CAS PS 332 Lecture Notes - Lecture 11: Elizabeth Daily, Reinforcement, Smoking Cessation
15 Mar 2020
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Summarize the main points of the theories of adherence. Identify facts that do and don"t impact adherence. Barrier to treatment effectiveness: large differences in medical outcomes for adherent vs non-adherent patients. Potentially harmful to the individual: about 125,000 deaths/year related to medication non-adherence, 1/3-2/3 of medication-related hospital admissions due to non-adherence. Research: non-effectiveness due to non-adherence: efficacy vs effectiveness. Adherence: a person"s ability and willingness to follow recommended health practices. Traditional term for degree to which a patient"s behaviors follow physicians" orders. In health, what does adherence include: medication-taking, medical visits and tests, healthy behaviors, self-monitoring activities (e. g. daily glucose testing, safety behaviors (e. g. wearing a seatbelt, and many others! How common is non-adherence: average rate of non-adherence to be 24. 8, range of adherence: 4. 6% - 100% In some pediatric cases (e. g. cystic fibrosis), non-adherence can be as high as 84- Ask the patient, take biological samples (and see if medication is there), ask friends or family .
