Dear DayDreamer!

Here are some brief suggestions on patient's compliance that I hope to
be useful. I can also send you more information .Please feel free and
keep in touch:
m.shakibazar@gmail.com
First:
As a pharmacist I am working in an all-night pharmacy and I know that
Patient Compliance from pharmacist's point of view is largely dependent
upon the communication of information necessary for the correct use of
medication in association with supportive advice and counseling.
Communication may be defined as the means by which information is
passed from a sender to a receiver. It is important to ensure that the
information received (and understood) is the same as that send.
Counseling often involves the giving of advice and making certain that
the advice is understood after listening sympathetically to the
patient's doubts, problems or viewpoint. A suitable environment is very
important for effective counseling.
Second:
Compliance is subject to great variation as well as many variables.
Importantly, active participation of the patient in his/her treatment
can be influenced by factors which are either inhibit and limit or
enhance and promote compliance.
Among inhibiting factors are:
a. personal characteristics, such as over-dependency or despair, and
b. social and cultural factors , such as illness as an excuse, or
fatalism.
Limiting factors overlap with inhibiting factors, and include: length
of illness; social isolation; poverty; lack of appliances; anxiety and
wrong information.
The key factor to promoting the patient's participation in his/her own
treatment is motivation. As is to be expected most of the promoting
factors are the opposite to those with inhibit or limit. The way in
which the patient perceives the meaning and purpose of life and his/her
resulting lifestyle are most important influences. The acceptance of
being ill or handicapped or disabled, former experience of illness ,
and attitude are characteristics which encourage the patients to take
part actively in his/her own treatment.
Third:
In practical term , you as a pharmacist may find that non-compliance is
directly related to or affected by one or more of the following:
1. Difficulty in keeping to dosage regimen because of lifestyle. For
example, liquid medicines may not be as easily taken in some work
situation as a tablet. Many patients find it easier to remember to take
medicines at mealtimes than say an hour beforehand. If remembered
later, the patient may be inhibited from taken that particular dose at
all.
2. The drug regimen is too complex and not properly understood. A
classic example is Prednisolone Reducing Dosage Schedule.
3. A lack of confidence in either prescriber or medication.
4. The influence of incorrect and conflicting information or ideas by
patient's family , relatives and friends about either the medication or
condition being treated or both.

There are still much to say on the subject but first I have to know
whether the provided information is useful.
I will wait for your reply.
Regards,
Mehrdad