living with Chronic Ilness

Question 1

Definition of Adherence

Answer 1

A person’s ability and willingness to follow recommended health practices

Question 2

Ways of measuring adherence

Answer 2

Ask the practitioner
Ask the patient – interviews, self-report measures Ask other people
Monitor medication usage
Examine biomedical evidence
Use a combination of procedures

Question 3

Factors that Predict Adherence

Answer 3

Severity of disease
Treatment characteristics: side effects and treatment complexity
Personal characteristics: age, gender, personal beliefs
Cultural norms
Health care provider and patient relationship

Question 4

Ways to improve adherence

Answer 4

Education
May increase knowledge but little effect on behavior change
Behavioral methods
Provide prompts and reminders
Electronic technology Tailor the regimen
Assess patient’s stage of change using transtheoretical model and motivational interviewing
Graduated regimen implementation (i.e., shaping behavior via successive approximations to desired behavior)
Contingency contract

Question 5

Ways to improve adherence

Answer 5

Education
May increase knowledge but little effect on behavior change
Behavioral methods
Provide prompts and reminders
Electronic technology Tailor the regimen
Assess patient’s stage of change using transtheoretical model and motivational interviewing
Graduated regimen implementation (i.e., shaping behavior via successive approximations to desired behavior)
Contingency contract

Question 6

Quality of Life

Answer 6

“An individual’s perception of their position in life in the context of culture and value systems in which they live and in relation to their goals, expectations, standards and concerns”

Affected by person’s physical health, psychological state, level of independence, a