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Assignment 3

by: Spurthi Pasham
Spurthi Pasham
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About this Document

This might be on the cumulative final so im gonna leave this here
The US Healthcare System
Kathleen Byrnes
Class Notes




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This 2 page Class Notes was uploaded by Spurthi Pasham on Sunday February 28, 2016. The Class Notes belongs to HLTH 3305 at University of Texas at Dallas taught by Kathleen Byrnes in Spring 2016. Since its upload, it has received 39 views. For similar materials see The US Healthcare System in Nursing and Health Sciences at University of Texas at Dallas.


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Date Created: 02/28/16
Spurthi Pasham Issues in Patient Education  Stark  1/27 Homework Assignment 3  Question 1: Define the term “Medical Adherence” Adherence is defined as the extent to which a person’s behavior corresponds to the  agreed recommendations given by a health care provider. Question 2: Non­adherence is a major concern in the delivery healthcare services, but  specifically for recipients of organs. Why?  The prevalence of non­adherence in the immunosupressent therapy is anywhere from  20% to 50% for organ transplant, and that is because of the various reasons like acute late rejection, poor outcome or transplant loss.  Question 3: In the Theory of Planned Behavior, “Behavior” is the end­result. Define the  term “Behavior” that is used in this study (what is “Behavior” for transplant patients?)  In this criteria, Behavior could be discribed as an attitudes influced by belief and  satisfaction of medication. Attitudes show favorability or unfavorability towards a  behavior.  Question 4: What are the three independent factors that influence behavior?  According to the TPB, behavior (e.g., medication adherence) depends on behavioral  intentions, which are influenced by three independent factors: attitudes, subjective norms, and perceived behavioral control.  Question 5: Per findings of the study, what variables were independent risk factors for  nonadherence? Factors independently associated with an increased risk of nonadherence were negative  general beliefs about medications, living alone, heart transplant and , and being on  everolimus.  Question 6: What is the drug “Everolimus”? This is a drug used in the chemotherapy for kidneys, pancreas, breast and brain, but it is  also used to prevent rejection of a transplanted kidney or liver.  Question 7: Explain why the authors chose to study Theory of Planned Behavior and  adherence to medication? The theory of Planned Behavior is a chosen topic because it has been developed to  predict health behaviors. The hardest part was dealing with the adherance and non­ adherence patients and access them both with the necessary attitudes and medicine.  Question 8: List the two variables that were found to predict adherence in a population of  different organ transplant recipients. I feel the biggest two variables are subjective norms, and attitudes that were found to  predict adherence in population.  Question 9: Belief about Medicine Questionnaire is often used to assess patients’ general  belief about their course of treatment. List three items/questions. Refer to the assigned  article The self­resport Questionnaire in a clinical setting is popular and a habit that must be  circulating because it keeps in check the patient satisfaction and keeps the facility in  check of their treatment methods.  Question 10: What are the clinical translation of the present study? Clinical translation include three things. Screening for patients with negative beliefs  toward medicines with the BMQ, analyzing these beliefs, and implementing strategies to  improve adherence.  Question 11: Self­reported questionnaires often are used in clinical settings to assess  patients’ adherence. According to the investigators of the study that you just reviewed,  this type of assessment has limitations. Explain?  The limitation could be due to a possible selection bias. It could also be due to the fact  that the patient doesn't have a comprehensive understanding of what is happening to the  body, although everything might seem fine, but self report should certainly have  limitations.


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