Asthma Preventer Non-adherence: A psychological perspective. New Zealand Respiratory Conference September 2013 Dr Kate Perry, Lead Health Psychology Specialist. Asthma Preventer Non-adherence. Common Between 30-70% of occasions (Bender et al., 1997 ) Likely an underestimate - PowerPoint PPT Presentation
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Building unique supportsolutions for individualpatient needs
• Common– Between 30-70% of occasions (Bender et al., 1997)– Likely an underestimate• Not prompted to disclose in consultation• Subject to social desirability and recall biases
• Costly– Loss of health benefit (Stern et al., 2006)– Economic cost (Hoskins et al., 2000)• An uncontrolled patient is 3.5 x the cost of a controlled
patient (£381 vs £108)
Asthma Preventer Non-adherence
"Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments”
• Elicit patient beliefs about asthma– “How long do you think your asthma will last?”– “How serious do you think your asthma is?”– “How much control do you feel you have over your asthma?”
• Elicit patient beliefs about preventer medication– “How necessary do you think your preventer medication is?”– “How concerned are you about taking your preventer medication?”
• Correcting ‘maladaptive’ beliefs – Personalising the information – Use of behaviour change techniques