adherence and compliance Flashcards

1
Q

the extent to which a person’s behavior — taking medication following a diet, and/or executing lifestyle changes — corresponds with the agreed recommendations from a healthcare provider

A

(treatment) adherence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

an active choice of patients to follow through with the prescribed treatment while taking responsibility for their own well-being

A

(treatment) adherence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

defined as gaps that occur because of unilateral and intentional decisions to alter therapy

A

nonadherence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

the degree to which the patient conforms to medical advice about lifestyle and dietary changes as well as to keeping appointments for follow up and taking treatment as prescribed

A

(treatment) compliance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

a passive behavior in which a patient is following a list of instructions from the doctor

A

(treatment) compliance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

defined as gaps that occur for unintentional reasons (or factors beyond the patient’s control)

A

noncompliance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

TRUE OR FALSE

medication is a form of treatment

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

the act of filling new prescriptions or refilling prescriptions on time

A

(medication) adherence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the act of taking medication on schedule or taking medication as prescribed

A

(medication) compliance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

medication adherence and compliance is related to the patient’s

A
  • knowledge
  • confidence
  • motivation
  • expectation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

being adherent and compliant to the
medication will lead to the following

A
  • enhanced patient safety
  • decreased health care costs
  • improved long-term therapies and outcomes
  • good investment for tackling chronic conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

poor medication adherence and compliance can lead to issues including:

A
  • disease progression and complication
  • reduced functional abilities and quality of life
  • additional medical costs
  • medication changes
  • morbidity and death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

why do patients struggle with medication adherence?

A
  1. access to pharmacy
  2. tracking refills
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

why do patients struggle with medication compliance?

A
  1. fear of side effects
  2. no signs of improvement or signs of significant improvement
  3. poor tracking
  4. lack of understanding of patients on their medication
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

factors affecting medication adherence and compliance

A
  • socioeconomic
  • condition-related
  • therapy-related
  • patient-related
  • healthcare team
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

monitors medication adherence in high-risk patients using remote patient monitoring programs

A

in-home telemonitoring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

TRUE OR FALSE

in in-home telemonitoring, nursing personnel can also access a patient’s data, or to the doctor via a secure website

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

if the readings fall outside of the range specified, who can can be notified to take appropriate action?

IN-HOME TELEMONITORING

A

physician or another healthcare provider

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

allow patients to keep track of their own vital signs, such as pulse, weight, blood pressure, blood sugar, or oxygen level— daily, as prescribed by their doctor

A

in-home telemonitoring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

designed to assist patients in managing multiple medications through convenient packaging, modern technology, and personalized service

A

innovative medication packaging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

caps that are designed to fit standard drugstore containers

A

smart bottle caps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

the lids register when they are removed and log each event in an app, allowing specialty pharmacists and care coordinators to monitor the patient in real-time and contact the patient if there is a problem

A

smart bottle caps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

example of an innovative medication packaging

A

PillPack

by amazon pharmacy

24
Q

contain sensors that detect ingestion and send a signal to a wearable patch

A

smart pills

25
Q

its data is transferred to a cloud-based health record to track adherence, with patients deciding who receives their information

A

smart pills

26
Q

example of a smart pills

A

AbilifyMyCite

27
Q

through this, patients are reminded to take their medications on a regular basis, patients and pharmacists are connected for collaborative care, and notifications are sent to a patient’s family and friends if prescribed medications are not taken

A

mobile apps

28
Q

common methods in evaluating patient medication adherence

A
  1. self-report questionnaires or structured interviews
  2. therapeutic drug monitoring (TDM)
  3. electronic devices
  4. pick-up or refill rates
29
Q

regarded as a convenient, indirect, and efficient method of measuring patient adherence

A

self-report questionnaires

30
Q

advantages of sef-report questionnaires

A
  • easy applicability
  • low cost
31
Q

a general questionnaire, which can be applied to different chronic diseases

A

chronic disease compliance instrument (CDCI)

32
Q

the measurement of drug concentrations in a patient’s body fluids, most commonly serum and plasma

A

therapeutic drug monitoring (TDM)

33
Q

TDM as drug management tool is used to

A
  • adjust doses
  • drug adherence monitoring
  • determine doses of difficult-to-dose medication
  • avoid toxicity
34
Q

aims to promote optimum drug treatment by maintaining serum drug concentration (SDC) within a therapeutic range

A

TDC

35
Q

range of serum drug concentration from a patient who will show an effective and safe response or shows the toxic response

A

therapeutic range

36
Q

examples of difficult-to-dose medicine

A
  • antibiotics
  • heart drugs
  • anti-seizure
  • drugs for autoimmune disease
  • drugs for bipolar disorder
37
Q

antibiotics examples

A
  • vancomycin
  • gentamycin
  • amakacin
38
Q

heart drugs examples

A
  • digoxin
  • procainamide
  • lidocaine
39
Q

anti-seizure drugs examples

A
  • phenytoin
  • phenobarbital
40
Q

drugs for autoimmune disease examples

A
  • cyclosporine
  • tacrolimus
41
Q

drugs for bipolar disorder examples

A
  • lithium
  • valproic acid
42
Q

blood is drawn into a tube containing an anticoagulant; the tube is mixed thoroughly and is not centrifuged

A

whole blood

43
Q

a method for collecting one drop of blood on filter paper that involves a simple prick in the finger, toe, or heel

A

blood-dried blood spot

44
Q

a convenient and flexible tool to collect blood

A

blood-dried blood spot

45
Q

a suitable matrix to measure asthma medication and anticonvulsants

A

saliva

46
Q

can assess wide spectrum of drugs

A

blood

47
Q

can assess antiviral drugs ex. HIV

A

hair

48
Q

detect the presence of phenobarbital in neonates

A

urine

49
Q

can assess corticosteroid treatment

A

sputum eosinophil

50
Q

the “gold standard” of adherence measurement

A

electronic adherence measurement devices

51
Q

help the patient to handle complex dosing regimens and dose timings

A

electronic adherence measurement devices

52
Q

an electronic pill box that aids in medication management by providing real-time feedback on the patient’s adherence

A

MedSignals

53
Q

work by constantly collecting data about every drug usage regarding the number of dosages, location, and time

A

SmartInhaler

54
Q

describe the number of picked-up prescriptions as a percent of the total prescribed doses

A

pick-up rates

55
Q

defined as the division of the number of days the drugs have been prescribed by the total calendar days of that period

A

refill rates