Practise prompts, behavioural contracts and child-focused interventions, applying their procedures and judging confounds or practical barriers to better adherence.
From the key study by Yokley and Glenwick (1984) on improving medical adherence using community interventions:
Describe one cause of confounding identified by Yokley and Glenwick.
Describe one cause of confounding identified by Yokley and Glenwick.
Syllabus: 3.2.3: Key study on improving medical adherence using community interventions: Yokley and Glenwick (1984).
Marks: Award 2 marks for a detailed description. Award 1 mark for a partial description.
Definitive answer:
- confounding may have resulted if individual children were targeted and children in the same family received different mail prompts emphasising different things.
Explain what was done in the study by Yokley and Glenwick to prevent confounding.
Explain what was done in the study by Yokley and Glenwick to prevent confounding.
Marks: Award 2 marks for a detailed explanation. Award 1 mark for a partial explanation.
Definitive answer:
- rather than individual children, individual families were targeted (1 mark) which meant that only one prompt was sent to each family (2 marks)
- randomly assigned to one of six conditions.
Suggest one strategy for promoting health that could be used to improve medical adherence, other than the strategy used by Yokley and Glenwick.
Marks: Award 2 marks for an appropriate suggestion and applied to study
with detail / elaboration / example.
Award 1 mark for an appropriate suggestion identified but not applied.
Answers may include (other appropriate responses to be credited).
- providing information on the benefits of medical adherence (1 mark) such
as that used by Lewin (heart health manual) to tell people why they need
to adhere (2 marks)
- using fear arousal on the problems associated with medical non-adherence (1 mark) such as the strategy used by Janis and Feshback to
scare people into adhering (2 marks)