Placebo/nocebo and adherance

Question 1

What is compliance?

Answer 1

Extent to which patient’s medication taking and health behaviour
corresponds with prescribed regimen from health provider

Question 2

What is adherance?

Answer 2

Extent to which patient’s medication taking and health behaviour
corresponds with agreed recommendation from health provider

Question 3

When does non-adherance occur?

Answer 3

Non-adherence is problematic in most
chronic diseases, not related to any one persons and has many causes + solutions

Question 4

What creates un-intentional non-adherance?

Answer 4

Capacity and resource issues

Practical barriers

*Forgetting
*Poor understanding
*Complex medicine regimen
*Planning problems
*Financial barriers
*Accessibility barriers
*Physical barriers e.g. poor eyesight

Question 5

What creates intentional non-adherance?

Answer 5

• Motivation
• Beliefs and behaviours
• Perceptual barriers

*To see if my illness is still there
*To see if I really need the medication
*To give my body a rest from the medication
*Because my body is sensitive to the effects of medication
*I worry about becoming dependent on the medication
*I want to lead a normal life again
*I don’t think the treatment is worth it
*It reminds me I have an illness