Central Nervous System

Non-adherence in patients with schizophrenia: An issue of impaired insight

Nonadherence to antipsychotic medication remains a major challenge for the effective treatment of schizophrenia patients1. Impaired insight – patient’s lack of awareness or understanding of illness plus medication – is a critical factor for non-adherence to treatment2,3 Emerging interventions like second-generation antipsychotics and psychotherapies like cognitive behavior therapies (CBT) and metacognitive training can play important…

Central Nervous System

Patient adherence: An opportunity for improving outcomes

The rapid increase in vertigo disease determinants such as ageing are transforming healthcare needs in developing countries. Medications are effective disease management solutions, but low treatment adherence is widespread. Non-adherence rates reflect a significant opportunity to improve vertigo treatment outcomes in developing countries. Physicians can use a number of simple and efficient strategies to increase…

Central Nervous System

The impact of non-adherence to therapies for vertigo: Higher costs and poorer outcomes

Medication non-adherence is widespread and annual cost estimates for developed countries total $290 billion in the US and €1.25 billion in Europe. Vertigo is a significant burden for patients and providers alike, particularly because patients tend to seek emergency care when symptoms are acute.  Small improvements in adherence could significantly improve symptom management and reduce costs. Treatment…

Central Nervous System

Patient behavior and the drivers of vertigo treatment adherence

Non-adherence factors may be organized into five categories: socioeconomic, health care team and system-related, disease-related, therapy-related, and patient-related. Behavioral drivers of non-adherence are both intentional and unintentional. Despite extensive research, no single model has yet been shown to be highly accurate in predicting patient adherence. Treatment adherence offers a significant opportunity for improved outcomes Characterizing…

Central Nervous System

Heuristics and decision-making: What are the effects on adherence for patients with vertigo?

The human mind has evolved to make decisions and draw the most plausible conclusions regardless of the quality of available information. The decision-making process is influenced by heuristics, or cognitive shortcuts, which can have a significant effect on adherence when relevant information is limited. Understanding heuristics can significantly help us understand patients’ adherence and assist…

Central Nervous System

Understanding Patient Attitudes: The Health Belief Model

The Health Belief Model (HBM) is a model to help understand what patients believe about their health The HBM can be used to identify detrimental patient behaviors caused by a poor understanding of a condition or treatment The HBM can be used to structure interactions with patients to enhance their understanding of treatment and lifestyle…

Central Nervous System

The Theory of Planned Behavior: A Patient’s Control Dilemma

How do people make difficult decisions? How do people decide which career to undertake, what car to buy, or whether to take medication? Important decisions are typically the result of some degree of thought and planning, a process that Daniel Kahneman labelled “System 2” thinking in his groundbreaking book, Thinking Fast and Slow.1 What is…

Central Nervous System

The Transtheoretical Model and the stages of patient adherence

The Transtheoretical Model (TTM) proposes a stepped approach to effectively change health behaviors The TTM can help providers evaluate beliefs and behaviors affecting patients’ treatment and indicate the support needed to motivate positive change The TTM is one of the most widely used health behavior models and has been shown to have a positive impact…

Central Nervous System

The Behavior Change Wheel: A framework for improving vertigo treatment adherence

Interventions designed to improve vertigo treatment adherence are often designed without any understanding of what drives patient behavior; as a result, they are only moderately effective The Behavior Change Wheel (BCW) framework is a useful model for understanding non-adherence to vertigo treatments The BCW highlights the importance of addressing patients’ specific concerns regarding their treatment…

Central Nervous System