Improving Patient Treatment Adherence (eBook)

A Clinician's Guide

Hayden Bosworth (Herausgeber)

eBook Download: PDF

2010 | 2010
X, 358 Seiten
Springer New York (Verlag)
978-1-4419-5866-2 (ISBN)

Infos

Despite its direct effect on a patient's health, the literature on treatment adherence does not yet include a summary of proven methods for identifying and addressing patient non-adherence. Improving Patient Treatment Adherence Across Multiple Behaviors: A Clinician's Guide differs significantly from many treatment adherence books on the market by focusing on clinicians and the practical tactics they need to improve patient adherence. The book is orgnaized by behavior and special issues as opposed to other texts, which look at treatment adherence as a theoretical concept. Each chapter provides a summary of existing literature regarding the impact of patient non-adherence, including costs, clinical outcomes and health-related quality of life, as well as a review of patient factors related to treatment adherence across behaviors, diseases, and special populations. A discussion of methods for improving treatment adherence takes a look at both proven methods and new technological advances in the field. Each chapter includes a table listing 3-5 key bullets that a clinician could use to address treatment adherence. Actual questions and scoring algorithms for widely used measures of treatment adherence make this book a useful guide for practicing clinicans.

Inhalt

Contents 5
Contributors 7
1 Introduction 11
Defining Treatment Adherence 13
Clinical Measurement of Medical Regimen Adherence 14
Take Home Messages of the Book 15
Conclusions 16
References 17
2 Physical Activity and Adherence 19
Adherence to Physical Activity 19
Physical Activity Guidelines and Recommendations 20
The Problem of Non-adherence to Physical Activity Recommendations 21
Risk Factors for Non-adherence to Physical Activity Recommendations 22
Demographic Factors 24
Health-Related and Clinical Factors 27
Cognitive and Psychological Factors 27
Behavioral Factors 28
Social Factors 28
Program-Related Factors 29
Environmental Factors 29
Screening for Non-adherence to Physical Activity Recommendations 30
Physical Activity Adherence Intervention Studies 31
Public Health, Environmental, and Policy Interventions 31
Individual Interventions 32
Settings for Delivery of Individual Interventions 35
Physical Activity Adherence Interventions in Special Populations 37
Older Adults 37
Ethnic and Racial Minorities 37
Individuals with Low Socioeconomic Status 38
Women 38
Clinical and Policy Implications 38
Summary 39
References 41
3 Improving Dietary Adherence 49
Introduction 49
Weight Loss Initiation Versus Maintenance 50
Barriers to and Facilitators of Diet Adherence 53
Barriers to Diet Adherence 53
Educational Barriers 56
Internal Barriers 57
External Barriers 59
Facilitators of Diet Adherence 60
Intervention-Related Factors 60
Behavioral Factors 61
Social Support 62
Autonomy 63
Diet Composition 64
Assessing Dietary Intake 65
Food Records 66
Twenty-Four-Hour Diet Recall 67
Food Frequency Questionnaire 67
Other Methods 68
Conclusion 68
References 69
4 Medication Adherence 78
Cost of Medication Non-adherence 79
Ways to Measure Medication Adherence 80
Predictors of Medication Non-adherence 83
Patient Factors 83
Clinician Factors 86
Health-Care Factors 87
Environmental Factors 87
Review of Successful Interventions to Improve Medication Adherence 87
Methods for Improving Medication Adherence 90
Education and Behavioral Programs 90
Dosing Schedules 93
Patient--Provider Communication 94
Organizational Issues 95
Conclusion 95
References 97
5 Smoking Cessation and Adherence 105
Introduction 105
Statement of the Problem 105
Interventions 108
Examples of Methods Used in Successful Programs 108
Physician Recommendation 108
Generic Self-Help Guides 109
Self-Help Interventions with Tailoring 110
Telephone Counseling 111
Nicotine Replacement Therapy (NRT) 113
Examples of Novel Intervention Methods 115
Family Support Interventions 115
Internet Interventions 115
Telephone Quitlines 120
Clinical and Research Implications 120
Summary 121
References 125
6 Cancer Screening Adherence 131
Burden of Colorectal Cancer and Use of Screening Tests 133
Risk Factors for Screening Non-adherence 134
Factors Associated with Mammography Adherence 134
Factors Associated with Colorectal Cancer Screening Adherence 135
Behavioral Adherence Interventions 137
Patient-Directed Communication Strategies 142
Patient-Directed Access-Enhancing Strategies 143
Provider-Directed Strategies 144
Other Intervention Strategies 146
Future Directions and New Technological Advances 146
Clinical Implications of Cancer Screening 149
Conclusions 150
References 151
7 Hormonal Contraceptives and Adherence 159
Introduction 159
Interventions 162
Pregnancy/Postpartum 163
Adolescents 164
Adolescents with Chronic Medical Conditions 168
Obesity 169
Policy Implications 172
Summary 177
References 177
8 Chronic Pain and Adherence 186
Adherence to Pain Medication 187
Underuse 187
Overuse 190
Abuse 194
Monitoring Pain Medication Adherence 196
Self-Report Questionnaires 196
Interview-Based Methods 201
Toxicological Screening 203
Prescription Drug Monitoring Programs 204
Strategies for Improving Medication Adherence 205
Pain Medication Instructions 206
Collaborative Treatment Planning 206
Pain Education Programs 210
Communication Skills Training 211
Medication Contracts 211
Substance Abuse Management 212
Case Examples 213
Summary and Future Directions 214
References 215
9 Adherence and Psychotherapy 222
Premature Termination 222
Prevalence of Premature Termination 223
Predictors of Premature Termination 224
Patient Characteristics 224
Therapist Characteristics 225
Patient Expectations, Beliefs, and Satisfaction 225
Treatment Alliance 226
Therapist--Patient In-Session Interactions 227
Significance of Premature Termination 228
Between-Session Tasks and Exercises 230
Prevalence and Moderators of Homework Adherence 230
Patient Characteristics 231
Patient Expectancies 231
Therapist Characteristics 232
Chicken Versus Egg 232
Interventions 234
Orientation Strategies to Enhance Adherence 234
Pretherapy Preparation 234
Motivational Enhancement 235
Planned Termination 236
Additional Considerations 236
Strategies to Reduce Premature Termination 237
Initial Session Attendance and Prompts 237
Case Management 237
Foster Open Dialogue 238
Strategies to Enhance Homework Adherence 238
Framing Homework Assignments 238
Structuring Assignments 240
Summary 241
General Strategies to Enhance Adherence 241
Strategies to Enhance Session Attendance 242
Strategies to Enhance Homework Adherence 242
References 243
10 Adherence to Treatment for Depression 248
Factors Related to Adherence to Antidepressant Treatment 250
Demographic Factors 250
Psychological/Attitudinal Factors 251
Clinical Factors 251
Case Report: Non-adherence 252
Clinician/Patient Communication 253
Therapeutic Alliance 254
Interventions That Improve Adherence 254
Strategies That Focus on the Clinician--Patient Interaction 254
Models of Care 255
Case Report: Adherence 257
Psychoeducation 258
Practice Guidelines 259
Use of the Internet 259
Summary 260
References 261
11 Adherence in the Treatment of HIV and Other Infectious Diseases 265
Prevalence of Non-adherence to ART Medication 268
Barriers to Adherence HIV Treatment 269
ART Medication Adherence Assessment 272
Methods of ART Adherence Promotion 275
Future Directions and New Technological Advances 280
Clinical and Policy Implications 280
Other Infectious Diseases 282
Tuberculosis 282
Bacterial Infections 284
Summary 286
References 287
12 Adherence and Substance Use 295
Problem Overview 296
Treatment Adherence 297
Prevalence of Non-adherence 298
Consequences of Non-adherence 299
Predictors of Good and Poor Adherence 300
Interventions to Improve Adherence 303
Identifying Non-adherence 303
Improving Adherence 303
Summary and Conclusions 309
Appendix. Alcohol Use Disorders Identification Test Consumption (AUDIT-C) 310
References 311
13 Special Considerations of Medication Adherence in Childhood and Adolescence 316
Introduction 316
Over-the-Counter Medications 317
Asthma 318
Attention Deficit Hyperactivity Disorder (ADHD) 320
Type 1 Diabetes Mellitus (T1DM) 321
Summary 322
References 323
14 Special Considerations of Adherence in OlderAdults 326
Barriers and Challenges 327
Physiological Barriers to Adherence 327
Complexity of Regimen 328
Low Health Literacy 329
High Costs 330
Interventions 330
Review of Screening Methods 330
Review of General Medication Adherence Improvement Strategies 331
New Technologies and Advances in Health-Care Delivery 333
Clinical Implications 334
Screening for Adherence 334
Addressing Barriers and Challenges 335
Reducing Complexity of Regimen 337
Managing Costs 338
Summary and Recommendations for Clinicians 341
References 341
Index 346

Produkt-Details

• Erscheint lt. Verlag: 3.7.2010
• Zusatzinfo: X, 358 p.
• Verlagsort: New York
• Sprache: englisch
• Themenwelt: Sachbuch/Ratgeber ► Gesundheit / Leben / Psychologie ► Krankheiten / Heilverfahren
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Allgemeinmedizin
• Themenwelt: Medizin / Pharmazie ► Pflege
• Themenwelt: Studium ► Querschnittsbereiche ► Prävention / Gesundheitsförderung
• Schlagworte: Cancer Screening • prevention • Primary prevention • quality of life • Rehabilitation • Screening • therapy
• ISBN-10: 1-4419-5866-5 / 1441958665
• ISBN-13: 978-1-4419-5866-2 / 9781441958662