adherence

Question 1

reasons for non-adherence

Answer 1

-stress
-rational non-adherence
-learned helplessness
-lack of support

Question 2

rational non-adherence

Answer 2

side effects, financial barriers or patient-practitioner relationships may discourage a patient

Question 3

learned helplessness to non-adherence

Answer 3

people adhere to treatment when they feel in control of it
if a patient learns that taking meds/doing exersies doesnt help their health they wont do it
this is a cognative factor

Question 4

stress to non-adherence

Answer 4

people with stress in their life are less likely to adhere to medical advice. they are more likely to perceve themself as unable to cope

Question 5

stress to non-adherence
situational stress

Answer 5

stress from poverty- stress is worse in lower economic groups
chaotic lifestyle- lack of organisation in life is stressful, people forget to take meds

Question 6

stress to non-adherence
cognative stress

Answer 6

stress from anxiety about illness- when people are diagnosed, their attention can be restricted stress and memory between 40-80% of medical advice is forgotten and only half of what is remebered is correct

Question 7

eval to stress to non-adherence

Answer 7

+research support the role in non-adherence
-long-term effects of stress on non-adherence are unclear

Question 8

eval to learned helplessness to non-adherence

Answer 8

+real life application
-found that learned helplessness was not associated with med adherence with children who need to take diabetes meds

Question 9

biofeedback

Answer 9

the symathetic branch of the autonomic nervous system causes the fight or flight response changes in the body

Question 10

biofeedback what are the 3 stages

Answer 10

-physiological training- measuring heart rate, muscle training
-relaxation training- deep breaths, mindfulness
application to the real-world

Question 11

eval of biofeedback

Answer 11

+longer lasting effects on stress levels compared to drugs
-study shows blood pressure and stress level hormones were measured and these did not decrease. suggesting that demand charictoristics or reduction in percieved stress rather than just physiological strss.

Question 12

CBT

Answer 12

cognative behavioural therapy

Question 13

stage 1 of CBT

Answer 13

client talks generally about their addiction, therapist asks probing questions, therapist identifys irrational thoughts and the client may have a thought diary

Question 14

stage 2 of CBT

Answer 14

therapist helps client make connection between irrationational thoughts and behaviour

Question 15

stage 3 of CBT

Answer 15

client learns coping stratagies