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The most commonly used intervention features in the collaborative care were patient education and self-management, monitoring of depressive symptoms and treatment adherence, decision support for medication management, a patient registry, and mental health supervision of care managers [ 44].
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We have recently reported that adherence decision-making in bronchiectasis involves patients weighing up the pros and cons of adhering to treatment [ 31].
We have recently reported that a lack of belief about necessity for treatment can influence adherence decision-making for airway clearance, particularly when patients do not experience troublesome symptoms [ 31].
Further work is therefore needed to clarify which other factors are being considered in adherence decisions.
58 The social contexts of a patient's life trajectory may have a strong impact on therapeutic and adherence decisions.
The demographic and behavioral characteristics of trial participants, the acceptability of investigational products, and the community context, may all have a bearing on adherence decisions and capabilities.
This study has found that treatment factors, as opposed to respondent characteristics including self-reported pain levels and physical functioning, were driving adherence decisions.
Understanding the relative influence of factors affecting patient medication adherence decisions and the characteristics of individuals associated with variation in adherence will lead to a better understanding of how future interventions should be designed and targeted.
Because adherence decisions are mostly a rational balance of perceived benefits versus burden [ 21], an assessment of patient experiences may improve the understanding of patients' behaviour towards antidepressant use.
This paper reports on a study investigating first person accounts of treatment adherence decisions and behaviours among service users with a diagnosis of schizophrenia or bipolar disorder, and their perspectives on available and desired support to maximise benefit from their treatment.
One of the most widely used models is the Health Belief Model HBMM) which is a theoretical framework postulating that adherence decisions are based on implicit cost-benefit analyses, where the extent to which a patient views the necessity of medication is evaluated against concern about potential side effects [ 35].
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