Family expectations and arthritis patient compliance to a hand resting splint regimen

Oakes, T.W.; Ward, John; Gray, Robert M.; Klauber, Melville R.; Moody, Philip M.

doi:10.1016/0021-9681(70)90051-2

Cited by 66 publications

(17 citation statements)

References 11 publications

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“…The compliance rates were determined to be 25%, 28%, 50%, 62%, and 65% (see Table 3). The highest rate was observed in the study by Oakes et a1 (28). Unfortunately, selection of patients in this study was not based on specific predefined entry criteria.…”

Section: Resultsmentioning

confidence: 74%

A critical review of compliance studies in rheumatoid arthritis

Belcon

Haynes

Tugwell

1984

Arthritis & Rheumatism

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Nineteen studies of treatment compliance in rheumatoid arthritis (RA) patients have been critically appraised to assess the magnitude and determinants of noncompliance in this population. Deficiencies in study methodology undermined the possibility of firm conclusions on the influence of various factors on compliance in RA populations. Nevertheless, it is apparent that noncompliance with treatments for RA is a major problem that hitherto has not been widely considered. Compliance with prescribed drug regimens varied from 16% to 84% among these studies. With physiotherapy regimens, compliance rates varied from 39% to 65%, while for splint-usage, rates varied from 25% to 65%.No consistent correlation has been demonstrated between compliance and age, sex, treatment side effects, disease severity, or drug dose frequency. Gaps in our present day knowledge have been detailed and the need for further research is outlined.The extent to which a person's behavior coincides with medical or health advice-compliance-is being increasingly recognized as a major consideration in the day-to-day management of ambulatory patients in a variety of health care settings (1). The magnitude

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Section: Resultsmentioning

confidence: 74%

A critical review of compliance studies in rheumatoid arthritis

Belcon

Haynes

Tugwell

1984

Arthritis & Rheumatism

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“…122 Ferguson and Bole have also demonstrated the complex ways in which family support influences compliance by arthritis patients with recommendations about aspirin, exercise, and splints. 123…”

Section: Arthritismentioning

confidence: 99%

Strategies for enhancing patient compliance

Becker¹,

Maiman²

1980

J Community Health

312

111

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Patient noncompliance is a substantial obstacle to the achievement of therapeutic goals. This paper reviews a number of practical interventions with demonstrated efficacy in enhancing patient adherence, including (1) improving patients' levels of information concerning the specifics of their regimens, reinforcing essential points with review, discussion, and written instruction, and emphasizing the importance of the therapeutic plan, (2) taking clinically appropriate steps to reduce the cost, complexity, duration, and amount of behavioral change required by the regimen and increasing the regimen's convenience through "tailoring" and other approaches, (3) obtaining a compliance-oriented history of the patient's prior experiences and present health beliefs and, where necessary, employing strategies to modify those perceptions likely to inhibit compliance, (4) improving levels of patient satisfaction, particularly with the provider-patient relationship, (5) arranging for the continued monitoring of the patient's subsequent compliance to treatment, (6) increasing staff awareness of the magnitude and determinants of the noncompliance phenomenon and attempting to develop an "active influence orientation" in each member of the health care team, (7) using such techniques as patient-provider contracts to involve the patient in therapeutic decisions and in the setting of treatment objectives and creating incentives (through rewards and reinforcements) for achieving these objectives, (8) arranging for as much continuity of provider (and other staff) as possible, (9) establishing methods of supervising the patient, including involvement of the patient's social support network, and (10) involving fully the assistance of all available health care providers, assigning specific roles and responsibilities for activities directed at improving adherence to treatment.

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“…D'autres études prétendent finalement qu'il existe un lien entre le soutien social et le consentement au traitement prescrit (Alderman & Schoenbaum, 1975;DiMatteo, 2004;Earp et al, 1981;Oakes et al, 1970). Le soutien social pourrait ainsi avoir un impact sur les autosoins, d'une part, parce que les membres de la famille offrent une assistance pratique (Shumaker & Hill, 1991) et, d'autre part, parce que ceux-ci tentent d'influencer les comportements de santé (Umberson, 1987(Umberson, , 1992.…”

Section: Les Effets Du Soutien Social Sur La Santé Des Individusunclassified

rôle du soutien social dans la capacité d'autonomisation des femmes âgées de 55 ans et plus atteintes de multimorbidité /

Collard¹

2011

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Family expectations and arthritis patient compliance to a hand resting splint regimen

Cited by 66 publications

References 11 publications

A critical review of compliance studies in rheumatoid arthritis

A critical review of compliance studies in rheumatoid arthritis

Strategies for enhancing patient compliance

rôle du soutien social dans la capacité d'autonomisation des femmes âgées de 55 ans et plus atteintes de multimorbidité /

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