Reasons for Non-Adherence - Bulpitt
Bulpitt - There are several reasons why people may fail to adhere to medical regimes. This can include forgetting to take medication or even making a choice not to adhere. This is known as cognitive-rational non-adherence. In order for people to adhere to medical regimes the 'benefits' e.g. getting better must outweigh the 'costs' e.g. side effects of the medication.
Aim/M&P/Results: Review research on adherence in hypertensive male patients; Identify problems of taking drugs for high blood pressure; Anti-hypertension drugs may have side-effects. Physical side effects e.g. dizziness; sleepiness; lack of sexual functioning. Psychological side-effects e.g. lack of cognitive functioning; lead work and hobbies to be curtailed.
Costs e.g.1 - 'side-effects' of taking the medication - if someone has an incurable illness which requires them to take medication they may choose not to because the side-effect may cause their health to go worse; Costs e.g.2 - In Bulpitt's study - someone suffering from hypertension could choose not to adhere because its asymptomatic and the patient won't be able to see the benefit of the treatment; Costs e.g. 3 - They may feel the drug isn't working - e.g. they may take it but see no vast improvement in their health/notice no difference so they may not take it.
Conclusion: The only real benefit is getting/better, but if the illness is asymptomatic (no immediate symptoms, but long term health risk) then the person might not have felt bad in the first place anyway, so they don't see the benefits of adherence.