SUBJECTIVE MEASURES OF ADHERENCE/NON-ADHERENCE

Question 1

What are some subjective methods that can be used to measure adherence?

Answer 1

• Clinical interviews (such as MAM)

Question 2

What is the Medical Adherence Measure (MAM)?

Answer 2

A semi-structured clinical interview designed to assess patient treatment adherence. The interview assesses the patient based on their knowledge of the treatment plan, any systems used to manage the treatments (medical dispensers), identify any barriers to adherence (forgetfulness, cost, side effects, lack of belief), and self-reported levels of adherence.

Question 3

What are the 4 areas that interviewer assess patients on?

Answer 3

1. Knowlege about treatment.
2. self reported levels of adherence
3. systems to manage adherence (medical dispensers)
4. Identify barriers to adherence (cost, forgetfulness, lack of belief, side effects)

Question 4

How does the Medical Adherence Measure enhance patient-practioner relationships?

Answer 4

Offers advice and support to promote adherence

Question 5

Name 1 strength and 1 weakness of using the Medical Adhernece Measure?

Answer 5

Strength (qualitative data): provides detailed insight into potential factors that could affect adherence rates: Patient’s thoughts, feelings, beliefs, psychosocial barriers, logistical barriers. (Allows practitioner to differnetiate between unintentional/intentional adherence which can guide personalised interventions).
Weakness (self-reported data): relies on patient honesty and accuracy which can be influenced by social desirability (judgment/shame)- a lack of honesty comprimised the validity o f the treatment and renders it largely useless!

Question 6

What does MAM stand for?

Answer 6

Medical Adherence Measure