Jessop and Rutter (2003) found external cause, cure/control and being certain of having asthma as predictors of medication adherence.11 Both of these studies were conducted in patients with an average 20 years of asthma experience. Clinical case scenarios: Common mental health disorders in primary care (May 2012) Page 4 of 85 Introduction NICE clinical case scenarios Clinical case scenarios are an educational resource that can be used for individual or Subjects were selected to test the impact of illness consequences, treatment concern and treatment necessity on treatment satisfaction and medication adherence intentions. Poor medication adherence is a major barrier to positive treatment outcomes for patients, the result of which is roughly $100 billion spent per year on preventable hospitalizations.1 Adherence to medications for chronic diseases is especially inadequate – as many as 50% of patients will choose to discontinue their medications within 6 months of beginning treatment. Also, behavioural interventions can be designed using what is learned from these studies. I have read and accept the Wiley Online Library Terms and Conditions of Use, National Heart, Lung, and Blood Institute, Measuring adherence to asthma medication regimens, A meta‐analytic review of the common‐sense model of illness representation, A review of published studies of patients' illness perceptions and medication adherence: lessons learned and future directions, Self‐regulation, health, and behavior: a perceptual‐cognitive approach, Hierarchical construct validity of the treatment satisfaction questionnaire for medication (TSQM version II) among outpatient pharmacy consumers, Representations of medication and treatment: advances in theory and measurement, Self‐regulation and self‐management in asthma: exploring the role of illness perceptions and treatment beliefs in explaining non‐adherence to preventer medication, Adherence to asthma medication: the role of illness representations, The Beliefs about Medicines Questionnaire (BMQ): the development and evaluation of a new method for assessing the cognitive representation of medication, The Revised Illness Perception Questionnaire (IPQ‐R), Effect sizes for interpreting changes in health status, Causes and consequences of emotions on consumer behavior: a review of integrative cognitive appraisal theory, http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_atglance.pdf, http://www.mayoclinic.com/health/asthma/DS00021, Treatment necessity–illness consequence (interaction). In the current study, we used hypothetical case scenarios to assess nephrologists' decisions regarding referral of patients for transplant. The following summarises: the key elements of each Patients alter their coping behaviours based on what is seen as the most crucial threat. Learn more. 16,17 Each scenario contained information about a hypothetical patient’s height Chances are, you have several patients who may be appropriate for cardiac testing. Future studies should replicate the experimental design, using other health conditions such as diabetes or hypertension to understand the mechanics of medication adherence behaviour in patients with early diagnosis. The impact of discussing exercise test results of young asthmatic children on adherence to maintenance medication. Choice and competition: hypothetical scenarios for NHS healthcare providers Published 12 September 2014 Contents 1. Patients who believe that there are no significant consequences resulting from their asthma and who feel their treatment is necessary are less likely to be satisfied with their asthma treatment. What is the likelihood that Chris would continue to take his inhaler as prescribed by his doctor? Use the link below to share a full-text version of this article with your friends and colleagues. Only age correlated significantly with one of the study measures: treatment satisfaction; however, age was not a significant independent variable in the regression analysis. After reading the scenarios the students responded to questions about treatment satisfaction and likelihood of using the medication as directed by the physician. An experimental study (2×2×2 factorial design) was conducted to assess the effects of three factors – treatment concerns, treatment necessity and illness consequences on treatment satisfaction and medication adherence intentions. The following scenarios will help you start developing the thought process of critical thinking. When illness consequence is weak (low), there is a negative association between treatment necessity and treatment satisfaction. The methodology allows one to test the theoretical relationships controlling for the influence of prior illness experiences. Item deleted to improve Cronbach's alpha. Purpose: To help you prepare for disclosure communications by using four scenarios to practice challenging interpersonal communications. Prevention and treatment information (HHS). Patients' perceptions of illness consequence are likely to influence (moderate) the impact of treatment necessity on treatment satisfaction; and their intentions to take medication as directed are likely to be influenced by treatment satisfaction rather than treatment beliefs or illness consequence early in the patient illness experience. However, simplifying the asthma case to evaluate the impact of specific factors on treatment satisfaction and medication adherence intentions should lend to future research to evaluate interventions to improve medication adherence. Results: Medical Scenarios Respiratory Asthma Scenario: You are called to a local house for a woman with trouble breathing. Would you like email updates of new search results? After reading the scenarios the students responded to questions about treatment satisfaction and likelihood of using the medication as directed by the physician. Subjects assigned to scenarios with a high treatment concern manipulation groups scored higher (11.74 ± 1.74) than those in the lower treatment concern manipulation groups (7.23 ± 2.82). Treatment concern was a weaker independent variable in the treatment satisfaction model, but it should not be ignored. Methods: COVID-19 is an emerging, rapidly evolving situation. Healthy subjects were recruited at a University to study the relationships between illness consequence and treatment beliefs. Study information was emailed. He prescribed a steroid inhaler, a safe and standard treatment for asthma. 2 10 Longer Hypothetical Questions You have been dared to spend a night in a remote house alone just for the sake of it. Participants were further excluded if they were health professional students in the medical, pharmacy, nursing and dental fields to minimize bias. Clipboard, Search History, and several other advanced features are temporarily unavailable. During the visit, the physician recommends that the patient be prescribed Patients with early diagnosis of asthma are likely to form treatment satisfaction as a result of illness consequence and treatment necessity. Interaction effect with treatment necessity…, Interaction effect with treatment necessity as independent variable and illness consequence as moderating…, NLM Chris sometimes worries about the long‐term effects of his inhaler. 50 Funny Hypothetical Questions By Courtney Pococh - January 30, 2018 18169 0 If you want to learn more about your friend or just have some fun, these funny hypothetical questions can help. J Asthma. A multiple regression model was used to test the impact of factors on treatment satisfaction and medication adherence at the 0.05 level of significance.

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