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ADHERENCE TO MEDICAL ADVICE a) Adherence to medical advice depends on various factors. Psychologists have carried out research and experiments to find the factors into compliance. Kent and Dalgleish (1996) had claimed that perceived seriousness of illness of the mother was more important than that of the doctors, this meant that mothers who felt their children were more susceptible to illness were more likely to adhere to a medical regime set out by the doctor, and attend the appointments made than those mothers who had a different conviction. The study of Turk and Meinchenbaum (1991) supports the idea that patients are less likely to adhere due to the potential side effects of their treatment. Adherence is therefore likely to decrease if the patient feels that the treatment is worse than the illness itself. Turk and Meinchenbaum also suggest that patients are also less likely to adhere if they do not fully understand the instructions given to them by the doctor or a particular medication that has been prescribed doesn't work. The Health Belief Model designed by Hochbaum (1958) was used to help researchers investigate the psychology behind adherence to medical advice in today's society. ...read more.


Asthma educators are increasingly becoming valuable members of the asthma care team. Education is crucial to adherence, as well as to asthma management in general. More and more GPs are referring patients to asthma educators, who have the time and specific knowledge and skills to ensure patients understand their condition and their treatment. Develop open, communicative, non-judgmental relationships with patients � Normalise poor adherence in dealings with your patient � Adopt a partnership approach to asthma management with your patient � Involve your patient in the planning process � Simplify treatment where possible, and strive to tailor treatment plans to your patient's preferences, needs and capabilities � Ensure that your patient understands their asthma and treatment � Collaborate with other health professionals to improve patient outcomes � Aim to build a partnership with patients for ongoing care � Encourage regular reviews and ongoing monitoring of adherence levels � Develop systems (such as reminders) to prompt patients on long-term treatment programs. � Use appropriate information-gathering skills It is possible to facilitate better communication with your patients by: � using skills such as open-ended questions at the beginning of the consultation � avoiding questions that elicit a yes/no response or that are judgmental in their tone � showing empathy and warmth and following up on the patient's verbal clues. ...read more.


Different drugs have different effects on different people, thus limiting our ability to generalize. Ethnocentricity is an issue that can be questioned in the Sharma et al study since this investigation took place in America; could it be generalized to people in the non-western world, the LEDC's? The results are appropriate for America as a minority live below the poverty line, and thus for majority consumption of food is not the problem, however the results can't be applied to the rest of the world because people especially in the Third World countries, have different level of food consumption i.e the daily calorie intake is much below that of America or any other western country. BPS ethical guidelines should be cohered with when conducting research into adherence. Yung ensured that all participants with non-insulin dependant diabetes mellitus gave informed consent; therefore this study did meet the BPS guidelines in informing participants of the objectives of the research. Watt et al didn't gain consent from the children themselves, those that would be using the 'Funhaler ' due to the reason that they were under 16 years of age, and thus consent was gained from their parents. Sethi et al has face validaty as the researchers asked the patients how many doeses of medication they had missed over the previous three days and their response ...read more.

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