Adherence

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15 Terms

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Compliance (in healthcare)

The extent to which a patient's behaviour matches the prescriber's advice, which implies passive obedience.

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Adherence (in healthcare)

The extent to which a patient's behaviour matches agreed recommendations from a healthcare provider, respecting patient choice without assigning blame for non-adherence (Sabaté, 2003).

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Concordance

A therapeutic agreement established through shared decision-making that incorporates the patient's beliefs, preferences, and values into the treatment plan.

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Social factors affecting adherence

Socioeconomic variables that influence treatment following, specifically low educational attainment, unemployment, and inadequate social support (Sabaté, 2003).

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Psychological factors affecting adherence

Cognitive and emotional variables impacting medical adherence, such as anxiety, depression, denial-based coping mechanisms, and specific beliefs about medication.

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Treatment-related barriers to adherence

Biological and therapeutic obstacles, including complicated dosing regimens, adverse side effects, and lack of immediate or obvious symptom improvement.

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Health Belief Model (HBM) explanation of adherence

A model proposing that adherence behaviour depends on an individual's evaluation of perceived costs versus perceived benefits of following medical advice.

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Illness representations and adherence

A cognitive framework stating that viewing an illness as acute or self-limiting causes premature cessation of treatment, whereas beliefs about chronicity promote long-term medication use.

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Nudge Theory

A behavioural change concept that employs both mindful (conscious) and mindless (automatic) prompts to guide individuals toward healthier decisions without restricting their options.

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Health Action Process Approach (HAPA)

A health psychology model emphasizing self-efficacy and the formation of a concrete action plan to translate intentions into actual health behaviour.

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Nuffield Intervention Ladder

A public policy framework outlining progressively intrusive steps to influence behaviour, ranging from doing nothing or providing information to restricting and eliminating choice.

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Cross-sectional study

An observational research design that analyzes data collected from a population at a single specific point in time.

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Longitudinal study

A research design that gathers repeated measures and observations from the same subjects over an extended period of time.

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Randomised Controlled Trial (RCT)

An experimental study design where participants are randomly assigned to either an experimental or control group, providing the strongest evidence for causality.

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Meta-analysis

A quantitative statistical methodology that synthesizes findings from multiple independent randomized controlled trials to establish the highest level of empirical evidence.