BULPITT- Reasons for non-adherence.
Aim: To review research on adherence in high-blood pressure patients.
Method: Research was analysed on physical and physiological effects of new drug treatments on person’s life. This included work, hobbies and physical well being.
Results: Drug did reduce headaches and depression compared to old drug. Side effects were reduced circulation of blood leading to erectile dysfunction, sleepiness, dizziness.
Conclusion: When costs side effects outweigh benefits less likely to adhere to treatments.
LUSTMAN- Measures of non-adherence.
Aim: To assess the efficacy of the anti-depressant drug in treating depression.
Method: Double blind study 60 patients with diabetes and diagnosed with depression. Patients randomly assigned to fluxoetine or placebo groups. Assessed for depression using psychometric tests and GHb levels indicated glycemic control.
Results: Patients given fluoxetine reported lower levels of depression and lower levels of GHb which indicated improved adherence.
Conclusions: Greater adherence was shown by patients who were less depressed.
WATT- improving adherence using behavioural method
Aim: To see if using a funhaler would improve children’s adherence.
Method: Field quasi exp set up two conditions then use self report to measure adherence rates. All had been diagnosed with asthma and prescribed drugs, the patients gave informed consent. Questionnaire was given for parents to complete.
Results: 38% more parents were found to have medicated their children the previous day when using the funhaler compared to the existing.
Conclusion: Funhaler improved adherence to the medication.