Health Treatment Adherence Flashcards
Define adherence.
The extent to which a person’s behaviour (taking medication, following a diet, executing lifestyle changes) corresponds with agreed recommendations from a health care provider.
Describe the difference between adherence and compliance.
Compliance is obedience.
List the forms of non-adherence
Not attending/coming late to appointments
Not initiating a recommended treatment
Not taking medication as prescribed
Terminating the treatment prematurely
Variability in adherence (‘regimen holiday”)
What factors influence adherence according to the COM-B model?
Capability
Opportunity
Motivation
Behaviour
What factors affect adherence according to WHO?
Social and economic Health care system Condition related Therapy related Patient related
What are examples of social/economic factors affecting adherence?
Inability/difficulty accessing pharmacy
Cultural & lay beliefs about illness/treatment
Elder abuse
List examples of health care system factors affecting adherence.
Provider communication skills
Long wait times
Lack of continuity of care
Name examples of condition related factors affecting adherence.
Lack of symptoms
Depression - learned helplessness
Mental retardation/developmental disability
List examples of therapy related factors affecting adherence.
Lack of immediate benefit of therapy
Medications with social stigma attached to use
Actual/perceived unpleasant side affects
Name examples of patient related factors influencing adherence.
Expectations/attitudes towards treatment
Online information-seeking behaviour
Alcohol/substance abuse
Swallowing problems
Describe the differences between non-intended non-adherence vs intended non-adherence.
Non-intended non-adherence = forgetting
Intended non-adherence
List the clinical strategies needed to manage adherence.
- Readiness to begin the treatment
Assess past adherence patterns & current beliefs/concerns about treatment
Discuss pros/cons of initiating treatment
Patient rate confidence in carrying out treatment
Identify barriers & tailor treatment plan
Stages of change
List the clinical strategies needed to manage adherence
- treatment-related knowledge
Educating the patient Simple, understandable language Visual aids Information in written form Assess comprehension Patient demonstrate proficiency
List the clinical strategies needed to manage adherence
- Adherence skills
Prompts/reminders & teaching how to use
Problem-solving skills
Health related communication skills
List the clinical strategies needed to manage adherence
- Resources and support
Referring to other health professionals for support
Increasing social support
Increased contact with health support
Support groups/individual counselling
