References Flashcards
CSM
Common Sense Model
Leventhal (1970)
IPQ
Illness Perception Questionnaire
Heinemann (1996)
IPQ-R
Illness Perception Questionnaire
Moss-Morris et al, (2002)
Includes beliefs about medicines
Work of Worry
Janis 1958
Moderate pre op stress is optimal - promotes self-regulating behaviours and reality thinking.
Emotions and tape-assisted recall
Buszewacz et al 2000
Patients appreciated when doctors listened more and appeared to show genuine concern
Raising emotional concerns
Barry et al. 2000
Patients unlikely to rails all of their concerns in a consultation (only 4/35)
Emotions affect doctor behaviour
Levinson et al 2006 Doctors prefer old, middle class patients with fewer problems. Doctors opinions reflected in performance - patient satisfaction
BMQ
Beliefs about Medicines Questionnaire
Horne
BMQ scores predict adherence
Horne and Weineman 1999
Patients who score highly on necessity scores in BMQ are more likely to adhere to meds.
Adherence when starting medications
Barber et al, 2004
70% of patients adherent at day 10
75% of those remained adherent after 28 days
Symptoms can encourage adherence
Morgan 2002
Symptoms can make the illness beliefs more concrete
Patients believe they have more control over disease - can see effects of meds.
As no of treatments ____ adherence ____.
Increases, decreases.
Asthma and preventative medication
Horne and Weineman 2002
85% believed that asthma was chronic
Many had concerns over medication (long term use)
Consequences -ively correlated with adherence
BUT - cross-section, cannot infer causality
Education and MDD patients
Brown et al.
Patients should be told that ADs are not addictive (looking at BMQ results).
Patients should be told about the possible side effects of medications.
Transtheoretical model
Prochaska and DiClemente
Patient must be in the contemplation phase of model in order to be ready to change behaviour.