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Treatment adherence on long-term conditions

An x-ray of a hand - Bernd Bragelmann Braegel Mit freundlicher Genehmigung von Dr. Martin Steinhoff

Background

It is very important to assess and understand the extent to which patients adhere to their treatment as it has considerable implications for patient health outcomes and health care provision.

The research studies are measuring adherence across a range of long-term conditions (including rheumatoid arthritis, end-stage renal disease and haemophilia) and exploring psychosocial factors that may be associated with adherence in these patients.

The groups are increasingly drawing on the body of knowledge in psychology about behaviour change, and are applying this knowledge to clinical to develop novel interventions aimed at improving adherence.

Projects

  • Adherence to prophylaxis among adolescents and young adults with haemophilia in the UK (University of Hertfordshire Funded Studentship).
  • Piloting a novel intervention for improving phosphate control in non-adherent HD patients (Funded British Renal Society - £28,565).
  • Psychological models of treatment adherence in Rheumatoid Arthritis (ESRC Case Studentship - £74,000 – now completed).
  • Psychological predictors of intentional non-adherence to phosphate binders in end-stage renal disease (MSc project – now completed).

People

University of Hertfordshire staff

Prof Ken Farrington

Dr Nick Troop – Psychology

Sandra Van Os

Vari Wileman

Dr David Wellsted

Josefine Magnusson

Collaborators

Dr Mike Almond, Southend University NHS Trust

Dr Chris Armitage – University of Sheffield

Dr Joseph Chilcot – Institute of Psychiatry

Dr Lyndsay Hughes – Kings College, London

Dr Andrew Davenport, Royal Free NHS Trust

Maria Da Silva Gane – East and North Hertfordshire NHS Trust

Prof Rob Horne – University of London

Prof Adam Young – West Hertfordshire Hospitals NHS Trust

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