scholarly journals Towards Optimal Heart Failure Care: Couples-Oriented Strategies to Improve Patient Adherence and Health Outcomes

2016 ◽  
Vol 12 (3) ◽  
pp. 243-248 ◽  
Author(s):  
Samia R. Toukhsati ◽  
David L. Hare
Keyword(s):  
Heart Failure ◽  
Health Outcomes ◽  
Patient Adherence ◽  
Heart Failure Care ◽  
Improve Patient Adherence ◽  
Improve Patient

Gamification to Improve Adherence to Clinical Treatment Advice

2017 ◽  
pp. 80-111 ◽  
Author(s):  
Deborah Richards ◽  
Patrina H.Y. Caldwell
Keyword(s):  
Health Outcomes ◽  
Patient Adherence ◽  
Token Economy ◽  
Medical Advice ◽  
Virtual Character ◽  
Scarce Resources ◽  
Game Mechanics ◽  
Improve Patient Adherence ◽  
Improve Patient

This chapter looks at how gamification of existing technology can be used to incorporate the factors that have been found to improve patient adherence. Lack of adherence to medical advice is a major problem because it reduces the likelihood of improved health outcomes and is a waste of costly and scarce resources. To provide intrinsically motivating game mechanics we discuss the use of an embodied virtual character to build an ongoing therapeutic alliance with the patient. Extrinsically motivating game mechanics are added via a game based on the token economy. The intention is to empower, engage and encourage the patient to adhere with the medical advice. A case study is provided for the condition of paediatric incontinence.

scholarly journals Can Technology Improve Adherence to Long-Term Therapies?

2009 ◽  
Vol 3 (3) ◽  
pp. 492-499 ◽  
Author(s):  
Gérard Reach
Keyword(s):  
Cost Saving ◽  
Health Outcomes ◽  
Medical Treatment ◽  
Diabetes Care ◽  
Patient Adherence ◽  
Fear Of Hypoglycemia ◽  
Improve Patient Adherence ◽  
Contemporary Medicine ◽  
Improve Patient

Background: Therapeutic nonadherence is defined as the lack of equivalence between the behavior of the patients and their prescribed medical treatment. Consequences of nonadherence include not only health outcomes, but also cost saving. Thus, this issue gets paramount importance in contemporary medicine. Method: The aim of this article is to discuss the relationships between technology and adherence by asking the following three questions. (1) How can technology be used to monitor patient adherence? (2) Considering the mechanisms of nonadherence in chronic diseases, is there room for technology in interventions aimed to improve patient adherence? (3) What about adherence to technology in diabetes care? Results and Conclusion: Technology may help improve adherence to long-term therapies by (1) giving a concrete representation of adherence rewards, (2) overcoming immediate obstacles to adherence, such as the fear of hypoglycemia, and (3) providing an opportunity for patient-doctor conversations. This assumes, however, that both the patient and the doctor are convinced that technologies are useful.

Gamification to Improve Adherence to Clinical Treatment Advice

2016 ◽  
pp. 47-77 ◽  
Author(s):  
Deborah Richards ◽  
Patrina H.Y. Caldwell
Keyword(s):  
Health Outcomes ◽  
Patient Adherence ◽  
Token Economy ◽  
Medical Advice ◽  
Virtual Character ◽  
Scarce Resources ◽  
Game Mechanics ◽  
Improve Patient Adherence ◽  
Improve Patient

This chapter looks at how gamification of existing technology can be used to incorporate the factors that have been found to improve patient adherence. Lack of adherence to medical advice is a major problem because it reduces the likelihood of improved health outcomes and is a waste of costly and scarce resources. To provide intrinsically motivating game mechanics we discuss the use of an embodied virtual character to build an ongoing therapeutic alliance with the patient. Extrinsically motivating game mechanics are added via a game based on the token economy. The intention is to empower, engage and encourage the patient to adhere with the medical advice. A case study is provided for the condition of paediatric incontinence.

Barriers to Deprescribing

2019 ◽  
pp. 47-68
Author(s):  
Swapnil Gupta ◽  
Rebecca Miller ◽  
John D. Cahill
Keyword(s):  
Side Effects ◽  
Patient Adherence ◽  
Medical Institution ◽  
Sociocultural Factors ◽  
Related Factors ◽  
Potential Patient ◽  
Improve Patient Adherence ◽  
The Relationship ◽  
Improve Patient

This chapter identifies the possible barriers to deprescribing, and presents suggestions for strategies to overcome them. Although deprescribing has the potential to streamline medication regimens, minimize side effects, cut costs, improve patient adherence, and strengthen the relationship between the patient and the prescribing professional, barriers may originate from the patient, physician, and/or the institution, both local and the larger medical institution. Barriers related to prescriber-related factors such as the physician’s illusion and fear of litigation, are discussed. Potential patient- and environment-related barriers are also discussed, including sociocultural factors which may emerge in the process of initiating a course of deprescribing. Included in this chapter is a discussion of the possibility of relapse, colloquially defined, and the patient’s and provider’s fears for rehospitalization. Possible strategies for overcoming each of these barriers are discussed.

Management of HIV-1 Infection in Adults and Adolescents

2000 ◽  
Vol 13 (6) ◽  
pp. 426-441 ◽  
Author(s):  
Kenneth R. Eugenio ◽  
Caroline S. Zeind
Keyword(s):  
Highly Active Antiretroviral Therapy ◽  
Patient Adherence ◽  
Social Barriers ◽  
Highly Active ◽  
Immunodeficiency Virus ◽  
Improve Patient Adherence ◽  
Substantial Decline ◽  
Improve Patient ◽  
Hiv 1 ◽  
New Strategies

The management of Human Immunodeficiency Virus-1 (HIV-1) infection has undergone dramatic change since its initial identification. Advances have occurred in drug development, viral pathology understanding, laboratory monitoring and genetic analysis. With the advent of highly active antiretroviral therapy (HAART), there has been a substantial decline in HIV-1-related morbidity and mortality. Today, HIV-1 infection is treated as a chronic disease that requires strict patient adherence to HAART. Pharmacists provide pharmaceutical care to patients with HIV disease in a variety of ways, and they can improve patient adherence rates. Current therapeutic strategies have not resulted in eradication of HIV-1 infection. Present and future therapeutic challenges include viral resistance, reservoirs of virus and drug toxicities. Globally, the spread of HIV-1 infection continues at an alarming rate, and economic and social barriers may limit access and success of HAART. New strategies and novel approaches in managing HIV-1 infection continue to be developed in an effort to cure and eradicate this disease.

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