lecture 16:

Question 1

treatment adherence

Answer 1

extent to which a persons behaviour corresponds with agreed recommendatiosn for hlthcr provider

Question 2

three types of non-adherence

Answer 2

• unintentional (passive: careless, forget, poor health literacy, complexity)
• intentional (active: cost, side effects, belief)
• creative (modification/supplementation: dosing, supplements/OTCs, saving or sharing)

Question 3

assess non-adherence

Answer 3

• subjective self reports
• objective (reocrds, counting pills, biochemical, etc.)

Question 4

importance of adherence to healthcare context

Answer 4

• liked to clinical outcomes (increase mortality rates)
• more adherent patiend often experience fewer symptoms and improved QOL
• non adherence costs a buch because medication is wasted or unnessary testing or personal patient cost

Question 5

5 dimensions of adherence

Answer 5

1. social and econoic factors
2. health system factors
3. condition related factors
4. therapy related factors
5. patient related factors

Question 6

social and economic related factors to non adherence

Answer 6

• cost (medication, GP, or transport or off work)
• lack of social support
• language barriers

Question 7

health system factors to non adherence

Answer 7

• accessibility
• cost
• wait time
• availability
• provider-patient relationship

Question 8

condition factors to non adherence

Answer 8

• symptoms
• nature of disease (chronic condition lack physical symptoms to remind patient)
• comorbidities

Question 9

therapy factors to non adherence

Answer 9

• complexity (number, technique, lifestyle interference)
• side effects

Question 10

patient factors to non adherence

Answer 10

• physical (impairments of senses or mobility)
• psychological factors (literacy, perceived risk/benefit, stressors)

Question 11

potential strategies to improve adherence

Answer 11

• communicate
• support person
• shared decision making
• keep simple
• schedule checkins
• consider other options, co-morbidities
• telemedicine