Figures
- Figure 1
Electronic adherence monitoring devices suitable for use in clinical practice and research. a) Doser, b) MDILog, c) Smartinhaler and d) SmartDisk.
- Figure 2
Horne's extension of the common sense model, showing the relationship between illness perceptions, medication beliefs, and adherence. Reproduced from [3] with permission from the publisher.
Tables
- Barriers to adherence
Treatment-related barriers Clinician-related barriers Patient-related barriers Complex treatment schedule Difficulties in scheduling appointments Poor understanding of disease or treatment Lack of an immediately discernible beneficial effect Lack of empathy and interest from clinician Lack of trust in healthcare professionals Adverse effects Rotating physicians Psychological problems or psychiatric illness Cost, reimbursement problems Physician provides information, but leaves little room for questions and concerns Social issues (poverty, lack of healthcare insurance, lack of family (medication taking) routines) Illness perceptions and medication beliefs hampering motivation to adhere - The five E’s of Ensuring optimal adherence
Ensure follow-up See patients and their parents repeatedly Helps to build trust and partnership Explore patient's views, beliefs and preferences Explore illness perceptions and medication beliefs Examine patient's context, views, and preferences Discuss potential barriers to adherence (see barriers to adherence box) Invite questions, comments, remarks Express Empathy Positive, caring attitude Use active listening techniques Provide information tailored to patient's needs Exercise shared decision making Aim for concordance (see definitions box) Take patient's views and preferences into account Agree on treatment and action plan with patient Evaluate During follow-up visits: evaluate success of treatment Discuss adherence in non-judgmental fashion Offer help when needed to overcome barriers
Vol 9 Issue 4
Table of Contents
Improving adherence in paediatric respiratory disease
Jump To
- Article
- Abstract
- Introduction
- Terminology
- Nonadherence: is it relevant?
- Nonadherence: the scope of the problem
- Measuring adherence
- A useful model to understand medication taking behaviour
- Barriers to adherence
- What can the healthcare professional do to improve adherence?
- Principles of improving adherence in paediatric chronic conditions
- Conclusions
- Footnotes
- References
- Figures & Data
- Info & Metrics