Understanding and recall of healthcare advice and adherence to treatment Flashcards
Define non-adherence.
When a patient’s behaviour does not correspond with agreed recommendations from a healthcare provider
What is the prevalence of non-adherence?
Overall average rate of adherence is about 50%
State some consequences of non-adherence.
Increased hospital admissions (1 in 5 are because of non-adherence) Rejection of transplants Occurrence of complications Development of drug resistance Increased mortality
What are the three main reasons for non-adherence?
Regime related factors (including physical aspects e.g. packaging, complexity, side effects, duration, cost etc.)
Poor doctor-patient interaction
Psychosocial variables
State some patient factors affecting recall of healthcare information.
Anxiety
Medical knowledge
Memory impairment
State some presentation factors affecting recall of healthcare information.
Amount of information Order Stressing importance Specificity Mode of presentation Follow-up
List some ways of improving adherence to treatment.
Ask the patient
Simplify the regime and packaging
Improve the doctor-patient interaction (communication style and presentation)
Identify and modify beliefs
Involve significant others, wider network and potential to use assistive technology