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Medicine Year 1 Semester 1 - Part 2 > Common Sense Model Of Treatment > Flashcards

Common Sense Model Of Treatment Flashcards

1
Q

Self regulation

A

Problem solving
Homeostasis
Self-regulation model/concept

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2
Q

Self regulation model/concept

A
  • good health is ‘normal’
  • illness is a problem
  • we are motivated to solve problems

Interpretation
Coping
Appraisal

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3
Q

Representation of illness

A

Identity
Cause
Timeline
Consequences
Cure/control

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4
Q

Why are illness beliefs useful ?

A

Provide patients with a framework for coping with and understanding their illness:

– understand how different people make sense of different illnesses

– predict health behaviours

– change health behaviours

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5
Q

What does treatment of chronic disease require ?

A

Adherence which is vital for optimal treatment outcomes.

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6
Q

What do good treatment outcomes depend on ?

A

Good medical care
Self-management

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7
Q

Adherence

A

Integrating disease as optimally as possible.

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8
Q

Examples of some chronic diseases

A

Asthma
Diabetes
Kidney disease
Coronary heart disease
Cancer
HIV
Haemophilia

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9
Q

Symptoms and Causes of Asthma

A

Recurrent attacks of breathlessness, wheezing.

Swelling of living of bronchial tubes –> narrow the airways and reduces flow of air in/out of lungs

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10
Q

Statistics relating to asthma

A
  • Leading preventable cause of morbidity, mortality & cost
  • Affects 235 million people worldwide (WHO, 2016)
  • Controlled not cured
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11
Q

Treatment of asthma

A

Most children/ young adults with asthma are treated with inhaled steroids.

  • 1st step in preventative therapy
  • Largely safe and effective
  • But, nonadherence is high…
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12
Q

What is a self-management treatment in asthma ?

A

Steroid inhaler

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13
Q

Results of non-adherence in asthma

A

Poor asthma control
Decreased quality of life
Lost productivity
Increased healthcare utilisation
Risk of death

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14
Q

General results of non-adherence

A

Costly to provider and receiver
Wasted resources
Lack therapeutic benefit

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15
Q

Give some examples of factors resulting in non-adherence

A

Side effects of medications
Poor provider-patietn relationship
Missed appointments
Complexity of treatment
Presence of cognitive impairment

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16
Q

Factors affecting appropriate use of medication

A

Ability
Motivation
Beliefs

17
Q

Treatment ability

A

Misunderstanding
Forgetting
Daily schedule difficulties
Physical impairment

18
Q

Treatment motivation

A

Motivation to engage in & Maintain health-related behaviours

19
Q

Treatment beliefs

A

Certain beliefs about medicines are common across locations, cultures, treatment categories (Horne, 1997)

e.g. beliefs that medicines are: - addictive

  • produce long term effects …
20
Q

2 categories of treatment beliefs

A

Necessity
Concerns

21
Q

Necessity

A

Personal need for treatment

22
Q

Concerns

A

Concerns about negative effects of treatment.

Can be concrete, abstract, relevant across range of disease states, cultures.

23
Q

What factor determines adherence ?

A

Perceived necessity determines adherence…more than treatment efficacy

24
Q

Assessment of treatment beliefs

A

Necessity-Concerns framework (BMQ - Beliefs about Medications Questionnaire)

  • Specific necessity scale
  • General harm & general overuse scale
25
Q

BMQ

A

Beliefs about Medications Questionnaire

  • valid and reliable
26
Q

Treatment beliefs
Cost-benefit analyses

A

Personal evaluative summations

necessity beliefs vs concerns
COST-BENEFIT analyses determines ADHERENCE

27
Q

Function of the CSM of treatment

A

Use of CSM helps us understand the process by which treatment beliefs influence adherence

28
Q

Identity

A

Symptom experiences and expectations influence treatment necessity :
– severity of symptoms
– absence of symptoms (e.g. Hypertension)

29
Q

Cause

A

Putative causes of illness may influence need for treatment options:

– changing diet vs taking medication…

30
Q

Timeline and Consequences

A

Perceptions of illness duration and consequences may influence treatment necessity:

– perception of illness as cyclical vs chronic impacts on adherence to preventative medication (e.g. asthma)

31
Q

Control

A

Beliefs about treatment necessity beliefs correlate with beliefs how the illness will be controlled:

– by treatment vs some other behavioural change….

32
Q

Concerns

A

CONCERNS about treatment also comprise beliefs about illness representations.

33
Q

Medication beliefs in asthma study

A

46% pts had doubts about need for preventative inhaler

43% reported concerns about adverse effects

1/3 pts thought doctors overprescribed medicines

17% pts thought medicines in general were harmful

34
Q

MARS

A

Medication
Adherence
Report
Scale

Medicine Year 1 Semester 1 - Part 2 (37 decks)

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