Measures Of Non-adherence - Lustman Flashcards
Name the method used in the Lustman study
A randomised, controlled, double-blind study
What was the aim of the Lustman study
To see if there was a link between depression and non-adherence in diabetic patients medication
Describe the sample of the Lustman study
A volunteer sample of 60 participants with type 1 or type 2 diabetes and diagnosed with depression
What were the 2 conditions that participants were randomly assigned to?
One group was given fluoxetine (to treat depression) and the other group was given an identical looking placebo
What measures were taken to avoid demand characteristics?
Neither the patients or the doctors knew which group they had been assigned to
How were patients assessed for depression?
Using psychometric tests
How was participants adherence to their diabetic medical regime assessed?
By measuring blood sugar levels
After 8 weeks, how did participants that were given fluoxetine differ from the start of the study?
They had far healthier blood glucose levels
What positively correlated with improved depression?
Regular monitoring of blood glucose levels
What was reported by the patients that were given real fluoxetine?
Lower levels of depression
Patients given fluoxetine had lower levels of GHb. What did this indicate?
Improved adherence
What indicates diabetic patients’ level of adherence to prescribed medical regimes?
Measuring blood sugar levels
Which patients showed greatest adherence?
Those who were less depressed
