The Inaccuracy in Using Interviews to Estimate Patient Reliability in Taking Medications at Home

Gordis, Leon; Markowitz, Milton; Lilienfeld, Abraham M.

doi:10.1097/00005650-196901000-00006

Cited by 146 publications

(40 citation statements)

References 6 publications

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“…In addition, in only 68 of the patients did both methods lead to the same classification. Gordis et al (18), interviewing mothers and their children and correlating these with the findings of urine tests, found that both the mother and child overstated compliance and understated non-compliance. Morisky et al (19) developed a four-item scale for self-report of compliance that demonstrated both concurrent and predictive validity of blood pressure control and supported the use of patient interviews.…”

Section: Measurementmentioning

confidence: 99%

Patient compliance-an overview

Morris¹,

Schulz²

1992

Journal of Clinical Pharmacy and Therapeutics

273

162

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SUMMARYThis article reviews the major topic areas of compliance research. Much of the research in the area has focused on measurement, extent, and determinants of non-compliance. Research on the effectiveness of educational and behavioural strategies to improve compliance suggests the need to combine them. While some authors have attempted to model compliance or medication-taking behaviours, these models cannot be applied widely.After decades of compliance research, very little consistent information is available, except that people do not take their medications as prescribed. The methodological rigour of compliance studies may partially contribute to this situation. Methodological flaws have included design features and study execution. In addition, researchers have proceeded with studies without regard to a theoretical framework.Many have argued that much of the existing compliance literature also lacks conceptual rigour. Although we know that people do not take their medications consistently, we do not know specifically why they have done so. One reason for this lack of understanding is that compliance research has been dominated by the perspective of the health professional. To better understand medicationtaking behaviour, researchers need to examine the patient's perspective. Consequently, future research needs to investigate a patient's decisionmaking process and the reasons for those decisions.

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Section: Measurementmentioning

confidence: 99%

Patient compliance-an overview

Morris¹,

Schulz²

1992

Journal of Clinical Pharmacy and Therapeutics

273

162

View full text Add to dashboard Cite

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“…Drug error rates were reported previously for diabetic and congestive failure patients.6 Both types of patients were on the average, omitting [18][19] Patient Characteristics: These factors can be summarily reviewed, since their association with drug error rates was minimal. The characteristics analyzed included: age, sex, marital status, education, current activity, number of people in household, and social class (Hollingshead two factor index based on occupation and education).…”

Section: Drug Error Ratesmentioning

confidence: 99%

Communication, compliance, and concordance between physicians and patients with prescribed medications.

Hulka¹,

Cassel²,

Kupper³

et al. 1976

Am J Public Health

375

138

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Forty-six practicing physicians and 357 patients with diabetes mellitus or congestive heart failure were the subjects for this study, which focuses on the impact of medication regimen and doctor-patient communication in affecting patient medication-taking behavior and physician awareness of these behaviors.Four types of medication errors were defined: omissions, commissions, scheduling misconceptions and scheduling non-compliance. The average error rates were 19 per cent, 19 per cent, 17 per cent and 3 per cent, respectively. The combined average error was 58 per cent; scheduling non-compliance on the part of the patient was a minor component.Specific aspects of the medication regimen were associated with increased errors: (1) the more drugs in-

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“…20 Taking this into consideration, this makes our true compliance estimate potentially worse. We believe several factors might have contributed to the poor compliance we witnessed in cadets with the use of heel lifts.…”

Section: Discussionmentioning

confidence: 99%

“…7,20,24,40,44 Applying that model to our healthy young cadets, who had no history of injuries, we believe that many of them had a low perceived susceptibility of acquiring a lower-extremity overuse injury or LBP. They most likely believed that these problems did not sound very severe, either.…”

Section: Discussionmentioning

confidence: 99%

Compliance Wearing a Heel Lift During 8 Weeks of Military Training in Cadets With Limb Length Inequality

Goss¹,

Moore²

2004

J Orthop Sports Phys Ther

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Study Design: Retrospective descriptive study. Objectives: To examine compliance in wearing heel lifts during 8 weeks of military training in cadets identified with limb length inequalities. Background: Lack of compliance can be blamed for countless poor outcomes in the medical community. Reported compliance with intervention protocols has been reported to range from 11% to 95%. All 1100 new cadets in the class of 2005 were screened for a limb length inequality. One hundred ninety-eight out of 1100 cadets were identified to have a limb length inequality on physical exam and volunteered to participate. Cadets were randomly assigned to a heel lift or control group. Cadets in the heel lift group were instructed to wear a heel lift at all times throughout cadet basic training to attempt to prevent overuse injuries. There was no difference (PϾ.05) between the heel lift group or the control group on injury rate or excusal days. Methods and Measures:In an attempt to discern whether the preventive intervention was ineffective by design or if noncompliance was to blame, investigators asked cadets via electronic mail survey to report compliance with heel lift wear as a percentage (0%-100%). Results: Seventy-six out of 99 (76.8%) cadets in the heel lift group responded to the electronic mail survey. Mean reported compliance was 38%. Eighteen cadets reported between 70% and 100% compliance. The remaining 58 cadets reported less than 70% compliance. Conclusions: Cadet compliance was poor with the use of a heel lift. Physical therapists throughout the military often prescribe heel lifts, therapeutic exercises, or medication and assume good to excellent compliance. This study reminds providers that good compliance should not be assumed in any setting.

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The Inaccuracy in Using Interviews to Estimate Patient Reliability in Taking Medications at Home

Cited by 146 publications

References 6 publications

Patient compliance-an overview

Patient compliance-an overview

Communication, compliance, and concordance between physicians and patients with prescribed medications.

Compliance Wearing a Heel Lift During 8 Weeks of Military Training in Cadets With Limb Length Inequality

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