Accountability in patient adherence

Elias Oussedik, Abigail Cline*, Jennifer J. Su, E. J. Masicampo, Lara K. Kammrath, Edward Ip, Steven R. Feldman

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Background: The accountability inherent in the social interaction between a patient and healthcare provider affects patients’ motivation to adhere to treatment. To characterize the role of accountability as a tool to improve self-efficacy and self-management and thereby promote patients’ adherence to treatment, a measure of accountability is needed. Aims: To develop and test the validity, reliability, and sensitivity of a new outcome measure designed to assess accountability. Methods: The accountability measurement tool was developed from the literature, expert consultation, and focus groups. A focus group and three pilot studies were performed both in clinic and through an online crowdsourcing platform. Principal Component Analysis evaluated constructs, and Cronbach’s alpha measured internal consistency. Validity was established using convergent and divergent correlations to other validated scales. Results: A total of 292 participants took part in this study. The 12-item accountability scale demonstrated very good internal consistency (Cronbach’s a=0.92). Components of the accountability measurement tool correlated with predicted validated measures, including the Treatment Self-Regulation Questionnaire. Divergent validity was established with no significant difference noted between age, sex, race, and education level. Conclusion: Future use of this questionnaire will allow for the assessment of the interaction between accountability and adherence to treatment and lead to the development of new interventions to promote better adherence.

Original languageEnglish
JournalPatient Preference and Adherence
Volume13
Pages (from-to)1511-1517
ISSN1177-889X
DOIs
Publication statusPublished - 27. Aug 2019

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responsibility
Focus Groups
Sex Education
questionnaire
Self Efficacy
interaction
self-regulation
Reproducibility of Results
Health Personnel
self-efficacy
Referral and Consultation
Group
Outcome Assessment (Health Care)
expert
management
education
Surveys and Questionnaires

Keywords

  • Accountability
  • Adherence
  • Patient behavior
  • Self-determination theory
  • Self-efficacy

Cite this

Oussedik, E., Cline, A., Su, J. J., Masicampo, E. J., Kammrath, L. K., Ip, E., & Feldman, S. R. (2019). Accountability in patient adherence. Patient Preference and Adherence, 13, 1511-1517. https://doi.org/10.2147/PPA.S213113
Oussedik, Elias ; Cline, Abigail ; Su, Jennifer J. ; Masicampo, E. J. ; Kammrath, Lara K. ; Ip, Edward ; Feldman, Steven R. / Accountability in patient adherence. In: Patient Preference and Adherence. 2019 ; Vol. 13. pp. 1511-1517.
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Oussedik, E, Cline, A, Su, JJ, Masicampo, EJ, Kammrath, LK, Ip, E & Feldman, SR 2019, 'Accountability in patient adherence', Patient Preference and Adherence, vol. 13, pp. 1511-1517. https://doi.org/10.2147/PPA.S213113

Accountability in patient adherence. / Oussedik, Elias; Cline, Abigail; Su, Jennifer J.; Masicampo, E. J.; Kammrath, Lara K.; Ip, Edward; Feldman, Steven R.

In: Patient Preference and Adherence, Vol. 13, 27.08.2019, p. 1511-1517.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Accountability in patient adherence

AU - Oussedik, Elias

AU - Cline, Abigail

AU - Su, Jennifer J.

AU - Masicampo, E. J.

AU - Kammrath, Lara K.

AU - Ip, Edward

AU - Feldman, Steven R.

PY - 2019/8/27

Y1 - 2019/8/27

N2 - Background: The accountability inherent in the social interaction between a patient and healthcare provider affects patients’ motivation to adhere to treatment. To characterize the role of accountability as a tool to improve self-efficacy and self-management and thereby promote patients’ adherence to treatment, a measure of accountability is needed. Aims: To develop and test the validity, reliability, and sensitivity of a new outcome measure designed to assess accountability. Methods: The accountability measurement tool was developed from the literature, expert consultation, and focus groups. A focus group and three pilot studies were performed both in clinic and through an online crowdsourcing platform. Principal Component Analysis evaluated constructs, and Cronbach’s alpha measured internal consistency. Validity was established using convergent and divergent correlations to other validated scales. Results: A total of 292 participants took part in this study. The 12-item accountability scale demonstrated very good internal consistency (Cronbach’s a=0.92). Components of the accountability measurement tool correlated with predicted validated measures, including the Treatment Self-Regulation Questionnaire. Divergent validity was established with no significant difference noted between age, sex, race, and education level. Conclusion: Future use of this questionnaire will allow for the assessment of the interaction between accountability and adherence to treatment and lead to the development of new interventions to promote better adherence.

AB - Background: The accountability inherent in the social interaction between a patient and healthcare provider affects patients’ motivation to adhere to treatment. To characterize the role of accountability as a tool to improve self-efficacy and self-management and thereby promote patients’ adherence to treatment, a measure of accountability is needed. Aims: To develop and test the validity, reliability, and sensitivity of a new outcome measure designed to assess accountability. Methods: The accountability measurement tool was developed from the literature, expert consultation, and focus groups. A focus group and three pilot studies were performed both in clinic and through an online crowdsourcing platform. Principal Component Analysis evaluated constructs, and Cronbach’s alpha measured internal consistency. Validity was established using convergent and divergent correlations to other validated scales. Results: A total of 292 participants took part in this study. The 12-item accountability scale demonstrated very good internal consistency (Cronbach’s a=0.92). Components of the accountability measurement tool correlated with predicted validated measures, including the Treatment Self-Regulation Questionnaire. Divergent validity was established with no significant difference noted between age, sex, race, and education level. Conclusion: Future use of this questionnaire will allow for the assessment of the interaction between accountability and adherence to treatment and lead to the development of new interventions to promote better adherence.

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KW - Patient behavior

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KW - Self-efficacy

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JO - Patient Preference and Adherence

JF - Patient Preference and Adherence

SN - 1177-889X

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Oussedik E, Cline A, Su JJ, Masicampo EJ, Kammrath LK, Ip E et al. Accountability in patient adherence. Patient Preference and Adherence. 2019 Aug 27;13:1511-1517. https://doi.org/10.2147/PPA.S213113