Patient centered approaches Flashcards
obstacle to changing behavior for the patient
resistance
obstacle to changing behavior for the provider
reactions to non-compliance
compliance definition
the extent to which the patient’s behavior matches the prescriber’s recommendation
PASSIVE
adherence definition
the extent to which a person’s behavior corresponds with agreed upon recommendations by a healthcare provider
ACTIVE
__% of patients don’t take their medication as prescribed
50-75% of patients don’t take their medication as prescribed
__ behaviors account for nearly HALF of the “premature” deaths in the US
this adds $300 billion in medical costs
modifiable health behaviors account for nearly HALF of the “premature” deaths in the US
this adds $300 billion in medical costs
modifiable health behaviors examples
smoking
poor diet
lack of exercise
alcohol
1 reason for non-adherence
forgetting
what do we want patients to comply with (5)
- taking meds
- returning for follow-up visits
- honest reporting
- listening to advice
- lifestyle alterations
4 reasons patients don’t comply with medical/health advice
- understanding
- misperception
- economics
- psychology
non-compliance: understanding
Forgetfulness, poor communication with health professionals, misunderstanding directions
non-compliance: misperception
diffrernt perspective
may be based on a perception (fear of side effects, cultural beliefs)
non-compliance: economics
cost
non-compliance: psychology
we may not even be aware of the reasons for non-compliance
why did we develop behavioral changes models?
to provide a framework for developing interventions and educating patients
way to explain health behavior
2 behavior change models
- health belief model
- transtheoretical model of change
health belief model was developed in the __ to address __
health belief model was developed in the 1950s to address public health concerns
health belief model: there is a __ that health behavior can help reduce
health belief model: there is a perceived threat that health behavior can help reduce
perceived threat = perceived __ and __
perceived threat = perceived susceptibility and severity
reducing the perceived threat has perceived __ and __
reducing the perceived threat has perceived benefits and barriers
health belief model: what is the most important predictor of health behavior
the perceived barriers
other comopnents of health belief model
Cues to Action-behavior is triggered by environmental or other events
Self-efficacy-one’s confidence to successfully modify behavior
Demographic, social, psychological factors
EXAMPLE: smoking cessation
susceptibility
I could develop heart disease
EXAMPLE: smoking cessation
severity
I could die if I develop heart disease