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Memory complaints moderate the concordance between self-report and electronically monitored adherence in adults with type 2 diabetes.

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Memory complaints moderate the concordance between self-report and electronically monitored adherence in adults with type 2 diabetes. Journal of diabetes and its complications Shapira, A., Kane, N. S., Tanenbaum, M. L., Hoogendoorn, C. J., Gonzalez, J. S. 2022: 108205

Abstract

AIMS: We examined the impact of memory complaints on the concordance between self-report (SR) and electronically monitored (EM) medication adherence, independent of depression symptoms, among adults with type 2 diabetes (T2D).METHODS: Adults (N=104, age=56.6±9.2; 64% female) completed a prospective and retrospective memory questionnaire (PRMQ) and a depression symptom interview at baseline. EM was tracked over 3months and participants rated adherence using SR. Multiple linear regression evaluated PRMQ as a moderator of the relationship between EM and SR, adjusting for depression and other covariates.RESULTS: PRMQ was correlated with lower SR (r=-0.31, p=0.001), but not with EM. PRMQ moderated the relationship between SR and EM, independent of depression symptoms. At low levels of PRMQ, SR and EM were closely related (beta=0.76, p<0.001); at high levels of PRMQ the relationship was weaker (beta=0.28, p=0.02). Participants who under-reported their adherence (SR

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