6B. Adherence to Treatment

Question 1

define adherence

Answer 1

EXTENT….BEHAVIOUR…. agreed recommendations.

the extent to which a person’s behaviour – taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider

Question 2

Recall 5 consequences of non-adherence

Answer 2

"Compliance Really Makes Results Advantageous"
Increased hospital admissions
Transplant rejections
Complications
Drug resistance
Increased mortality

Overall= more mortality leads to more costs to healthcare system

Question 3

Recall 5 ways of improving adherence to treatment

Answer 3

“BASIS of improving adherence”
B-beliefs - identify and modify and improve their understanding of the illness and treatment
A - Ask/check their understanding
S- simplify - the regime
I - Interaction - improve it
S - Significant others - get them involved

Question 4

What factors could influence patient’s adherence to treatment?

Answer 4

COM-B model- Capability, motivation and opportunity.

Belief’s about illness- identity, causes of illness, consequences it and timeline (how long will it last).
Belief’s about treatment Necessity of taking drug vs concerns of side effects

Beliefs on treatment and illness are THE MOST IMPORTANT FACTOR OF ADHERENCE

Question 5

Give an example of a programme that has worked to improve adherence

Answer 5

text message sent to patients to remind them to take drugs