"if my medication makes me feel bad, I take it anyway"
"when I feel ill, I frequently take medication left over from a previous illness"
"I usually stop taking my medicine whenever I begin to feel better"
"if I start to feel worse after taking my medicine, I quit taking it"
Strengthens
Blocks out
Weakens
Punishes behavior
Behavioral techniques were largely effective
Beahvioral techniques were effective, but lack of an educational component was a drawback
The children named rewards as the most effective approach
Children responded to rewards but adolescents did not
Reciprocal determinism model
Transtheoretical model
Theory of planned behavior
Theory of reasoned action
Those with high self-efficacy quikcly relapsed
Those with high self-efficacy were more likely to be adherent
Self-efficacy has a negative correlation with adherence
Self-efficacy is an advantage for smoking relapse but is not important for exercise or diet.
Belief that they can exercise some degree of control over their actions
View of the importance that other people place on their behavior
Motivation to engage in a given action
View of other people's willingness to perform a given action
Precontemplation
Maintenance
Contemplation
Relapse
Triangle
Rectangle
Spiral
Cone
Placing Kayla into a hospital
Convincing Kayla that she has a problem behavior
Educating Kayla about proper nutrition
Helping Kayla maintain her current weight
Is most likely from the maintenance stage
Is most likely from the action stage
Is possible from any stage
Is unlikely past the action stage but more likely in earlier stages
A servile yielding to outside pressure
Conformity
Cooperation
A defiant yielding to outside pressure
Ask the clinican
Ask the patient
Ask the patient's family
Count pills
Physician judgment
Patient judgment
Examination of biochemical evidence
Pill count method
25%...50%
50%...25%
75%...over 90%
Close to 0...50%
A life-threatening illness
A chronic illness
A hereditary disorder
An illness with painful symptoms
Once a day
Twice a day
Three times a day
Four times a day
Inverse
Direct
Curvilinear
Dose response
Has not been found to exist
Is more common amoung men than among women
Is less common among well-educated people
Is more common among the elderly
Small...also small
Small...large
Large...also large
Large...small
Living with family
Belonging to a large family, even one that experiences a lot of conflict
Being married
Both a & c
A physician who explains in detail the procedures that should be undertaken by the patient
The patient's perception of the physicians as someone of equal status
A patient who has spent at least one hour waiting in the physician's waiting room
A patient who had to wait at least one month in order to see the physician
Spend less time with each patient
Ask more questions of patients
Make more negative statements to their patients
All of these
Almost no one is fully adherent
Adherence is about 25%
Adherence is about 50%
Adherence is low for younger adults but high for older adults
Clearly written instructions
Verbal rewards
Verbal punishments
Prompts from the patient's spouse
Determining which medical advice is valid and which is not
Determining those factors that predict compliance to medical advice
Developing programs to improve compliance
Developing models to explain reasons for noncompliance