Laba et al (2012)- results, conclusions, strengths, weakness

Question 1

What was the conclusion of the study?

Answer 1

• The study found that cost, convience and percieved risks of medication were key factors influencing adherence.

Question 2

Name one strength and one weakness of the study?

Answer 2

• Strengths= Reliability
• Weakness= Social desirability bias

Question 3

Name one strength of the study?

Answer 3

• Repeated choice sets were used to check for consistency and rationality behind decision making.
• Enhancing replicability/reliability

Question 4

Name one weakness of the study?

Answer 4

• Self reports are prone to subjectivity as it relies on biased perceptions and opinions
• Ppts may feel the need to provide socially acceptable responses to avoid feeling judged,or afraid to admit their beliefs around non-adhernce.

Question 5

What factors (from the 8 factors) did NOT have an affect on patient adherence?

Answer 5

Symptom severity, alcohol restrictions, patient background information/ characteristics

Question 6

What was the MOST signficant factor on ppt adhernece?

Answer 6

The montly cost of the medication for those who did not have private medical insurance (had to pay out of pocket) wa sthe most sig factor on ppt adherence- but this was not the case for those who were insured.

Question 7

Futher analysis showed that patients were willing to trade off or comprimise between different factors. Which factors were they willing to comprimise between and continue to take the medication?

Answer 7

• More likely to take once a day medication compared to 4 times a day.
• But ppt were willing to take medication 4 times a day if it reduce the chance of future unwanted side effects by 20%
• Patients believed risk of current side-effects were more imporant than future side effects.

Question 8

How much ppts believed that the costs to medication was more important that the beneifits, when making decisions to adhere to treatment? Cost/ benefit analysis

Answer 8

58%