NSE 21A/B Lecture Notes - Lecture 8: Transtheoretical Model, Social Cognitive Theory, Health Belief Model

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Compliance: implies obedience and the expectation that patients will passively follow orders (mullen, 1997): compliance has been defined as the "extent to which a person"s behavior . coincides with medical or health advice" (cameron, 1996, p. 244). Adherence: complex and ever-changing process, persistence in the practice and maintenance of desired health behaviors and is the result of active participation and agreement, patient does what the healthcare provider recommends. 2006; murphy & canales, 2001): concordance depends on the ability of patients to make their own informed decision. Attributes of adherence alignment of patient behavior and health recommendations: mastery of a new behavior and health knowledge, ongoing collaborative relationships between the patient and healthcare provider, perceived ability to meet the outcome targets. Outcomes of adherence: a sense of mastery, improved confidence, and ability to cope. Increased patient satisfaction, improved knowledge of their condition and treatment, improved health outcomes, fewer medication-related problems, less wasted medication.

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