G543 - Reasons for non-adherence - Bulpitt Flashcards
What was the method?
A review article of research identifying problems with taking medication for hypertension with significant side-effects.
What was the aim of Bulpitt’s study on reasons for non-adherence?
To review research on adherence in hypertensive patients.
What is hypertension?
High blood pressure
Procedure…
Statistical analysis of physical and psychological effects of medication for hypertension.
What can anti-hypertension medication have the effect of?
Sleepiness, dizziness, lack of sexual functioning in men and cognitive functioning.
What statistic was found in curb et al’s study in 1985?
8% of patients dropped out due to sexual problems.
What did research by the Medical Research Council in 1981 find?
As much as 15% dropped out due to problems arising from side-effects.
Conclusions…
When the costs of taking medication outweigh the benefits of treating a mainly asymptomatic problem such as hypertension, the likelihood of the patient adhering to the treatment decreases.
Why is this study deterministic?
It assumes that our own thoughts do not effect the situation, down to cost-benefit analysis of meds vs side effects
Why is this study reductionist?
It assumes that all non-adherence is due to the cost of side effects outweighing the benefits of the treatment
