adherence

Question 1

what is the definition of adherence?

Answer 1

adherence = behavior

the extent to which a person’s behavior corresponds with agreed recommendations from a health care provider =

Question 2

what is the difference between compliance, adherence and concordance?

Answer 2

compliance = extent to which patient’s behaviour coincides with the clinical prescription

adherence = extentio to which behavior coincides with healthcare professionals agreed upon recommendations

concordance = extent to which the patient and the healthcare provider agree on the nature of the condiiton and need for treatment

Question 3

that are the three essential elements of adherence?

Answer 3

1. initiation = when the first dose is taken
2. implementation - the extent to which the dose taken corresponds to the prescribed dose
3. persistence= the length of time between initiation and discontinuation

Question 4

what are the 5 main causes of non-adherence?

Answer 4

1. condition related factors - chronic or acute? severe?
2. therapy related factors - longer duration/frequent changes?
3. health system related factors - poorly developed services?
4. social/economic factors - illiteracy? unemployment?
5. patient related factors - age, gender, social class

Question 5

what are the two types of non-adherence?

Answer 5

unintentional - forgetting etc

intentional - choosing not to adhere

Question 6

what beliefs/cognitions can contribute to non-adherence?

Answer 6

beliefs about condition - causes, timeline/duration, consequences (see common sense model of illness)

beliefs about treament - not believing treatments worth it

beliefs about necessity?- weigh pros and cons of treatment

Question 7

what are the 3 stategies to maximise adherence?

Answer 7

1. understanding - of the condition and its treatment
2. memory - for information given
3. satisfaction - with the process of treatment