Compliance and Adherence

Question 1

What is compliance?

Answer 1

Compliance is the act of agreeing with a demand or a proposal. It suggests a passive approach by the patient.

Question 2

What is adherence?

Answer 2

Adherence is the degree to which a person’s behaviour coincides with medical advice. It requires the patient’s agreement with the recommendations

Question 3

What is motivation?

Answer 3

Motivation refers to the stimulus that induces a person to adopt a specific behaviour (intrinsic or extrinsic).

Question 4

What is the Cognitive hypothesis model of compliance (Ley,1981;1989)?

Answer 4

Patient satisfaction with the consultation
Understanding of information provided
Recall of information

Question 5

What are 5 factors that affect adherence?

Answer 5

Social and Economic
Healthcare systems
Condition related
Therapy related
Patient related

Question 6

What are Constraints affecting exercise compliance?

Answer 6

Attitudinal - challenge level unequal to patient skill level.
Communicative - poor communication with the patient.
Economic - lack of financial resources.
Experiential past negative experience with service or exercise.
Health constraints – real / perceived.
Lack of support – family / friends to assist with exercise.
Lack of physical resources in the community – facilities / equipment.
Temporal barriers – real / perceived no time to conduct a proposed activity.
Choice - the patient is not part of the goal setting procedure.