BULPITT: reasons for non-adherence

Question 1

Background

Answer 1

Rational non-adherence refers to deliberate decision not to adhere to medical advice based on valid reasons

Sarafino- rational reasons to not adhere

1) Isn’t helping
2) Side effects
3) Confused (when/how)
4) Money
5) To see if illness is still there

Question 2

Aim

Answer 2

Review research into hypersensitive patients

Question 3

Method

Answer 3

Review article identifying problems with medication for hypertensive patients that have side effects. Qualitative

Question 4

Procedure

Answer 4

Statistical analysis of physical and psychological effects of adherence to medication for hypertension, including work, physical well being, hobbies, personal life etc.

Question 5

results

Answer 5

Medication can cause sleepiness, dizziness, lack of sexual and cognitive functioning

Curd et al 8% patients dropped out due to sexual disfunctioning

Medical research council found 15% dropped out due to side effects

Question 6

Conclusions

Answer 6

When cost of taking medication outweigh benefits, it is less likely patient adheres.

Occurs usually in asymptomatic problem as results cannot be visibly seen