8.1 Flashcards
What does rational non-adherence mean?
Rational non-adherence means that a patient directly refuses to follow a treatment regime, believing they have a valid reason for their choice.
What are some reasons for rational non-adherence according to Sarafino (2006)?
- Believing that the medication is not helping
- Feeling that side effects outweigh the benefits
- Confusion about how to take the medication
- Lack of money to buy medication
- Wanting to see if they still have the illness after stopping medication
What percentage of men stopped taking hypertension medication due to sexual problems according to Bulpitt and Fletcher (1988)?
Eight percent of men stopped taking the medication due to sexual problems.
What factors influence whether individuals will take preventative action according to the health belief model?
- Perceived seriousness of the problem
- Perceived susceptibility
- Cues to action
- Perceived benefits and barriers
What does perceived seriousness refer to in the health belief model?
Perceived seriousness refers to how serious the health problem is considered to be if left untreated.
What is perceived susceptibility?
Perceived susceptibility is how likely an individual thinks they are to develop a health problem.
What are cues to action in the context of the health belief model?
Cues to action can include reminders of appointments or advertisements that encourage individuals to seek medical advice.
What should individuals weigh against the barriers of following a treatment path?
Individuals should weigh the barriers against the benefits of following the treatment, such as improved health.
True or False: Rational non-adherence is always a negative behavior.
False
Fill in the blank: According to Bulpitt and Fletcher (1988), 15 percent of patients stopped taking hypertension medication due to tiredness, sexual problems, and _______.
gout
What are subjective measures in health psychology?
Subjective measures include self-reports where patients complete questionnaires about their adherence to treatment plans.
What is the Medication Adherence Report Scale (MARS)?
MARS is a 10-item questionnaire with a forced choice format asking for yes/no answers, originally designed to measure adherence to medication for schizophrenia.
(Unni et al., 2019)
What is one strength of using questionnaires for adherence evaluation?
They are cheap and quick to administer to a large number of patients, increasing the ability to generalize results.
What is a weakness of using self-report questionnaires?
They can lack reliability as they rely on a patient’s memory, which may not be accurate.
How can validity issues in self-reports be overcome?
By combining self-reports with biological methods such as blood tests.
What is a clinical interview?
A dialogue between patient and clinician to gain information for diagnosis and treatment, focused on establishing levels of adherence.
What is a semi-structured clinical interview?
It includes predetermined questions, often open-ended, allowing for in-depth questioning based on patient responses.
What is the Medical Adherence Measure (MAM)?
MAM is a semi-structured clinical interview designed to elicit detailed responses about adherence, including questions about diet, medication, and clinic attendance.
What is a strength of the clinical interview?
It provides detailed qualitative data about adherence levels and reasons for non-adherence, increasing validity and usefulness.
What is a weakness of the clinical interview compared to questionnaires?
It is time-consuming and expensive, which may lead to smaller sample sizes and higher dropout rates.
