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Post-Test

If an assessment of adherence is triggered, rapid assessments can be conducted. Assessments can be designed to allow the patient to self-report barriers to adherence. Quick surveys can help to identify the need for more in-depth exploration of these barriers during the office visit, and can help to prioritize those issues that can be initially emphasized.

Typical survey questions:

Review of self-monitoring data and daily schedule and activities
Evaluation of dietary intake,
     depression
Explanation of missed appointments
Laboratory screening
Review of therapy complexity and
     costs
Assessment of provider-patient
     relationships

 

Further assessments may include psychological evaluation, such as a depression index or signs of problematic family and support network dynamics. A self-reported questionnaire on dietary intake and activity levels can help to identify non-adherence to dietary and exercise recommendations.
Costs for therapies is a common barrier to adherence and both costs of medications and type of insurance coverage may make a difference in this aspect of treatment. In addition, a discussion on the patient’s perceptions about the complexity and burden of treatment will assist in identifying the need to intervene in these areas.
 

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