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Adherence To Medical Advice Essay

2662 words - 11 pages

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. This model was used to explain the failure
of people to participate in preventive health campaigns. The four
components that make up this model includes the perceive threat of
illness, the benefits and barriers, the action that should be taken
and the sociodemograhic variables. Research into adherence highlights
the point that different groups of patients require different
approaches. Watt et al (2003) showed that children were more likely to
adhere if taking medication was ‘fun’. In this study the use of the
‘Funhaler’ thus taking medication seem enjoyable increased adherence.
Payne and Walker (1996) advocated the fact that patients who have a
low self-esteem are more likely to value what the doctor tells them
and thus as a result more likely to adhere as a doctor in their
perspective is a person of high esteem. The older you get the more
likely you are to forget what the doctor has said, Yung et al (1998)
showed that age can have an affect on adherence rates, thuss the older
people have more difficulty in recalling information related to their
medical conditions and the associated treatmeant required.

.

Giving people the opportunity to raise concerns about medication is
also important. This is consistent with research on the determinants
of adherence which tells us that patients typically only follow
recommendations they really believe in and those they actually have
the ability to carry out.3 While many people, particularly parents of
young children, may be concerned about possible side effects of
medication, it is equally important to reinforce the possible risks of
...

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