Exploring client adherence factors related to clinical outcomes

With the increase in chronic disease and the ageing of the population, understanding requisite self-management adherence of people who are frail is important, especially given its association with service outcomes. This study sought to investigate five key client adherence factors reported in the literature, and frailty reduction in a clinical trial intervention group. The intervention participants in the Frailty Trial were stratified into three groups on the basis of their frailty score; improved, unchanged or deteriorated, and a sample meeting the inclusion criteria was randomly selected from each group. The intervention therapists were asked to complete a survey for each of the clients seeking their views on client motivation, client participation, client–therapist relationship, client trust and the value of the service to the client. A strong relationship was demonstrated between each of the five adherence variables and the outcome of the service, with motivation and participation having the greatest impact.

Chinese abstract随着慢性疾病的增加和人口的老龄化，了解体弱者自我管理的必要遵从则显得至关重要，尤其是考虑到它与医疗效果息息相关。本文旨在探讨文献中报道的五个主要的客户遵从因素，以及临床试验介入治疗组中虚弱度减少的情况。按照其虚弱度评分，虚弱试验的参与人员被分为三个组，即改善组、无变化组或恶化组。每个组的参与人员均按照纳入标准随机抽取。介入治疗师填写有关每位医疗客户的问卷调查，即治疗师对客户的动机、客户的参与、客户与治疗师的关系、客户的信任度以及为客户提供的服务的价值等方面的意见看法。结果表明，五项遵从因素中，每项因素都与医疗效果存在紧密联系，其中动机和参与的影响最大。