Autori u članku na temelju životnih priča kazivača, koji su rodbinskim vezama bili povezani sa Slovenijom, i arhivskih izvora (matičnih knjiga umrlih i vjenčanih sedam rimokatoličkih i dvije ...grkokatoličke župe uz hrvatsko-slovensku granicu u Karlovačkoj županiji) donose prikaz života pograničnog stanovništva uz rijeku Kupu i na Žumberačkom gorju prije 1991. godine. U članku je poseban naglasak dan na pojedinim etnološkim elementima povezivanja, a koji su bili temelj za zaključivanje o suživotu promatranog prostora. Kao zaključak može se izreći da je suživot u prošlosti bio bogat, a problemi nakon osamostaljenja nastali
su tamo gdje je povezivanje bilo najintenzivnije. Autori zaključuju da je u prošlosti, na promatranom prostoru postojao specifičan lokalni identitet koji se temelji na višeslojnim povijesnim suodnosima.
Rad prikazuje osnivanje i djelovanje slovenskih društava na prostoru Hrvatske između dva svjetska rata. Dosadašnjim istraživanjima ustanovljeno je djelovanje 15 slovenskih društava, od čega ih je ...najviše osnovano u Zagrebu (12). Osim u Zagrebu, slovenska su društva evidentirana i u drugim hrvatskim mjestima: Karlovcu, Osijeku, Slavonskom Brodu i Sušaku (Rijeka). Društva djeluju u dva smjera: prosvjetno i kulturno. Prema načinu djelovanja, vidljivo je da su slična drugim slovenskim društvima koja su slovenski imigranti osnivali po europskim državama, ali imaju i neke karakteristike znakovite upravo za prostor “unutrašnje dijaspore”, odnosno Hrvatsku. Osim samog djelovanja tih društava i socijalne strukture, koja je vidljiva iz popisa članova, svakako je potrebno naglasiti da imaju još jednu važnu ulogu, a to je da su bitan izvor u istraživanjima i sustavnom prikupljanju podataka o nekoj manjinskoj skupini, u ovom slučaju slovenskoj manjini u Hrvatskoj.
The purpose of this study was to determine the extent of agreement between adherence measures obtained using two technological interventions, electronic monitoring (EM) and a smartphone application ...(App).
Clinicians, patients, and researchers depend on valid measurements of medication adherence to inform the delivery of preemptive care when needed. Technology is routinely used for monitoring medication adherence in both clinical practice and research, yet there is a dearth of research comparing novel App based approaches to traditional approaches used for assessing medication adherence.
Adherence rates were captured on both the EM and the App for 3697 daily observations from 44 participants with acute coronary syndrome over 90 days immediately following discharge from acute care. For EM, adherence was measured using EM equipped pill bottles. For the App, adherence was measured by having participants upload daily photos to the App prior to taking their daily aspirin. Agreement was assessed using a Bland-Altman analysis.
The mean adherence rate was higher on the App, 92%, than the EM, 78% (p < 0.001). The mean difference in adherence rates between these methods was 14% (95% Confidence Interval: −23%, −5%).
These findings illustrate a lack of agreement between technological interventions used for measuring adherence in cardiovascular patient populations, with higher adherence rates observed with the App compared to EM. These findings are salient given the increased reliance on telehealth due to the ongoing COVID-19 pandemic.
•Valid measurements of medication adherence are needed to inform the delivery of preemptive care.•Few studies have compared novel App based approaches to traditional approaches to assess medication adherence.•The mean adherence rate was higher on the App (92%) than the electronic monitoring (EM) device (78%) (p < 0.001).•The 14% difference suggests the App is an accurate method for measuring medication adherence and potentially better than EM.
IntroductionValid measurements of medication adherence are essential in clinical research. Numerous methods for measuring adherence exist, but electronic monitoring (EM) is currently considered the ...gold standard. The purpose of this study was to compare EM measurement to that of a smartphone application (app) to determine if the measures are comparable.MethodsThis was a secondary analysis of data from a randomized controlled trial of a behavioral economics-based telehealth intervention delivered by a smartphone app. Acute coronary syndrome (ACS) patients were enrolled from a hospital in the northeastern US and randomized to intervention or control arms. Daily medication adherence was monitored for 3 months after hospital discharge. Daily financial incentives were provided to individuals for photographing themselves taking their medication in the app. In this analysis, only those in the intervention arm who had both EM and app-based medication adherence data were examined. Differences in adherence rates between methods were calculated (EM - App) and plotted against the mean adherence of the two methods, per subject, in a Bland Altman Plot.ResultsOf the 44 participants in this sample 56% were male, 39% African American, and the average age was 59 (SD 10) years. The mean adherence rates were 78% (SD 27%) using EM and 92% (SD 17%) using the app. The mean (95% CI) difference between methods was -13.5% (-22.5%, -4.5%), with levels of agreement ranging from -71.8% (-87.5%, 56.1%) to 44.8% (29.1%, 60.4%). The negative coefficient of the mean difference in adherence rates between methods suggest that EM underestimated medication adherence compared to the app.ConclusionsThe two methods compared are not interchangeable as measures of medication adherence. These patients appear to have used the app more routinely than the EM device.
