Thesis (Ph. D.)--West Virginia University, 2007. / Title from document title page. Document formatted into pages; contains x, 239 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 183-189).

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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 (MNursing (Advanced Practice))--University of South Australia, 1996

Thesis--Wisconsin. / Includes bibliographical references (leaves 38-41).

Thesis--Wisconsin. / Includes bibliographical references (leaves 34-35).

No description available.

This study was undertaken to test the satisfaction process as it relates to the consumption of prescription medication. The disconfirmation of expectations model was used as a framework for the study. The study sought to evaluate the impact the provision of drug information has on the satisfaction/dissatisfaction process. To accomplish this, consumers recruited from two community pharmacies were provided with a scenario that described the purchase, and consequences of taking a prescription product intended for the treatment of migraine headache. Each subject received a scenario that contained one of four (4) levels of drug information. The four levels were: (1) no drug information; (2) information about side effects; (3) information about effectiveness; and (4) information about effectiveness and side effects. Each subject also received a scenario that described one of four therapeutic outcomes. They were: (1) no side effects with total elimination of headaches; (2) no side effects with partial elimination of headaches; (3) side effects with total elimination of headaches; and (4) side effects with partial elimination of headaches. The disconfirmation of expectation model was supported by the study. Using an ANOVA model, analyses revealed that the provision of drug information resulted in more positive disconfirmation and higher levels of satisfaction when the outcome of therapy was less than optimal. The measures of future intention were also affected by the provision of drug information. Further analyses revealed satisfaction was a function of expectation and disconfirmation.

Thesis (D.C.P. / M. Sc.)--School of Psychology, Faculty of Science, University of Sydney, 2007. / Title from title screen (viewed on February 3, 2009) Degree awarded 2007; thesis submitted 2006. Submitted in fulfilment of the requirements for the degree of Doctor of Clinical Psychology/Master of Science to the School of Psychology, Faculty of Science. Includes bibliographical references. Also issued in print.