Week 4 Flashcards
Compliance
conforming to professional medical recommendations of interventions
Adherence
real-world interventions use and compliance, changing health behaviours and keeping with the medical system
some pt lie about adherence
adherence is vital to good health outcomes
Ways to Increase Adherence
pt education and their educational levels
autonomy
creating the interventions with the person
family and friend support
trustworthy HCP
the belief of severity and health risks are involved
increased income and access to healthcare
Information-Motivation-Strategy Model
a method to improve adherence, pt education, then addressing and correcting pt motivation to improve health outcomes
Pt Satisfaction
a large part of recurrences, long term adherence, and motivation to access medical care fro the future with compromised health
pt perception of the improvements and effectiveness from healthcare interventions
Intervention Research Continuum
Phase I is participant rate and representation
Phase II is to develop methodologies
Phase III to use methods from II and test intervention hypotheses
Phase IV is measures impact when used in populations
Phase V is an intervention into large-scale demo projects
Decisional Balance
weighing pros and cons of changing
Re-AIM
Reach - participant rate and representation
Efficacy/Effectiveness - if the program does better irl or if the optimal condition is the only time it is effective
Adoption - who will conduct the intervention, setting and context
Implementation - integrity, quality and adherence
Maintenance - cost and how behaviour upholds in the long run
Assumptions of Re-AIM
research flows into reality well
concern to large sample size for generalizability, control and compliance
need for concern for reach, implementation and adherence
stages are discrete and sequential in movement
factors influence stage transmission
