Features of adherence to medical regimes

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Bulpitt et al: Importance of well-being in hyperte

Aim: To review research on adherece in hypertensive patients

Method: Review article - identify problems with taking drugbs for high blood pressure

Procedure: research analysed to identify physcial and psychological effects of drug treatment on a persons life 

Results: - high BP treatment can have many side effects such as sleepiness, lack of sexual functioning - small amount of males didnt take medication becauses of sexual problems 

Conclusions: 

When cost's outweigh the benefits the liklihood of adherence decreases   

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Lustman et al: Use of fluoxetin in treatment for d

Aim: To asses the efficency of the anti-depressant drug, Fluoxetine, in treating depression by measuring glycemic control 

Particpants: 60 participants with type 1 or 2 diabetes and depression 

Procedure: Patients randomly assigned to either the Fluoxetine or placebo group (RANDOMISED DOUBLE BLIND STUDY). Patients assesed for depression using psychometric tests and their adherence to medical regime (meaured by measuring their GHb levels)

Findings: Patients on Fluoxetin reported lower levels of depression and lower levels of GHb, which indicated their improved adherence 

Conclusions: 

Measuirng GHb in patients with diabetes indicates their adhereance level 

Greater adherence was shown by patients who were less depresseded  

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Watt et al: Improving adherence to taking medicati

Aim: To see if using Funhaler improved childrens adherence 

Method: Field experiment

Participants: 32 Australian children (repeated measures)

Procedure:

- Each child was given both normal inhaler and Funhaler for one week each

- Parents filled out questionnaires both weeks 

Results: nearly 40% more parents found to have medicated their child when using the Funhaler than the normal inhaler 

Conclusions: 

Funhaler improved adherence in children, meaning making medical regime fun, adherence can be imporved 

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