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The Health Belief Model. Factors Influencing Patient Compliance

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					The Health Belief Model


  Factors Influencing Patient
         Compliance
            Introduction
Half of medical advice is not taken up.
£100 million of prescribed medication is
discarded every year, at least.
Compliance with screening or preventative
programmes is essential for their
effectiveness.
       Health Belief Model
Health Motivation.

Perceived vulnerability.

Perceived costs and benefits.

Perceived Seriousness.
Health Motivation
          The individual’s
          general interest in
          health matters, which
          may correlate with
          personality, social
          class, ethic group,
          religion etc etc.
     Perceived Vulnerability
How vulnerable or
threatened a patient
feels him / herself to
be to a particular
disease.
Perceived Costs and Benefits
                The individual’s
                estimation of the
                benefits of treatment
                weighed against cost,
                risks and
                inconvenience.
      Perceived Seriousness
Trigger factors such as
alarming symptoms,
advice from family or
friends, messages
from the media,
disruption of work or
play.
Health Beliefs About Illness or
         Symptoms
Difficult to elicit.
Patients frightened of looking foolish or
ignorant.
Patients may be reluctant to “waste a
doctors time” with personal attitudes.
Health Beliefs About Illness or
         Symptoms
Avoid direct questions e.g. “What do you
think will happen if you don’t get your
blood pressure checked?”
Indirect questions helpful:
  “What is going through your mind?”
  “What does your wife / husband think?”
  Etc etc.
Checklist
      Elicit patient’s health
      beliefs.
      Reinforce positive
      attitudes to health.
         i.e. praise for giving up
         smoking for a period in
         the past, don’t dwell on
         the fact they re-started.
                Checklist
Counter myths and
negative attitudes.
Inform patient about
causes and prognosis.
Checklist
      Plan an appropriate
      course of action to suit
      his/her needs and
      lifestyle.
        Don’t ask them to give
        up cigarettes, alcohol
        and sexual promiscuity
        all at once !

				
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posted:4/10/2008
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