title: Use of electronic monitoring in clinical nursing research.
abstract: In the past decade, the introduction of electronic monitoring systems for monitoring medication adherence has contributed to the dialog about what works and what does not work in monitoring adherence. The purpose of this article is to describe the use of the Medication Event Monitoring System (MEMS) in a study of patients receiving isoniazid for latent tuberculosis infection. Three case examples from the study illustrate the data that are obtained from the electronic device compared to self-reports and point to the disparities that may occur in electronic monitoring. The strengths and limitations of using the MEMS and ethical issues in utilizing this technology are discussed. Nurses need to be aware of these challenges when using electronic measuring devices to monitor medication adherence in clinical nursing practice and research.
authors.affiliation: School of Nursing and Health Studies, Georgetown University, Washington, DC, USA.
authors.forename: Rita L
authors.initials: RL
authors.lastname: Ailinger
authors.forename: Patricia L
authors.initials: PL
authors.lastname: Black
authors.forename: Natalie
authors.initials: N
authors.lastname: Lima-Garcia
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D015982:Bias; D015400:Clinical Nursing Research / Q000941:ethics / Q000379:methods*; D003625:Data Collection / Q000941:ethics / Q000379:methods; D016903:Drug Monitoring / Q000941:ethics / Q000379:methods* / Q000451:nursing; D004358:Drug Therapy / Q000451:nursing / Q000523:psychology / Q000706:statistics & numerical data*; D004360:Drug Therapy, Computer-Assisted / Q000379:methods; D004581:Electronics / Q000941:ethics / Q000379:methods*; D005260:Female; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D008297:Male; D024802:Nurse's Role; D009730:Nursing Assessment / Q000941:ethics / Q000379:methods; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data*; D012107:Research Design; D016037:Single-Blind Method; D014376:Tuberculosis / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents; D007538:Isoniazid