Thesis (Ph. D.)--West Virginia University, 2002. / Title from document title page. Document formatted into pages; contains vii, 66 p. : ill. Includes abstract. Includes bibliographical references (p. 60-66).

Thesis (Ph.D.)--University of Nebraska-Lincoln, 2009. / Title from title screen (site viewed March 2, 2010). PDF text: x, 96 p. : col. ill. ; 471 K. UMI publication number: AAT 3386834. Includes bibliographical references. Also available in microfilm and microfiche formats.

Optimal effect of medical treatment requires patients' adherence to those treatments, which plays a even greater role than the medical decision made by physicians. With the epidemiological dynamic evolving, chronic disease becomes the major burden of healthcare, such as AIDS, hypertension, COPD, tuberculosis, asthma, epilepsy, schizophrenia, depression and diabetes, which make the adherence especially medication adherence a sightworthy issue because the risk of poor adherence with the complexity and duration of treatment with both of them are inherent to chronic diseases. Among patients with hypertension, medication nonadherence contributes to poorly controlled blood pressure as an significant yet unrecognized role. With the mediator of negative outcomes of further development of vascular disorders, including stroke, heart failure, renal insufficiency and coronary diseases, medication nonadherence to antihypertensives become the root of all devil in terms of healthcare. In terms of healthcare utilization, it costs approximately 396 to 792 million dollars per year and creates a significant burden. Effect factors for medication nonadherence among hypertension patients include knowledge about hypertension, beliefs about hypertension, perceived beliefs about medication, inadequate self-management behaviors, physician-patient relationship, social support and healthcare policy. The achievements of current single level interventions are not satisfactory, therefore multiple level interventions are calling for attention.Everyone in the healthcare system are responsible to alter the situation. A comprehensive healthcare system that consummates all the effect factors is the effective and efficient solution. / published_or_final_version / Public Health / Master / Master of Public Health

No description available.

The purpose of this study was twofold. First, the study investigated the influence of nonsmokers' argumentativeness and verbal aggressiveness levels on their compliance-gaining message selection. Second, the study examined compliance-gaining usage on the basis of two additional independent variables -- agent and target gender. One hundred fifty-four participants completed instrumentation consisting of seven pages. The instrumentation included the Modified Argumentativeness Scale, the Verbal Aggressiveness Scale, the Nonsmoking Compliance-Gaining Scale, demographic and smoking questions.A median split was used to dichotomize both argumentativeness and verbal aggressiveness into the two categories of high and low. A two-way analysis of variance (ANOVA) was used to test the first three hypotheses which made predictions about compliance-gaining strategy use on the basis of the agent's argumentativeness and verbal aggressiveness levels. None of the ANOVAs produced significance between high and low argumentativeness. However, there was significance between high and low verbal aggressives. Specifically, high verbal aggressives reported greater use of a variety of compliance-gaining strategies than did low verbal aggressives.The second set of hypotheses made predictions about compliance-gaining strategy use on the basis of the agent's and target's gender. A repeated measures multivariate analysis of variance (MANOVA) and univariate analyses were used to test these hypotheses. Males reported greater use of the explanation, direct request, and threat strategies when the target was of the same sex than did females. When the target was of the opposite sex, males reported more use of the threat strategy than did females. An interaction was found with threat. Both men and women reported using the threat strategy more when the target was male.Some of these findings were contradictory to previous research. Sprowl (1984) did not find a distinction between compliance-gaining strategies on the basis of target gender. Further research should examine the effects of agent and target gender on compliance-gaining usage. Additionally, high verbal aggressives reported using positive strategies. Infante and Rancer (1982) described verbal aggressiveness as a negative phenomena. Hence, future research needs to explore the potential positive traits of verbally aggressive individuals. / Department of Speech Communication

The main purpose of this research study was to identify variables within the physician-patient relationship that may have a relationship to patients' intentions to adhere to medical recommendations. A literature review regarding the physician-patient relationship identifies two important variables: trust and empathy. This study investigated the impact of trust and empathy on patients' intentions to adhere to medical recommendations. Ajzen's Theory of Planned Behavior (Ajzen, 1988) (Figure 1) was used as a theoretical cognitive framework to help conceptualize the proposed study. Trust and perceived empathy were proposed as variables in the physician-patient relationship that influence a patient's subjective norm, attitude toward the behavior, and perceived behavioral control sufficiently to affect the patient's intentions to adhere to medical recommendations (Figure 2).The participants in this investigation included 128 adult Family Practice Clinic patients, who completed a set of questionnaires following an appointment with their physician. Participants completed the measures of the Perceived Empathy Scale (Plank, Minton, & Reid, 1996), the Trust in Physicians Scale (Anderson & Dedrick, 1990), and a short author generated measure of intentions to follow medical recommendations. The survey included four demographic variables: sex, age, marital status, and number ofphysicians' appointments.A hierarchical regression was performed which indicated that trust in the physician was not a statistically significant predictor of intentions to adhere to medical recommendations. However, patient perceived empathy from the physician was a statistically significant predictor of patients' intentions to adhere to medical recommendations. The only statistically significant demographic predictor of intentions to adhere to medical recommendations was marital status, indicating that participants who were married were more likely to express intentions to follow medical recommendations that those who were not. / Department of Counseling Psychology and Guidance Services

Calls for innovations and research echo in the latest reviews and meta-analyses of methods to enhance compliance (Haynes, McDonald, Garg, & Montague, 2003; Pekkala & Merinder, 2002; Peterson, Takiya, & Finley, 2003). In spite of effective therapy emerging daily from medical research, non-compliance appears at disappointing rates. Over the past 25 years, the gap is widening between what we could achieve with available and emerging health care and what we are currently achieving. This lack of compliance with proven therapy thwarts health outcomes and adds to the growing health care costs. In Canada, direct and indirect costs resulting from non-compliance with therapies amount to 7 to 9 billion dollars per year (Coambes, Jensen, Hao Her, Ferguson, Jarry, Wong, & Abrahamsohn, 1995; Coambs, 1997; Tamblyn & Perreault., 1997). / Many stakeholders play a role in the complex compliance equation. The physician plays a key role. Supporting physician maintenance of competence are continuing health educators. Together, the physicians and educators seek to employ the latest evidence in their practices to enhance compliance. Explicating the thinking that guides their medical and educational practices helps researchers and educators to understand problems in current approaches to compliance. / It is argued that prior knowledge is the basis for learning (Limon & Mason, 2002). Understanding current knowledge and behavior of a learner establishes the baseline to build effective educational activities that will impact targeted outcomes. Further, education designed by using learner's prior knowledge is the scaffold for future learning (Alexander, 1996). / This survey research examines the thinking and behavior of a randomized sample of Canadian physicians and networking sample of educators. Quantitative and qualitative analysis of participant thinking and interventions reveal different perspectives and mental models that guide their clinical and educational decisions. The findings reveal important differences with current clinical recommendations. The study identifies important variables that explain the differences and lack of progress in this area. / Directions for future education and research are forwarded. The recommendations, based in theories of change and cognition, offer important insights and opportunities to make advances toward enhancing current rates of compliance.

Thesis (MNurs)--University of South Australia, [2000]

Diss. (sammanfattning) Göteborg : Univ., 2007. / Härtill 4 uppsatser.

Thesis (Ph. D.)--Virginia Polytechnic Institute and State University, 1992. / Vita. Abstract. Includes bibliographical references (leaves 161-170). Also available via the Internet.