Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach.
Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach.
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DOI：
10.5539/gjhs.v8n6p128
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发表时间：
2015-10-26
期刊：
影响因子：
--
通讯作者：
Yoder W
中科院分区：
文献类型：
--
作者：
Houston E;Tatum AK;Guy A;Mikrut C;Yoder W
治疗依从性差是慢性病患者的主要问题。研究表明，当伴随抑郁症状时，依从性会恶化。在这项初步研究中，我们旨在描述如何采用以患者为中心的方法来帮助有抑郁症状的患者遵循他们的治疗方案。样本包括14名接受HIV抗逆转录病毒治疗(ART)的患者，他们报告了临床上明显的抑郁症状。使用两种评估和分析技术对23个与治疗相关的陈述的参与者评级进行了检查。对参与者进行了访谈，以确定他们对基于该技术的信息的看法。结果表明，尽管依从性最佳的参与者比依从性差的参与者更多地关注与副作用相关的治疗观点，但他们倾向于将这些副作用与内在动机的来源联系起来。这项研究提供了一些例子，说明从业者如何使用概述的评估技术，以更好地了解患者对治疗的想法，并帮助他们有效地制定与健康相关的目标。
Poor treatment adherence is a major problem among individuals with chronic illness. Research indicates that adherence is worsened when accompanied by depressive symptoms. In this preliminary study, we aimed to describe how a patient-centered approach could be employed to aid patients with depressive symptoms in following their treatment regimens. The sample consisted of 14 patients undergoing antiretroviral therapy (ART) for HIV who reported clinically-significant depressive symptoms. Participant ratings of 23 treatment-related statements were examined using two assessment and analytic techniques. Interviews were conducted with participants to determine their views of information based on the technique. Results indicate that while participants with optimal adherence focused on views of treatment associated with side effects to a greater extent than participants with poor adherence, they tended to relate these side effects to sources of intrinsic motivation. The study provides examples of how practitioners could employ the assessment techniques outlined to better understand how patients think about treatment and aid them in effectively framing their health-related goals.