학술논문

Predictors of Adherence in the Women's Health Initiative Calcium and Vitamin D Trial.
Document Type
Article
Source
Behavioral Medicine. Winter2009, Vol. 34 Issue 4, p145-155. 11p. 3 Charts.
Subject
*CLINICAL trials
*VITAMIN D
*CALCIUM
*PILLS
*PLACEBOS
Language
ISSN
0896-4289
Abstract
The authors analyzed data from the Women's Health Initiative (WHI) Calcium and Vitamin D Supplementation Trial (CaD) to learn more about factors affecting adherence to clinical trial study pills (both active and placebo). Most participants (36,282 postmenopausal women aged 50-79 years) enrolled in CaD 1 year after joining either a hormone trial or the dietary modification trial of WHI. The WHI researchers measured adherence to study pills by weighing the amount of remaining pills at an annual study visit; adherence was primarily defined as taking ≥⃒ 80% of the pills. The authors in this study examined a number of behavioral, demographic, procedural, and treatment variables for association with study pill adherence. They found that relatively simple procedures (ie, phone contact early in the study [4 weeks post randomization] and direct social contact) later in the trial may improve adherence. Also, at baseline, past pill-use experiences, personal supplement use, and relevant symptoms may be predictive of adherence in a supplement trial. [ABSTRACT FROM AUTHOR]