":"Exatronic, Aveiro, Portugal"}]},{"given":"Rui M A","family":"Pinto","sequence":"additional","affiliation":[{"name":"Bluepharma, Ind\u00fastria Farmac\u00eautica, S.A, Coimbra, Portugal"}]},{"given":"L Thomas","family":"Klausch","sequence":"additional","affiliation":[{"name":"Epidemiology & Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands"}]},{"given":"Willem F","family":"Lems","sequence":"additional","affiliation":[{"name":"Amsterdam Rheumatology and Immunology Center, Amsterdam UMC, Location VUmc"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6969-283X","authenticated-orcid":false,"given":"M","family":"Boers","sequence":"additional","affiliation":[{"name":"Amsterdam Rheumatology and Immunology Center, Amsterdam UMC, Location VUmc"},{"name":"Epidemiology & Data Science, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands"}]}],"member":"286","published-online":{"date-parts":[[2021,3,3]]},"reference":[{"volume-title":"Adherence to long-term therapies: evidence for action","year":"2003","author":"Sabat\u00e9","key":"2021110402580576600_keab207-B1"},{"key":"2021110402580576600_keab207-B2","doi-asserted-by":"crossref","first-page":"304","DOI":"10.4065\/mcp.2010.0575","article-title":"Medication adherence: WHO 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