Improving adherence to medical advice
Simple Model (Ley)
Money as an incentive (Yokley and Glenwick)
The Funhaler (Watt)
Patient and family communication
Leaving the bias
Modifying patient beliefs
Evaluating adherence
Imparting Knowledge
Simplifying regimen characteristics
Matching treatment to patients daily schedule
Discussion with physician, nurse, etc.
Assessing perceived susceptibility, severity, etc.
Home visits, sending emails, including patients in decisions
tailoring the education to the patient's level of understanding
self reports, pill counting, biochemical tests
They investigated whether incentives can impact whether parents get their children immunised
Prompts
Mailed general prompt
Mailed specific prompt
Mailed specific prompt with expanded hours/increased access
Mailed specific prompt with a monetary incentive
Sample
Children 5 years or younger who needed to get immunised for measles, polio, etc. in a medium sized city
Procedure
The impact of the prompts was measured over 12 weeks
Results
The monetary incentive group had the highest level of attendance for immunisations > increased access group > specific prompt group > general group
The specific prompt is the most cost effective since it is almost as effective as the monetary prompt, but with significantly reduced costs
They investigated using the funhaler as an incentive for young, asthmatic children to increase the levels of adherence
If the correct breathing technique is used, the child is rewarded by a fun whistle sound and a spinning toy
It does not interfere with the drug delivery but improves adherence by distracting the child from the drug delivery itself and reduced stress
Results show an increase in the parent’s ability to administer medication to their asthmatic children.