Adherence to Medical Advice Chapter 4. Adherence Adherence refers to the patient’s ability and willingness to follow recommended health practices. It.

Slides:

Advertisements

Similar presentations

Adhering to Medical Advice

Advertisements

CD Week 22: Patient compliance “An action in obedience to another request” COMPLIANCE IS A MAJOR HEALTH PROBLEM!

Communication to Promote Therapeutic Adherence Ellen R. Cohn PhD University of Pittsburgh

Introduction Medication non adherence ( noncompliance) remains a major problem. You have to assess and treat adherence related problems that can adversely.

© 2012 McGraw-Hill Companies, Inc. All rights reserved.McGraw-Hill/Irwin© 2012 McGraw-Hill Companies, Inc. All rights reserved. Health Psychology 8 th.

TB recurrence & treatment B 陳名揚. Successful treatment more than one drug to which the organisms are susceptible appropriate doses take drugs regularly.

The Relationship Between Repeat Infections and Behavioral Risk Factors and Clinician Counseling: Findings from a Philadelphia STD Clinic M. Eberhart 1,

Chapter 6 Compliance, Motivation, and Health Behaviors of the Learner

Lecture 3: Health Psychology and Physical Illnesses I (Part 2)

Improving Quality, Addressing Disparities, and Achieving Equity Language Barriers and Health Care Joseph R. Betancourt, M.D., M.P.H. Director, The Disparities.

Improving adherence. n Provide more information about the drugs and the treatment. n Tailored regimens are easier to comply with, and there has been some.

Physician Asthma Care Education. Background Excellence in medical treatment is worthless if the patient doesn’t take the medicine Compliance is closely.

Health Psychology Chapter 4: Adhering to Medical Advice.

ARIEL FLUG, SPT Importance of Quality of Care in the Health Professions.

Patient Compliance With Medical Advice. Patient compliance (patient adherence) :  The extent to which the patient adheres to medical advice Patient compliance.

Cultural Diversity Chapter Twenty-Two Catherine Hrycyk, MScN Nursing 50.

© 2008 McGraw-Hill Higher Education. All rights reserved. Strategies for Decreasing Stressful Behaviors Chapter 14.

© 2011 McGraw-Hill Higher Education. All rights reserved. Strategies for Decreasing Stressful Behaviors Chapter 13.

Process of communication 1 Dr. Rawhia Dogham. 2 1.List importance of communication in health care 2.Discuss the process of communication 3.

Component 4: Education for a Partnership in Asthma Care The goal of all patient education is to help patients take the actions needed to control their.

Communication Strategies #1 Strategy: Talk, Care and Connect.

Chapter 21: Adherence to Medical Regimens Alan M. Delamater Ashley Marchante Amber Daigre.

Health Psychology and Behavioral Medicine

Health Belief Model (Becker, 1974, 1988; Janz & Becker, 1984)

A joint Faculty of the Royal College of Physicians of Ireland (RCPI) and the Royal College of Surgeons in Ireland (RCSI)

Cultural Competency Through CultureVision February 2010.

EPISODES, CONTEXTS, AND INTERCULTURAL INTERACTIONS

Health Disparities and Culturally Competent Care Chapter 2 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Effective Communication

Life-Situation Interventions: Interpersonal Chapter 6 © 2011 McGraw-Hill Higher Education. All rights reserved.

Copyright © 2008 Delmar. All rights reserved. Chapter 13 Principles of Health Promotion.

PATIENT SATISFACTION AND WHY IT MATTERS. Why It Matters  CMS (Centers for Medicare & Medicaid Services), hospitals and insurance providers are using.

Canadian Hospice Palliative Care Association The Way Forward Initiative - Topline Results (National vs. Ontario) February 7, 2014.

Active Role in Health Care This program and materials were in part funded and performed under contract number HHSM C, entitled “Hospital.

EPE C for VE T E R A N S EPE C for VE T E R A N S Education in Palliative and End-of-life Care for Veterans is a collaborative effort between the Department.

Seeking Health Care. General strategy If you do not understand the Dr.’s explanation, ask questions until you do.

Exercise and Psychological Well-Being

Health Belief Model (HBM)

Introduction: Medical Psychology and Border Areas

Exam Review Health Psychology. Response Cost Behavior decreases due to something being removed from the situation.

Psychological Aspects Of Care To Patients With Chronic Diseases In Different Age.

© 2012 McGraw-Hill Companies, Inc. All rights reserved.McGraw-Hill/Irwin© 2012 McGraw-Hill Companies, Inc. All rights reserved. Health Psychology 8 th.

Language CHAPTER TOPICS Language Is Symbolic

Adhering to Medical Advice Chap 4. Theories that Apply to Adherence Why do people fail to follow the advice of a health care provider? Several theoretical.

EXERCISE ADHERENCE Damon Burton University of Idaho.

Health Belief Model PHCL 436. Outline Introduction. Model constructs. Relationship among model constructs. Limitations. Applications.

Table 2: Correlation between age and readiness to change Table 1: T-test relating gender and readiness to change  It is estimated that 25% of children.

Why Do People Maintain an Exercise Program? December 3, 2002.

1 Health Psychology Chapter 3: Seeking Health Care (Health Behavior Models) Mansfield University Dr. Craig, Instructor.

Health Psychology Lecture 6 Receiving Health Care.

Seeking Health Care.

Seeking Health Care II Seeking Medical Attention.

Behavioral Science HEALTH BELIEF MODEL (HBM) Dr. G.U Ahsan, Ph.D.

Learning Objectives State the importance of communication with older adults.

Janet Buckworth chapter 22 Behavior Modification.

Clarissa Kripke, MD, FAAFP Director Developmental Primary Care University of California, San Francisco Training Family Physicians to Improve Care for Adults.

 Exercise is important  Yet…  3 Theories will be used › Theory of Self-Determination › Self-Efficacy Theory › Theory of Planned Behavior.

Benefits of Guideline Standards to Older Americans: a patient perspective IOM Committee on Standards for Developing Trustworthy Clinical Practice Guidelines.

Stanford Chronic Disease Self-Management Program.

Copyright 2005 Lippincott Williams & Wilkins Chapter 3 Principles of Self Management and Exercise Instruction.

Adhering to Medical Advice. Basic ideas Do not take left over medications Do not stop taking medicine whenever you begin to feel better Do not quit your.

Health-Related Behavior and Health Promotion Chapter 6 Dr. Alan H. Teich.

Chapter 13 Leading a Physically Active Life.

Adhering to Medical Advice

Medication Adherence Improve the health of your patients and reduce overall health care costs.

RESISTANT HYPERTENSION OR POOR PATIENT ADHERENCE? TIPS TO GAIN CONTROL

Adherence to Medical Regimens

Medication Adherence Improve the health of your patients and reduce overall health care costs.

Motivational Strategies

Primary and acute care to reduce morbidity and pain

Presentation transcript:

Adherence to Medical Advice Chapter 4

Adherence Adherence refers to the patient’s ability and willingness to follow recommended health practices. It is an issue of MAINTENANCE In general nonadherence remains at about 50% across a number of different health behaviors

Theories Cognitive Behavioral is Most Explanatory Awareness - Precontemplation Attitude – Contemplation/Preparation Susceptibility Severity Cost/Benefit Barriers – Preparation Adherence – Action/Maintenance

Factors Predicting Adherence Illness Characteristics Severity of Disease Level of Distress (Pain) Treatment Characteristics Side-effects Duration Complexity

Predictors of Adherence Age Interaction effect Curvilinear relationship below 55, around 70, over 80 Gender Women sometimes better (exercise) Social Support Positive relationship Cultural Norms

Factors Predicting Adherence Practitioner-Patient Relationship Communication – How the message is delivered Verbal Simple language Importance Have patient repeat Partnership statements Positive statements Waiting Nonverbal Eye-contact Smiling Leaning forward

Factors Predicting Adherence: Practitioner-Patient Relationship Clinician characteristics – Who is delivering it Technical ability Males perceived to be > than females (NOT TRUE) Warm, caring, friendly, & interested in the patient As a group female physicians better at these than males

Improving Adherence Education is ineffective alone Self-monitoring Prompts-cued by regular events, calls, beepers, etc. Tailor regimen to fit the treatment to the patient’s life. Graduated regimen implementation. Contingency Contract - agreement for a reward based on behavior Home Visits Support Groups

Effectiveness of adherence Correlational studies show poor adheres 2 1/2 time more likely to die than good adherers. Some self-report studies inconclusive Noise in the data What is the outcome measure?