Adherence Studies Flashcards

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1
Q

According to Schlenk et al. (2004), what percent of hospital admissions are due to non adherence to medication?

A

10% of hospital admissions were the result of non adherence to medication.

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2
Q

According to McLaughlin et al. (2005) what did non adherence lead to in the elderly?

A

Hospitalisations, re hospitalisations and nursing home admissions are a direct consequence of non-adherence

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3
Q

According to the WHO (2006) what can non adherence lead to?

A

poor medication taking behaviour can lead to serious adverse outcomes or even death.

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4
Q

What did Friske and Kincaid (1992) say?

A

There are Higher non-adherence rates in adults over the age of 75

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5
Q

What did Edelman (1999) say?

A

The older people get, the more likely they are to adhere, until the point of 75, when it declines.

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6
Q

what did Morrel et al (1989) say?

A

Age may be conceptualised as influencing medication adherence through cognitive factors i.e. Younger people feel invincible, old people will die soon anyway
and
Elderly people reported worse prescription information recall

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7
Q

What did Salthouse (1991) say?

A

Older people forget. Working memory declines with age,

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8
Q

what did Charles et al. (2001) say?

A

African Americans were significantly less adherent than their white counterparts when taking Cardiac medications

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9
Q

Rahul et al. (2006) say?

A

African Americans were significantly less adherent than their white counterparts when taking Diabetes Medications`

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10
Q

What did Chen et al. (2014) say ?

A

Male Patients adhere more effectively than female patients.

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11
Q

What did Monteiffel et al. (2014) do/find?

A

They analysed the pharmacy and medical claims of 16 million women and 13.5 million men and found that women were less likely to adhere to the use of chronic medication than men .

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12
Q

What did Nehemtus and Gebur, (2001) find?

A

unemployment generally decreases adherence to medical treatments

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13
Q

What did Kardas et al. (2003) find?

A

Economic factors: unemployment, poverty and lack of medical coverage all contribute to non-adherence as people cannot afford the medication in order to adhere to it.

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14
Q

What did Kalichman et al. (1999) say?

A

individuals seeking treatment for HIV/AIDS were less likely to be adherent if they had a lower education level.

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15
Q

What did Goln et al. 2002 find?

A
It was a Prospective study using HIV infected patients. Found that:
African American ethnicity
Lower income/ education level
Alcohol use
Higher dose frequency 
Adherence aids (Pill boxes/timers)
to all be predictors of low adherence
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16
Q

What did Chesney, (2003) Find?

A

Participants with a current drug or alcohol problem at baseline were less likely to adhere to medications

17
Q

What did Sherbourne et al. (1992) find?

A

People who were younger and relied upon avoidant coping strategies adhered less

People who were distressed about their health used avoidant coping strategies

Social support contributed to adherence in patients with diabetes

18
Q

What did DiMatteo et al. (2004) find?

A

Adherence is 1.75 times higher in patients with COHESIVE families/ 1.53 times lower in CONFLICTING families. Marital status and living together also increased adherence.

19
Q

What did O’brien et al. (1992) say?

A

Doctor patient relationship can improve adherence

20
Q

What did NHS employers (2016) say?

A

65% of consultants are male, and 55% of all medical and dental staff are also