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Objectives: Medication non-adherence is an important factor in clinicalpractice and research methodology. There have been many methods of measuringadherence yet no recognized standard for adherence. Here we conduct a softwarestudy of the usefulness and efficacy of a mobile phone app to measuremedication adherence using photographs taken by a phone app of medications andself-reported health measures.  Results: The participants were asked by the app 'would help to keep track ofyour medication', their response indicated 92.9% felt the app 'would you usethis app every day' to improve their medication adherence. The subjects werealso asked by the app if they 'would photograph their pills on a daily basis'.Subject responses indicated 63% would use the app on a daily basis. By usingthe data collected, we determined that subjects who used the app on daily basiswere more likely to adhere to the prescribed regimen.  Conclusions: Pill photographs are a useful measure of adherence, allowingmore accurate time measures and more frequent adherence assessment. Given theubiquity of mobile telephone use, and the relative ease of this adherencemeasurement method, we believe it is a useful and cost-effective approach.However we feel the 'manual' nature of using the phone for taking a photographof a pill has individual variability and an 'automatic' method is needed toreduce data inconsistency.

Pill Identification using a Mobile Phone App for Assessing Medication Adherence and Post-Market Drug Surveillance