top of page

Improving Adherence to Medical Advice: Psychological Insights

TITLE

Describe what psychologists have discovered about improving adherence to medical advice.

ESSAY

Improving Adherence to Medical Advice:

Practitioner Style (Ley, 1988):
Research conducted by Ley (1988) on GP and hospital patients in the UK revealed that a significant portion of patients had low satisfaction with their treatment and interactions with healthcare providers. Patients were identified as "information seekers", indicating a need for effective communication and engagement from practitioners. To improve adherence to medical advice, practitioners can focus on the following aspects:
1. Satisfaction: Listening to patients, addressing their concerns, and ensuring a positive doctor💥patient interaction.
2. Understanding and Memory: Avoiding medical jargon, encouraging feedback, and utilizing techniques like having patients repeat instructions to enhance recall.
3. Selecting Content: Being mindful of the impact of information provided on patients, using simple language, stating key points first, and repeating important information through summaries or written materials.

Behavioural Techniques (Yokley and Glenwick, 1984; Watt et al., 2003):
1. Yokley and Glenwick (1984) aimed to motivate parents to ensure their children received immunizations by comparing different prompting conditions. The study included:
💥 Mailed general prompt
💥 Mailed specific prompt
💥 Mailed specific prompt plus expanded clinic hours (increased access)
💥 Mailed specific prompt plus monetary incentive (lottery)
The results showed that the monetary incentive had the highest impact on attendance, followed by increased access and specific prompt conditions, highlighting the effectiveness of incentives in promoting adherence.
2. Watt et al. (2003) studied Australian children with asthma to evaluate the impact of using the Funhaler, which provided a positive incentive for medication adherence. The findings revealed:
💥 Parents were more likely to medicate their children using the Funhaler compared to traditional methods.
💥 More children adhered to the recommended dosage using the Funhaler, indicating improved adherence rates with the incentivized approach.

In conclusion, psychologists have discovered that improving practitioner style, utilizing behavioral techniques such as incentives, and providing positive reinforcement can enhance adherence to medical advice. Effective communication, personalized approaches, and motivational strategies play crucial roles in promoting patient compliance and improving health outcomes.

SUBJECT

PSYCHOLOGY

LEVEL

A level and AS level

NOTES

Psychologists have discovered various strategies to improve adherence to medical advice, including the following:

Improve practitioner style (Ley, 1988):
💥 Review study of GP and hospital patients revealed low satisfaction rates with treatment and interaction.
💥 Patients identified as ‘information seekers’.
💥 Suggestions for improving practitioner style:
💥 Enhance satisfaction by listening to patients and understanding their concerns.
💥 Improve understanding and memory by avoiding jargon, encouraging feedback, and using simpler language.
💥 Select content carefully to avoid causing fear or vulnerability in patients.
💥 Use simple language, repeat key points, provide written information, and use diagrams.

Behavioural techniques (Yokley and Glenwick, 1984):
💥 Aimed to motivate parents to immunize their children through different conditions.
💥 Conditions included:
💥 Mailed general prompt
💥 Mailed specific prompt
💥 Mailed specific prompt plus expanded clinic hours for convenience
💥 Mailed specific prompt plus monetary incentive (lottery)
💥 Impact of these conditions measured using a sample population of children in a mid💥sized city.
💥 Results showed monetary incentives had the highest impact on attendance, followed by increased access, specific prompt, and general prompt.

Watt et al. (2003):
💥 Study involving 32 Australian children with asthma.
💥 Used Breath💥a💥Tech and Funhaler to administer medication.
💥 Funhaler provided an incentive for children to take medication correctly with a spinning disc and whistle as rewards.
💥 More parents administered medication using Funhaler compared to Breath💥a💥Tech.
💥 More children adhered to recommended dosage with Funhaler compared to traditional methods.

bottom of page