Question-behavior effect and medication adherence in patients with chronic diseases
A.A. OVCHINNIKOV, A.N. SULTANOVA, I.A. CHISTYAKOV
Novosibirsk State Medical University, 52 Krasny Pr., Novosibirsk, Russian Federation, 630091
Ovchinnikov A.A. ― D. Med. Sc., Professor of the Department of Psychiatry, Narcology and Psychotherapy, tel. (383) 241-99-18, e-mail: anat1958@mail.ru
Sultanova A.N. ― Cand. Med. Sc., Associate Professor of the Department of Clinical Psychology, tel. +7-913-377-35-17, e-mail: sultanova.aklima@yandex.ru
Chistyakov I.A. ― student of the Department of Social Work and Clinical Psychology, tel. +7-999-451-91-18, e-mail: akellot@mail.ru
50% patients with chronic disease shows unintentional and intentional medication non-adherence. Medication non-adherence causes 4 to 10% of preventable healthcare losses. SMS reminders are associated with significant improvement in adherence rates. The current paper tests whether the question-behavior effect (QBE) could improve SMS reminders effectiveness. Preliminary RCT (N=40) shows positive, but not significant effect of QBE/SMS combination on medication adherence rates (ASD=0.249 (95% C. I. -0.061 – 0.560)), which corresponds to the predicted effect size (ASD=0.166 (95% C. I. 0.044 – 0.276)). Additional research is required for confirmation of QBE/SMS combination effectiveness.
Key words: behavioral medicine, medication adherence, compliance, adherence, mere-measurement effect, question-behavior effect, QBE, SMS-reminders, chronic disease, randomized control testing.
REFERENCES
- Goren A., Isherwood G., Vietri J. Intentional and Unintentional Non-Adherence Differ Across Prevalent Conditions in a Russian Patient Population. Value in Health, 2012, 15 (7), p. 541.
- DiMatteo M.R., Giordani P.J., Lepper H.S., Croghan T.W. Patient adherence and medical treatment outcomes: a meta-analysis. Medical Care, 2002, 40 (9), pp. 794-811.
- Iuga A.O., McGuire M.J. Adherence and health care costs. Risk Management and Healthcare Policy, 2014, 7, pp. 35-44.
- Benjamin R.M. Medication Adherence: Helping Patients Take Their Medicines As Directed. Public Health Reports, 2012, 127 (1), pp. 2-3.
- World Health Organisation. Adherence to long-term therapies: evidence for action. Geneva: World Health Organisation, 2003. 211 p.
- Tao D., Xie L., Wang T. A meta-analysis of the use of electronic reminders for patient adherence to medication in chronic disease care. Journal of Telemedicine and Telecare, 2015, 21 (1), pp. 3-13.
- Gerber A.S., Green D.P. Do phone calls increase voter turnout? An update. Annals of the American Academy of Political and Social Science, 2005, 601, pp. 142-154.
- Rodrigues A.M., O’Brien N., French D.P., Glidewell L., Sniehotta F.F. The Question-Behavior Effect: Genuine Effect or Spurious Phenomenon? A Systematic Review of Randomized Controlled Trials With Meta-Analyses. Health Psychology (2014), available at: http://dx.doi.org/10.1037/hea0000104
- Cuevas C., Penato W. Psychometric properties of the eight-item Morisky Medication Adherence Scale (MMAS-8) in a psychiatric outpatient setting. International Journal of Clinical and Health Psychology, 2014, 15 (2), pp. 121-129.
- Tan X., Patel I., Chang J. Review of the four item Morisky Medication Adherence Scale (MMAS-4) and eight item Morisky Medication Adherence Scale (MMAS-8). Inov Pharm, 2014, 5 (3), p. 165.
- Konrath S., Meier B.P., Bushman B.J. Development and Validation of the Single Item Narcissism Scale (SINS). PLOS One, 2014, 9 (8), e103469.
- Davey H.M., Barratt A.L., Butow P. N., Deeks J.J. A one-item question with a Likert or Visual Analog Scale adequately measured current anxiety. Journal of Clinical Epidimiology, 2007, 60 (4), pp. 356-360.
- Spangenberg E.R., Kareklas I., Devezer B., Sprott D.E., A meta-analytic synthesis of the question-behavior effect. Journal of Consumer Psychology (2015), available at: http://dx.doi.org/10.1016/j.jcps.2015.12.004