Medication adherence as a learning process: insights from cognitive psychology.
Non-adherence to medications is one of the largest contributors to sub-optimal health outcomes. Many theories of adherence include a ‘value–expectancy’ component in which a patient decides to take a medication partly based on expectations about whether it is effective, necessary, and tolerable. We p...
| Publicado en: | Health Psychology Review Vol. 11; no. 1; pp. 17 - 33 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Mar2017
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121234746&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121234746 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17437199 30NR jtl: Health Psychology Review issn: 17437199 maglogo: N pubinfo: dt: Mar2017 vid: 11 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 121234746 121234746 121234746 10.1080/17437199.2016.1240624 121234746 ppf: 17 ppct: 16 formats: tig: atl: Medication adherence as a learning process: insights from cognitive psychology. aug: au: Rottman, Benjamin Margolin Marcum, Zachary A. Thorpe, Carolyn T. Gellad, Walid F. affil: Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA sug: subj: Ajzen's Theory of Planned Behavior Medication Compliance Learning Psychology Delayed Onset Psychology, Applied ab: Non-adherence to medications is one of the largest contributors to sub-optimal health outcomes. Many theories of adherence include a ‘value–expectancy’ component in which a patient decides to take a medication partly based on expectations about whether it is effective, necessary, and tolerable. We propose reconceptualising this common theme as a kind of ‘causal learning’ – the patient learns whether a medication is effective, necessary, and tolerable, from experience with the medication. We apply cognitive psychology theories of how people learn cause–effect relations to elaborate this causal-learning challenge. First, expectations and impressions about a medication and beliefs about how a medication works, such as delay of onset, can shape a patient’s perceived experience with the medication. Second, beliefs about medications propagate both ‘top-down’ and ‘bottom-up’, from experiences with specific medications to general beliefs about medications and vice versa. Third, non-adherence can interfere with learning about a medication, because beliefs, adherence, and experience with a medication are connected in a cyclic learning problem. We propose that by conceptualising non-adherence as a causal-learning process, clinicians can more effectively address a patient’s misconceptions and biases, helping the patient develop more accurate impressions of the medication. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|