OBJECTIVE: Physicians are inaccurate in predicting non-adherence in patients, a problem that interferes with physicians': (1) appropriate prescribing decisions and (2) effective prevention/intervention of non-adherence. The purpose of the current study is to investigate potential reasons for the poor accuracy of physicians' adherence-predictions and conditions under which their predictions may be more accurate. METHODS: After the medical encounter, predictions of patient-adherence and other ratings from primary-care physicians (n=24) regarding patient-factors that may have influenced their predictions were collected. Patients (n=288) rated their agreement regarding the prescribed treatment after the encounter and reported adherence 1 month later. RESULTS: Several factors were related to physicians' adherence-predictions, including physicians' perceptions of patient-agreement regarding treatment. However, some factors were not related to adherence and agreement-perceptions were inaccurate overall, potentially contributing to the poor accuracy of adherence-predictions. The degree to which physicians discussed treatment-specifics with the patient moderated agreement-perception accuracy but not adherence-prediction accuracy. CONCLUSIONS: Training providers to discuss certain treatment-specifics with patients may improve their ability to perceive patient-agreement regarding treatment and may directly improve patient-adherence. PRACTICE IMPLICATIONS: Discussing treatment-specifics with patients may directly improve adherence, but providers should not rely on these discussions to give them accurate estimates of the patients' likely adherence.
OBJECTIVE: Physicians are inaccurate in predicting non-adherence in patients, a problem that interferes with physicians': (1) appropriate prescribing decisions and (2) effective prevention/intervention of non-adherence. The purpose of the current study is to investigate potential reasons for the poor accuracy of physicians' adherence-predictions and conditions under which their predictions may be more accurate. METHODS: After the medical encounter, predictions of patient-adherence and other ratings from primary-care physicians (n=24) regarding patient-factors that may have influenced their predictions were collected. Patients (n=288) rated their agreement regarding the prescribed treatment after the encounter and reported adherence 1 month later. RESULTS: Several factors were related to physicians' adherence-predictions, including physicians' perceptions of patient-agreement regarding treatment. However, some factors were not related to adherence and agreement-perceptions were inaccurate overall, potentially contributing to the poor accuracy of adherence-predictions. The degree to which physicians discussed treatment-specifics with the patient moderated agreement-perception accuracy but not adherence-prediction accuracy. CONCLUSIONS: Training providers to discuss certain treatment-specifics with patients may improve their ability to perceive patient-agreement regarding treatment and may directly improve patient-adherence. PRACTICE IMPLICATIONS: Discussing treatment-specifics with patients may directly improve adherence, but providers should not rely on these discussions to give them accurate estimates of the patients' likely adherence.
Authors: K A Schulman; J A Berlin; W Harless; J F Kerner; S Sistrunk; B J Gersh; R Dubé; C K Taleghani; J E Burke; S Williams; J M Eisenberg; J J Escarce Journal: N Engl J Med Date: 1999-02-25 Impact factor: 91.245
Authors: Isabelle Toupin; Kim Engler; David Lessard; Leo Wong; Andràs Lènàrt; Bruno Spire; François Raffi; Bertrand Lebouché Journal: Qual Life Res Date: 2017-10-13 Impact factor: 4.147
Authors: Shawna V Hudson; Jeanne M Ferrante; Pamela Ohman-Strickland; Karissa A Hahn; Eric K Shaw; Jennifer Hemler; Benjamin F Crabtree Journal: J Am Board Fam Med Date: 2012 Nov-Dec Impact factor: 2.657
Authors: Myrna L Friedlander; Kelsey Kangos; Kieran Maestro; Hannah Muetzelfeld; Scott T Wright; Nicole Da Silva; Justin Kimber; Drew A Helmer; Lisa M McAndrew Journal: Couns Psychol Date: 2019-12-16
Authors: Matthew A Spinelli; Nancy A Hessol; Sandra K Schwarcz; Susan Scheer; Monica Gandhi; Ling Chin Hsu Journal: Open Forum Infect Dis Date: 2021-03-20 Impact factor: 3.835