Use this CAIE Psychology objective to explain how non-adherence can be measured in research and healthcare, supported by examined Paper 3 questions and mark schemes.
Outline what is meant by 'application to everyday life', including a measure of non-adherence as an example.
Award 2 marks for an outline of the term/concept in the context. Award 1 mark each for a basic outline of the term/concept.
Example:
The extent to which something has a practical application/whether it is useful. (1) For example, blood and urine samples have good practical applications as they will indicate to the practitioner if the patient is following their medical regime or if the medical regime is working. (1)
Other appropriate responses should also be credited.
2
Context = measure of non-adherence
Also accept the extent to which something can be applied in the real world for definition.
Measures:
- clinical interviews and semi- structured interviews
- pill counting and medication
dispensers e.g. TrackCap
- blood and urine sample
Identifying what the measure is e.g.
Trackcap = 0 marks
Explain one problem with measuring non-adherence in everyday life.
Explain one problem with measuring non-adherence in everyday life.
Award 2 marks for an explanation of the problem in context.
Award 1 mark for a basic outline of problem.
Problems might include:
- Patient not being honest (clinical interviews and semi-structured interviews).
- Patient may not remember if they have fully adhered to the medical advice.
- Blood/urine tests are not available to test all types of medical conditions and therefore rely on self-report or tracking pill usage.
- Patient may have removed medication from bottle/Track cap bottle but then not taken it.
Example:
One problem with measuring non-adherence in everyday life is that it is not possible to do an objective test for all medical conditions so the practitioner must rely on self-report. (1) A patient may feel embarrassed that they haven't fully followed the treatment and therefore lie to their practitioner that they have adhered (therefore measure is less valid). (1)
Other appropriate responses should also be credited.
2
Context = measure of non-adherence.
Measures:
- clinical interviews and semi- structured interviews
- pill counting and medication
dispensers e.g. TrackCap
- blood and urine sample