Features Of Adherence To Medical Regimes Flashcards
What was the method used in Bulpitt?
Review article, uses qualitative approach.
What was the procedure in Bulpitt?
Statistical analysis of physical and psychological effects of medical adherence to medication e.g work, hobbies
What were the results in Bulpitt?
In curb et al, 8% patients dropped out, sexual problems
Anti-hypertension medication can effect, sleepiness, dizziness, lack sexual function, men
What was the conclusion in Bulpitt?
When the costs eg side effects, outweigh the benefits, hypertension, less likelihood of adherence.
What was the aim of Lustman?
See if there’s a link between depression and non-adherence In diabetic patients.
What method was used in Lustman?
Randomised, controlled double blind
Who were the participants in Lustman?
60 type 1or 2 diabetics, diagnosed with depression
Volunteer sample
What was the procedure in Lustman?
Pps randomly assigned either fluoxetine or identical pills.
Psychometric tests to measure depression, adherence to regime measured in blood sugar levels
After 8 weeks real fluoxetine far healthier glucose
What were the results for Lustman?
Fluoxetine had lower depression levels.
If depression medicated, more likely to adhere.
Fluoxetine group, lower GHb, improved adherence.
What were the conclusions in Lustman?
Greater adherence from the less depressed.
Not being anxious or depressed improves compliance with medical requests
What was the aim in Watt?
See if using a funhaler can improve children’s adherence to medical regimes.
What was the method in Watt?
Experiment
Who were the participants in Watt?
32 Australian children, 10 boys, 22 girls, aged 1.5-6.
Diagnosed with asthma+prescribed drugs
Full parental consent
What was the procedure for Watt?
Repeated measures design, normal inhaler first week, parents answered Q.
Second week was funhaler, parents similar Q, matched Q’s
What were the results in Watt?
38% parents more likely to medicate child on previous day from funhaler than normal treatment.
