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Journal article 210 views 156 downloads

How can we improve adherence?

Patricia Price, Tricia Price

Diabetes/Metabolism Research and Reviews, Volume: 32, Pages: 201 - 205

Swansea University Author: Tricia Price

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DOI (Published version): 10.1002/dmrr.2744

Abstract

Many patients with wound healing difficulties are also coping with the management of a chronic disease or chronic condition that requires them to make lifestyle behaviour changes, for example, managing glucose levels through diet and exercise and regular foot inspection. Many find it difficult to ma...

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Published in: Diabetes/Metabolism Research and Reviews
ISSN: 15207552
Published: 2016
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa48711
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first_indexed 2019-02-05T20:03:13Z
last_indexed 2019-07-18T21:30:16Z
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spelling v2 48711 2019-02-05 How can we improve adherence? 72b4943af96c97ef72977c31b9c29624 Tricia Price Tricia Price true false 2019-02-05 FGMHL Many patients with wound healing difficulties are also coping with the management of a chronic disease or chronic condition that requires them to make lifestyle behaviour changes, for example, managing glucose levels through diet and exercise and regular foot inspection. Many find it difficult to make such changes and often experience feelings of powerlessness when faced with a lifetime of behavioural and psychological change. This article will explore the importance of understanding the patient difficulties associated with adherence to a regime and how life changes can be difficult to maintain over sustained periods of time. However, the article will also discuss the importance of this topic in trying to understand the clinical evidence base for treatment – as many clinical trials investigating treatments for the diabetic foot do not include information on the extent to which patients in the trial conformed to the trial protocol. The article gives an overview of recent developments – including lessons we can learn from other chronic conditions where permanent life changes are required – in particular the need to keep health messages simple, tailored to the individual and repeated frequently. The evidence to date suggests that no one single form of adherence intervention will work with all patients; this is not surprising given complex and multifactorial nature of adherence and the myriad of barriers that exist that patients and health care professionals need to overcome. Journal Article Diabetes/Metabolism Research and Reviews 32 201 205 15207552 26 1 2016 2016-01-26 10.1002/dmrr.2744 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2023-06-28T15:28:50.6782021 2019-02-05T16:33:51.0590596 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Patricia Price 1 Tricia Price 2 0048711-30052019154742.pdf DMMR2015Howcanweimproveadherencemay2015.pdf 2019-05-30T15:47:42.2470000 Output 278308 application/pdf Accepted Manuscript true 2019-05-30T00:00:00.0000000 true eng
title How can we improve adherence?
spellingShingle How can we improve adherence?
Tricia Price
title_short How can we improve adherence?
title_full How can we improve adherence?
title_fullStr How can we improve adherence?
title_full_unstemmed How can we improve adherence?
title_sort How can we improve adherence?
author_id_str_mv 72b4943af96c97ef72977c31b9c29624
author_id_fullname_str_mv 72b4943af96c97ef72977c31b9c29624_***_Tricia Price
author Tricia Price
author2 Patricia Price
Tricia Price
format Journal article
container_title Diabetes/Metabolism Research and Reviews
container_volume 32
container_start_page 201
publishDate 2016
institution Swansea University
issn 15207552
doi_str_mv 10.1002/dmrr.2744
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
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description Many patients with wound healing difficulties are also coping with the management of a chronic disease or chronic condition that requires them to make lifestyle behaviour changes, for example, managing glucose levels through diet and exercise and regular foot inspection. Many find it difficult to make such changes and often experience feelings of powerlessness when faced with a lifetime of behavioural and psychological change. This article will explore the importance of understanding the patient difficulties associated with adherence to a regime and how life changes can be difficult to maintain over sustained periods of time. However, the article will also discuss the importance of this topic in trying to understand the clinical evidence base for treatment – as many clinical trials investigating treatments for the diabetic foot do not include information on the extent to which patients in the trial conformed to the trial protocol. The article gives an overview of recent developments – including lessons we can learn from other chronic conditions where permanent life changes are required – in particular the need to keep health messages simple, tailored to the individual and repeated frequently. The evidence to date suggests that no one single form of adherence intervention will work with all patients; this is not surprising given complex and multifactorial nature of adherence and the myriad of barriers that exist that patients and health care professionals need to overcome.
published_date 2016-01-26T15:28:46Z
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