Lustman Et Al : Measures Of Non Adherance

Question 1

What’s the method?

Answer 1

A randomised controlled double blind study.

Question 2

How many patients?

Answer 2

60

Question 3

What did the patients have

Answer 3

Type 1 or type 2 diabetes and diagnosed with depression

Question 4

How do they gather the sample?

Answer 4

Volunteer sample

Question 5

What was the procedure ?

Answer 5

Patents randomly assigned to either of 2 groups - given fluoxetine (used to treat depression) or given an identical looking pill as a placebo
Patients and doctors didn’t know which group
Patients assessed for depression

Question 6

How were patients assessed for depression?

Answer 6

Psychometric tests and their adherence to their diabetic medical regime was assessed by measuring their blood sugar levels

Question 7

What happened after 8 weeks?

Answer 7

The group given the real fluxetine had far healthier blood glucose levels

Patients who reported less depressive symptoms more regularly Monitored their blood glucose levels

Question 8

What were the results ?

Answer 8

Patients given fluxetine =lower depression levels

Fluxetine = lower levels of ghb which indicated their improved adherence

If depressions was being medicated , they were more likely to adhere to their diabetic reigime

Question 9

What were the conclusions?

Answer 9

Measuring blood sugar levels in patients with diabetes indicated their level of adherence to prescribed medical reigimes.

Greater adherence was shown by patients who were less depressed

Not being anxious or depressed improves compliance with medical requests

Question 10

Aim?

Answer 10

To see if there was a link between depression and non adherence in diabetic patients medication.