IMPROVINGADHERENCE · Improving medical treatment adherence : taking into account patients' perception of uncertainty in the causal relationship between their adherence behaviour and their health condition
7РП — „Хора“ (Действия „Мария Кюри“)
- Период
- 2012-11-01 → 2015-10-31
- Финансиране от ЕС
- 75 000 €
- Участници
- 1
- Схема
- MC-CIG
Линиите свързват координатора с партньорите.
Накратко на български
Причините, поради които пациенти с хронични заболявания, като диабет, не спазват стриктно предписанията за прием на лекарства, са в центъра на анализа. Това е важно, защото неправилното лечение води до сериозни здравословни усложнения и излишни разходи за здравеопазването.
Кратко обяснение, генерирано от езиков модел по текста на CORDIS. Оригиналът е по-долу.
Резултати накратко
Improving medical treatment adherence : taking into account patients' perception of uncertainty in the causal relationship between their adherence behaviour and their health condition.
Context and objectives Non-adherence, defined as the discrepancy between patients' behaviour and medical prescriptions, is a massive public health issue, the consequences of which are serious. It is estimated that one third to one half of people who have a chronic illness do not take their medications as they should. This entails a range of problems: non-adherence can reduce the benefit of the treatment for the patients, in some cases to the extent that they experience serious complications; it is also the cause of avoidable economic costs, since it involves a waste of resources and may lead to the implementation of treatments that are more complex and less effective. In addition, recent epidemiological and therapeutic developments tend to reinforce these problems. Indeed, certain conditions, that were until recently not considered chronic, tend to become so. This is the case for AIDS, for certain cancers, or certain metabolic diseases. Meanwhile, some chronic diseases reach an unprecedented magnitude. This is the case for tuberculosis or type 2 diabetes. Although non-adherence is an old issue, it deserves to be thoroughly addressed, especially against the background of the priority currently given to health, socio-demographic change and wellbeing by the European Commission in its proposal for the Horizon 2020 framework programme for R&D. The main research objectives of the proposed project were twofold : (1) to better understand why patients do not take their medications as prescribed, in order to (2) design and validate novel approaches to reduce intentional non-adherence. Potential impact and use of these results The intervention should provide medical staff with new tools for routine use to improve adherence behaviour.
Текст от CORDIS, на английски · Данни: CORDIS, © Европейски съюз
Цел на проекта
Non-adherence, defined as the discrepancy between patients' behaviour and medical prescriptions, is a massive public health issue, the consequences of which are serious. Nearly half of the patients who have a chronic disease do not take their treatment as prescribed. In order to improve our understanding of this phenomenon and to remedy it, the proposed research will examine following hypothesis : in the case of long-term conditions for which a treatment is effective and has little side effects, a cause of intentional non-adherence could be that (1) the patients perceive or, in a way, create, different types of uncertainty regarding the causal relationship between their treatment and their health and that (2) they consider that this uncertainty makes the case for non-adherence. This assumption is based on patients' adherence behaviour that I evidenced in previous research on cystic fibrosis and Wilson's disease. The proposed research will consider 4 disorders and 5 treatments that are : chronic myeloid leukemia treated with imatinib, Parkinson's disease treated with dopamine agonists and by L-DOPA, diabetes 2 treated with metformin and hypertension treated with antihypertensive treatments. The inquiry will proceed in three steps, that aim at (1) understanding the phenomenon through a qualitative study (focus groups and interviews), (2) designing an intervention based on this understanding, through an interventional study, in order to reduce the phenomenon and (3) at validating empirically the effectiveness of the intervention, through a quantitative study. The proposed research matches the first goal of the Horizon 2020 programme for a Better Society. It is at the intersection of 3 academic disciplines: (1) sociology of health, (2) psychology of risk perception and behaviour change and (3) medicine, i.e. chronic disease management. And it is to be performed in a Franco-Dutch cooperation between Université Lille 2 and Technical University Eindhoven.
Оригинален текст от CORDIS (на английски).
Участници
- Université Lille 2 Droit et Santé · LILLEКоординаторФранция
Връзки
Данни: CORDIS, © Европейски съюз