Lecture 2 Psych Med (block) Adherence Flashcards
1
Q
What is the definition of adherence?
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2
Q
Why are we talking about treatment adherence?
- It captures the whole health behaviour concept - how?
- Health outcomes aren’t just the direct result of disease, what mediates the relationship between disease and health?
- Doctors can profoundly influence what?
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3
Q
Why is adherence poor with hypertension which can cause atherosclerosis, CVD and cognitive impairment? (3)
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4
Q
Why is adherence low for diabetes? (3)
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5
Q
What are 4 effects of non adherence?
-2 for patient and one for health care system and one for the doc?
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6
Q
We should think of patient’s life as COM-B: COM leads to their behaviour. What is COM?
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7
Q
What are the five dimensions of adherence as said by WHO?
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8
Q
- Social and economic dimension:
- what does this dimension involve?
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9
Q
- Healthcare system dimension
- what does this dimension involve?
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10
Q
- Condition related factors
- what does this dimension involve?
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11
Q
- Therapy related dimension
- what does this dimension involve?
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12
Q
- Patient related dimension
- what are some physical factors and what are somme behavioural factors?
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13
Q
What are some clinical tips to enhancing adherence?
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- Present information/rationale clearly and simply
- Write down information and instructions
- Check patient’s expectations about treatment
- Check patient’s motivation re treatment or behaviour change (stages of change)
- Involve patient in the decision-making about the treatment plan
- Tailor the treatment plan to individual patients and their situation
- Use of prompts and reminders
- Use of specific techniques for behaviour change (e.g., motivational interviewing)
- Involve others – both other health professionals and family members
