Treatment adherence: A contemporary overview
PsychosomaticsPublished 1 January 1979
Barry Blackwell
Citations23
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
It is clear that, since many factors contribute to poor adherence, there is no simple recipe for routine management and three goals for obtaining improved adherence are discussed—better patient comprehension, adequate supervision and, ultimately, the patient's independent involvement in treatment without supervision.
Abstract
A review of recent research and developing concepts in treatment adherence makes clear that, since many factors contribute to poor adherence, there is no simple recipe for routine management. Some suggestions for detecting the problem are discussed, as are three goals for obtaining improved adherence—better patient comprehension, adequate supervision and, ultimately, the patient's independent involvement in treatment without supervision.
Keywords
Psychology
ScienceThe Need for a New Medical Model: A Challenge for Biomedicine
12,233 Citations1977George L. Engel
New England Journal of MedicineSocial Psychologic Factors Affecting the Presentation of Bodily Complaints
473 Citations1972David Mechanic
Patients often recognize symptoms for which they seek medical assistance, but, on the basis of a history and physical and laboratory examination, the physician cannot obtain evidence to account for these symptoms.
CirculationThe Effect of Clinical Pharmacy Services on Patients with Essential Hypertension
345 Citations1973James M. McKenney, Judith M. Slining +3 more
It is concluded that pharmacy clinical services are beneficial and that pharmacists should become more involved in the long term care given hypertensive patients.
American Journal of PsychiatrySuicidal Behavior in Chronic Dialysis Patients
317 Citations1971Harry S. Abram, Gordon L. Moore +1 more
American Journal of Public HealthFear appeals and persuasion: the differentiation of a motivational construct.
274 Citations1971Howard Leventhal
To convince you that nothing is so practical as a good theory, I shall review two sets of ideas that can be used to understand the persuasive effects of fear-arousing health messages, discuss how well these ideas fit empirical data, and leave you to decide which provides the most creative suggestions for practical action.
BMJDeviation from prescribed drug treatment after discharge from hospital.
182 Citations1976Donald Maxwell Parkin, Catherine Henney +2 more
The prescribing of complex drug regimens, and the availability of medicines prescribed before admission to hospital appeared to be the two main factors influencing non-comprehension and non-compliance in patients discharged from four hospital wards.
Clinical Pharmacology & TherapeuticsThe drug defaulter
181 Citations1972Barry Blackwell
There have been over 50 studies on patients who fail to take their medications “as directed,” usually required chronic maintenance therapy for conditions including tuberculosis, schizophrenia, anemia, rheumatoid arthritis, and other diseases seen in general practice.
CirculationHypertension in the Inner City
174 Citations1973Frank A. Finnerty, EDWARD C. MATTIE +1 more
Operating the clinic with emphasis on a personalized doctor-patient relationship and utilizing a meaningful appointment system has reduced the number of dropouts from 42% in 1966-69 to 8% in 1970-71.
Journal of Chronic DiseasesMedication use and misuse: Physician-patient discrepancies
158 Citations1975Barbara S. Hulka, Lawrence L. Kupper +3 more
The present paper introduces a quantitative method for analyzing data on medication use and misuse among patients with either adult onset diabetes mellitus or congestive heart failure.
Psychosomatic MedicineA Learning Theory Model of Chronic Illness Behavior: Theory, Treatment, and Research
142 Citations1978Susan C. Wooley, Barry Blackwell +1 more
One‐year follow‐up shows that most patients achieve self‐set goals, with generalization of beneficial treatment effects, and patients who return to an intact family show continuing decreases in somatic complaints and increases in achievement orientation.
American Journal of OrthopsychiatryEvaluation of methods to improve communication in the physician-patient relationship.
55 Citations1975Mary Jo Kupst, Karen Dresser +2 more
Parents of children with congenital heart disease participated in an experiment to assess effects of communication methods on retention, anxiety, and satisfaction in regard to information received from physicans.
Clinical Pharmacology & TherapeuticsPropranolol in hypertensive dialysis patients: Efficacy and compliance
24 Citations1975William A. Briggs, David Löwenthal +4 more
Propranolol can be effectively used in the management of hypertensive dialysis patients, but steady‐state plasma propranolols levels should be measured to assess compliance in patients apparently refractory to treatment.
The Journal of Nervous and Mental DiseaseDOSAGE DEVIATION AND DRUG EFFECTS IN DRUG TRIALS
18 Citations1965E. H. Uhlenhuth, Lee C. Park +4 more
Annals of Internal MedicineCommunication Between Patients and Physicians
16 Citations1977John P. Kirscht
Archives of Pediatrics and Adolescent MedicineCompliance and Prescribance
13 Citations1975Evan Charney
JAMAA Planned System of Patient Education
10 Citations1977Penn G. Skillern
A planned system of patient education is now used in more than 70 group clinics, hospitals, and other health care institutions and is especially useful in the management of chronically ill patients.