psy 104 ch4

psy 104 ch4 - Chapter 4: Adhering to Medical Advice #2 -...

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Unformatted text preview: Chapter 4: Adhering to Medical Advice #2 - Objectives Predict adherence to treatment based on demographics Analyze non-adherence based on theory Design new approaches to improve adherence based on theories and demographics #3 - Introduction Drugs dont work in patients who dont take them - C. Everett Koop, MD Do you have old medicines in your cabinet? Did you take medications as prescribed by your doctor? What would make you want to take medicine? #4 - Introduction Adherence - degree to which behavior coincides with prescribed behavior Compliance Two Forms Behavioral (you really need to start exercising...thats a behavioral prescription) Medical (are you taking the pills such that they are having some kind of effect) Continuum of adherence Psychology Ch. 4 Page 1 #5 - Causes Demographic variables Age (children and elderly have the most problems with adherence) Race Sex Occupation Education Health Literacy (the ability to read, understand, and act on health information) Functional health literacy (approx. 35% of people actually understand what the doctor wanted them to do) Rarely assessed by health care providers Take 1 tablet every 6 hours as needed. Take 1 tablet at 7AM, when can you take the next tablet? #6 - Causes Medical Variables Type of disease Severity and duration of disease Number of co-morbid conditions Frequency of use of medical services Patient satisfaction with care Quality of care Psychology Ch. 4 Page 2 Chronic illness (the more chronic the more likely you will fnd problems with adherence) Role oF Depression (many who have chronic will develop some type oF depression) #7 - Causes Medication-related variables Dosing regimen Types oF medications Number oF concurrent medications Drug delivery system Use oF adherent aids...
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psy 104 ch4 - Chapter 4: Adhering to Medical Advice #2 -...

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