Health Care Analysis

, Volume 6, Issue 4, pp 308–316

Measurement of anticonvulsant adherence behaviour in the community using a medication events monitoring system (MEMS)

  • P. H. Rivers
  • N. Ardagh-Walter
  • E. C. Wright
Original Paper

DOI: 10.1007/BF02678367

Cite this article as:
Rivers, P.H., Ardagh-Walter, N. & Wright, E.C. Health Care Anal (1998) 6: 308. doi:10.1007/BF02678367


The Medication Event Monitoring System (MEMS) is a relatively new device designed to overcome some of the disadvantages of traditional adherence-measuring techniques. MEMS has also been found useful in tracking adherence behaviour without the need to visit patients frequently. In this study each patient was given a pre-filled, labelled MEMS bottle and cap. Patients were monitored for 24 weeks. For patients specifically studied, there were periods when drug levels may have been low and some exhibited erratic medication-taking behaviour. It is concluded that MEMS can measure adherence behaviour objectively, and so might be used to improve prescribing decisions, identify drug wastage and improve carer support. Further research is needed before the routine use of electronic medication monitoring can be recommended.

Copyright information

© John Wiley & Sons, Ltd 1998

Authors and Affiliations

  • P. H. Rivers
    • 1
  • N. Ardagh-Walter
    • 2
  • E. C. Wright
    • 3
  1. 1.School of Health and Community StudiesUniversity of DerbyMickleover, DerbyUK
  2. 2.Department of Health Care of the Elderly, Medical SchoolUniversity HospitalNottinghamUK
  3. 3.Aston Hall HospitalAston-on-TrentUK