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Accountability in patient adherence

BACKGROUND: The accountability inherent in the social interaction between a patient and healthcare provider affects patients’ motivation to adhere to treatment. To characterize the role of accountability as a tool to improve self-efficacy and self-management and thereby promote patients’ adherence t...

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Autores principales: Oussedik, Elias, Cline, Abigail, Su, Jennifer J, Masicampo, EJ, Kammrath, Lara K, Ip, Edward, Feldman, Steven R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732501/
https://www.ncbi.nlm.nih.gov/pubmed/31564838
http://dx.doi.org/10.2147/PPA.S213113
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author Oussedik, Elias
Cline, Abigail
Su, Jennifer J
Masicampo, EJ
Kammrath, Lara K
Ip, Edward
Feldman, Steven R
author_facet Oussedik, Elias
Cline, Abigail
Su, Jennifer J
Masicampo, EJ
Kammrath, Lara K
Ip, Edward
Feldman, Steven R
author_sort Oussedik, Elias
collection PubMed
description BACKGROUND: The accountability inherent in the social interaction between a patient and healthcare provider affects patients’ motivation to adhere to treatment. To characterize the role of accountability as a tool to improve self-efficacy and self-management and thereby promote patients’ adherence to treatment, a measure of accountability is needed. AIMS: To develop and test the validity, reliability, and sensitivity of a new outcome measure designed to assess accountability. METHODS: The accountability measurement tool was developed from the literature, expert consultation, and focus groups. A focus group and three pilot studies were performed both in clinic and through an online crowdsourcing platform. Principal Component Analysis evaluated constructs, and Cronbach’s alpha measured internal consistency. Validity was established using convergent and divergent correlations to other validated scales. RESULTS: A total of 292 participants took part in this study. The 12-item accountability scale demonstrated very good internal consistency (Cronbach’s α=0.92). Components of the accountability measurement tool correlated with predicted validated measures, including the Treatment Self-Regulation Questionnaire. Divergent validity was established with no significant difference noted between age, sex, race, and education level. CONCLUSION: Future use of this questionnaire will allow for the assessment of the interaction between accountability and adherence to treatment and lead to the development of new interventions to promote better adherence.
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spelling pubmed-67325012019-09-27 Accountability in patient adherence Oussedik, Elias Cline, Abigail Su, Jennifer J Masicampo, EJ Kammrath, Lara K Ip, Edward Feldman, Steven R Patient Prefer Adherence Original Research BACKGROUND: The accountability inherent in the social interaction between a patient and healthcare provider affects patients’ motivation to adhere to treatment. To characterize the role of accountability as a tool to improve self-efficacy and self-management and thereby promote patients’ adherence to treatment, a measure of accountability is needed. AIMS: To develop and test the validity, reliability, and sensitivity of a new outcome measure designed to assess accountability. METHODS: The accountability measurement tool was developed from the literature, expert consultation, and focus groups. A focus group and three pilot studies were performed both in clinic and through an online crowdsourcing platform. Principal Component Analysis evaluated constructs, and Cronbach’s alpha measured internal consistency. Validity was established using convergent and divergent correlations to other validated scales. RESULTS: A total of 292 participants took part in this study. The 12-item accountability scale demonstrated very good internal consistency (Cronbach’s α=0.92). Components of the accountability measurement tool correlated with predicted validated measures, including the Treatment Self-Regulation Questionnaire. Divergent validity was established with no significant difference noted between age, sex, race, and education level. CONCLUSION: Future use of this questionnaire will allow for the assessment of the interaction between accountability and adherence to treatment and lead to the development of new interventions to promote better adherence. Dove 2019-09-04 /pmc/articles/PMC6732501/ /pubmed/31564838 http://dx.doi.org/10.2147/PPA.S213113 Text en © 2019 Oussedik et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Oussedik, Elias
Cline, Abigail
Su, Jennifer J
Masicampo, EJ
Kammrath, Lara K
Ip, Edward
Feldman, Steven R
Accountability in patient adherence
title Accountability in patient adherence
title_full Accountability in patient adherence
title_fullStr Accountability in patient adherence
title_full_unstemmed Accountability in patient adherence
title_short Accountability in patient adherence
title_sort accountability in patient adherence
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732501/
https://www.ncbi.nlm.nih.gov/pubmed/31564838
http://dx.doi.org/10.2147/PPA.S213113
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