G543 - Reasons for non-adherence - Bulpitt Flashcards Preview

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Flashcards in G543 - Reasons for non-adherence - Bulpitt Deck (10)
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0

What was the aim of Bulpitt's study on reasons for non-adherence?

To review research on adherence in hypertensive patients.

1

What was the method?

A review article of research identifying problems with taking medication for hypertension with significant side-effects.

2

What is hypertension?

High blood pressure

3

Procedure...

Statistical analysis of physical and psychological effects of medication for hypertension.

4

What can anti-hypertension medication have the effect of?

Sleepiness, dizziness, lack of sexual functioning in men and cognitive functioning.

5

What statistic was found in curb et al's study in 1985?

8% of patients dropped out due to sexual problems.

6

What did research by the Medical Research Council in 1981 find?

As much as 15% dropped out due to problems arising from side-effects.

7

Conclusions...

When the costs of taking medication outweigh the benefits of treating a mainly asymptomatic problem such as hypertension, the likelihood of the patient adhering to the treatment decreases.

8

Why is this study deterministic?

It assumes that our own thoughts do not effect the situation, down to cost-benefit analysis of meds vs side effects

9

Why is this study reductionist?

It assumes that all non-adherence is due to the cost of side effects outweighing the benefits of the treatment

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