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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

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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

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3
Q

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

A

nonadherence

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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

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5
Q

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

A

(treatment) compliance

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6
Q

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

A

noncompliance

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7
Q

TRUE OR FALSE

medication is a form of treatment

A

true

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8
Q

the act of filling new prescriptions or refilling prescriptions on time

A

(medication) adherence

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9
Q

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

A

(medication) compliance

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10
Q

medication adherence and compliance is related to the patient’s

A
  • knowledge
  • confidence
  • motivation
  • expectation
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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
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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
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13
Q

why do patients struggle with medication adherence?

A
  1. access to pharmacy
  2. tracking refills
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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
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15
Q

factors affecting medication adherence and compliance

A
  • socioeconomic
  • condition-related
  • therapy-related
  • patient-related
  • healthcare team
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16
Q

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

A

in-home telemonitoring

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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

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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

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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

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20
Q

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

A

innovative medication packaging

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21
Q

caps that are designed to fit standard drugstore containers

A

smart bottle caps

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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

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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
its data is transferred to a **cloud-based** health record to track adherence, with patients deciding who receives their information
smart pills
26
example of a smart pills
AbilifyMyCite
27
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
mobile apps
28
common methods in evaluating patient medication adherence
1. self-report questionnaires or structured interviews 2. therapeutic drug monitoring (TDM) 3. electronic devices 4. pick-up or refill rates
29
regarded as a convenient, indirect, and efficient method of measuring patient adherence
self-report questionnaires
30
**advantages** of sef-report questionnaires
* easy applicability * low cost
31
a general questionnaire, which can be applied to different chronic diseases
chronic disease compliance instrument (CDCI)
32
the measurement of drug **concentrations in** a patient's body fluids, most commonly **serum and plasma**
therapeutic drug monitoring (TDM)
33
TDM as drug management tool is used to
* adjust doses * drug adherence monitoring * determine doses of difficult-to-dose medication * avoid toxicity
34
aims to promote optimum drug treatment by maintaining serum drug concentration (SDC) **within a therapeutic range**
TDC
35
range of serum drug concentration from a patient who will show an effective and safe response or shows the toxic response
therapeutic range
36
examples of difficult-to-dose medicine
* antibiotics * heart drugs * anti-seizure * drugs for autoimmune disease * drugs for bipolar disorder
37
antibiotics examples
* vancomycin * gentamycin * amakacin
38
heart drugs examples
* digoxin * procainamide * lidocaine
39
anti-seizure drugs examples
* phenytoin * phenobarbital
40
drugs for autoimmune disease examples
* cyclosporine * tacrolimus
41
drugs for bipolar disorder examples
* lithium * valproic acid
42
blood is drawn into a tube containing an anticoagulant; the tube is mixed thoroughly and is **not centrifuged**
whole blood
43
a method for collecting **one drop** of blood on filter paper that involves a simple prick in the finger, toe, or heel
blood-dried blood spot
44
a convenient and flexible tool to collect blood
blood-dried blood spot
45
a suitable matrix to measure asthma medication and anticonvulsants
saliva
46
can assess **wide spectrum of drugs**
blood
47
can assess antiviral drugs ex. HIV
hair
48
detect the presence of **phenobarbital in neonates**
urine
49
can assess **corticosteroid** treatment
sputum eosinophil
50
the **"gold standard"** of adherence measurement
electronic adherence measurement devices
51
help the patient to **handle complex dosing** regimens and dose timings
electronic adherence measurement devices
52
an **electronic pill box** that aids in medication management by providing real-time feedback on the patient's adherence
MedSignals
53
work by constantly collecting data about every drug usage regarding the number of dosages, location, and time
SmartInhaler
54
describe the **number of picked-up prescriptions** as a percent of the total prescribed doses
pick-up rates
55
defined as the **division of the number of days** the drugs have been prescribed by the total calendar days of that period
refill rates

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