Centre for Health Psychology

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https://dspace.uohyd.ac.in/handle/1/55

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Browsing Centre for Health Psychology by Subject "Adherence"
  • Item
    Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension
    ( 2015-03-01) Swain, Sunayana ; Hariharan, Meena ; Rana, Suvashisa ; Chivukula, Usha ; Thomas, Marlyn
    This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.
  • Item
    Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension
    ( 2015-03-01) Swain, Sunayana ; Hariharan, Meena ; Rana, Suvashisa ; Chivukula, Usha ; Thomas, Marlyn
    This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.
  • Item
    Doctor-Patient Communication: Impact on Adherence and Prognosis Among Patients with Primary Hypertension
    ( 2015-03-01) Swain, Sunayana ; Hariharan, Meena ; Rana, Suvashisa ; Chivukula, Usha ; Thomas, Marlyn
    This study examined the effect of quality of doctor-patient communication on adherence and the effect of adherence on prognosis of patients diagnosed with primary hypertension. A sample of 30 doctors and 300 hypertensive patients with the ratio of one doctor and 10 patients participated in the study. Quality of communication was measured using similarity index that measured the transaction between the doctor and the patient as a whole. Adherence was measured through self-report while prognosis was measured by doctors’ ratings based on clinical symptoms and blood pressure readings of the patient. Results revealed that quality of communication significantly contributed to adherence and prognosis. Adherence significantly contributed to prognosis. The impact of quality of communication on prognosis suggested a definite pathway through adherence. The implications of enhancing the quality of doctor-patient communication are discussed.
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    Psychological distress as predictor of adherence and prognosis among patients undergoing coronary artery bypass grafting
    ( 2016-01-01) Thomas, Marlyn ; Hariharan, Meena ; Rana, Suvashisa
    This study examined the role of psychological distress-anxiety and depression-in adherence and prognosis among patients subjected to Coronary Artery Bypass Grafting (CABG). By using an interrupted time-series design with one group, 100 patients were observed. They responded to the Hospital Anxiety and Depression Scale before surgery, at the first review (a week after hospital discharge), and at the second review (a month after first review). Participants also completed the Adherence Scale for Cardiac Patients, and the Biopsychosocial Prognosis Scale for CABG at the second review. Hierarchical multiple linear regression analyses revealed that anxiety and depression at three time-points before and after surgery together predicted participants' outcomes by significantly explaining up to 21% of variance in adherence and 52% of variance in prognosis. However, simple linear regression analysis showed that adherence significantly explained only 5% of variance in prognosis. Psychological distress, thus, affects how effectively patients follow the post-operative care regimen and how well they recover after CABG.
  • Item
    Psychological distress as predictor of adherence and prognosis among patients undergoing coronary artery bypass grafting
    ( 2016-01-01) Thomas, Marlyn ; Hariharan, Meena ; Rana, Suvashisa
    This study examined the role of psychological distress-anxiety and depression-in adherence and prognosis among patients subjected to Coronary Artery Bypass Grafting (CABG). By using an interrupted time-series design with one group, 100 patients were observed. They responded to the Hospital Anxiety and Depression Scale before surgery, at the first review (a week after hospital discharge), and at the second review (a month after first review). Participants also completed the Adherence Scale for Cardiac Patients, and the Biopsychosocial Prognosis Scale for CABG at the second review. Hierarchical multiple linear regression analyses revealed that anxiety and depression at three time-points before and after surgery together predicted participants' outcomes by significantly explaining up to 21% of variance in adherence and 52% of variance in prognosis. However, simple linear regression analysis showed that adherence significantly explained only 5% of variance in prognosis. Psychological distress, thus, affects how effectively patients follow the post-operative care regimen and how well they recover after CABG.