Goal Setting and Treatment Adherence Among Patients With Chronic Illness and Depressive Symptoms: Applying a Patient-Centered Approach

Eric Houston, Alexander Tatum, Arryn Guy, Cassandra Mikrut and Wren Yoder

Global Journal of Health Science, 2016, vol. 8, issue 6, 128

Abstract: OBJECTIVE- 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.METHODS- 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- 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.CONCLUSION- 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.

Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:ibn:gjhsjl:v:8:y:2016:i:6:p:128

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