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 5 consequences of non-adherence.
Occurrence of complications Increased healthcare cost Increase in hospital admissions Increased mortality Development of drug resistance
What is the COM-B model of behaviour?
Capability: physical + psychological capacity to engage in behaviour
Opportunity: All factors lying outside the individual that make performance of the behaviour possible/ prompt it
Motivation: All brain processes that energise + direct behaviour
State 3 patient factors affecting recall of healthcare information.
Anxiety
Medical knowledge
Memory impairment
What are the factors contributing to illness perception?
Identity: What do I label the illness?
Consequences: What are the consequences of the illness?
Cause: How did it happen?
Timeline: Trajectory
Control/ cure: Is there action that can be taken to help?
How can a consultation be used to improve adherence?
Provide clear rationale for necessity of treatment
Elicit + address concerns
Agree a practical plan for how, where + when to take treatment
Identify possible barriers
Define compliance
Extent to which patients behaviour matches doctors’ prescription about medicine taking
Define adherence
Extent to which patients behaviour matches agreed recommendations about medicine taking
State 2 direct and 2 indirect methods of measuring adherence
Direct: Direct observed therapy, Measurement of level of drug in blood
Indirect: Patient self report, patient questionnaire
What may negatively influence a patients’ specific beliefs about a prescribed medication?
Necessity: Beliefs about necessity of prescribed meds
Concerns: Arising from beliefs about potential negative effects
What broad interventions can be used to improve adherence?
Improve understanding of illness + treatment
Help patients to plan + organise their treatment
