8.2

Question 1

Types of non adherence

Answer 1

Rational
Irrational
Intentional
Unintentional

Question 2

Unintentional non adherence

Answer 2

When a patient wants to follow medical advice but some barriers are out of their control( forgetting)

Question 3

Intentional

Answer 3

Patient deliberately does not follow medical advice. Due to beliefs and preference, level of motivation, thinking there is no need

Question 4

What are predictors of Failure to attend appointments(Fta)

Answer 4

Age
Difficulties getting to hospital
Being too ill
Mistrust or fear of hospitals

Question 5

Problems caused by non adherence

Answer 5

Lead to medical problems being unresolved can cause patient becoming vulnerable
Ignoring treatment might lead to more expensive treatment

Question 6

Application to everyday life ( explanations ofnon adherence)

Answer 6

Explanations of non adherence can be applied to real life making it a strength because if you understand that cost and complexity are factors that cause non adherence you can then implement lower costs for example to improve it

Question 7

Cultural differences ( explanations of non adherence)

Answer 7

These explanations don’t take into account cultural differences. Studies don’t take in consideration the difference in medical services among countries and how lower costs can affect adherence to

Answer 8

These explanations don’t take into account cultural differences. Studies don’t take in consideration the difference in medical services among countries and how lower costs can affect adherence

Question 9

Nomothetic vs idiographic

Answer 9

Nomo: strength, explanations will be of benefit to society as a whole and are therefore ethical

Question 10

Rational non adherence

Answer 10

Directly does not follow treatment regime. This act is deliberate and intentional and patient believes they have a good reason for acting this way

Question 11

Health belief model

Answer 11

Looks at factors which influence wether individuals will take preventative action when faced with a potential illness or injury

Question 12

Laba et al

Answer 12

Explored the medication taking decisions that may lead to intentional non adherence behaviour as well as the relative importance of medication specific factors and patient background on those decisions

Question 15

Chanley et al

Answer 15

Establish the acceptance, ease of use, and compliance of the Funhaler device compared to currently used spacer devices in a group of young asthmatic children

Question 16

Self report eval

Answer 16

Cheap and quick can be used on a large number of patients increases ability to generalise any results to target pop

Question 17

Biological measure of adherence?

Answer 17

Urine analysis: Cheap way of collecting and testing for adherence
Blood sampling:

Question 18

Clinical interview eval

Answer 18

Provides rich detailed qualitative data about levels of adherence as well as reason why people aren’t adhering
Weakness that this is time consuming and expensive data gathering method. Researchers might hv limited budget

Question 19

Evaluation of biological methods

Answer 19

Provide objective and visual cue for the patient and doctor about levels of adherence. There is no social desirability from blood tests. Str

Differences in Individual metabolism of the drugs may interfere with how accurate results are. Blood tests are also stressful and not suitable for all

Question 20

Chung and Naya

Answer 20

To electronically assess compliance with oral asthma medication

Question 21

Riekert and Droter

Answer 21

Asses the implications of non participation and incomplete participation in research into treatment adherence for adolescents with diabeties

Question 22

Pill count

Answer 22

Count the number of doses that the patient should have taken then the number of pills within the bottle