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You'd have to go to a medical library to do research, or pay 15 dollars per article. There are easily 2 or 3 hundred bucks worth of journal articles (at 15 or
by LPTS 18y ago
You'd have to go to a medical library to do research, or pay 15 dollars per article. There are easily 2 or 3 hundred bucks worth of journal articles (at 15 or 20 a pop) that are required reading. The most valuable articles will be studies on medication adherence protocols that failed, and then reasons for non adherence, and then consequences of non adherence. For some reason, the articles on non adherence for diabetes and AIDS were the most useful articles in the consequences catagory. I would suggest combining the research with reading the first 2 large sections of the HIG. They are complimentary, in that the HIG gives principles for correctly presenting information, and the research points out what information to present, how and why the current system fails, etc. You should also find articles describing the current best practices for this problem. I almost cried when I read a 2007 group health article on current best practices (which are really laughably weak).
I'm not feeling inclined to just hand over all of my cites. There are too many and it would take too long to sort through. But, I'll see if I can dig up a couple of the meta studies that have further links to other research in them later tonight. If you have those and some motivation, you can fill in the rest.
How can you start a project like this without having already encountered all that research? I don't understand. I went and sequestered myself away for a month and researched and read all that stuff. The more I read about the problem, the more I was convinced my solution worked and is desperately needed. But many of the ideas I had intuitively changed when I did the boring work of reading medical journals all the time.
- Alex3917 18y agoThanks for the advice. "How can you start a project like this without having already encountered all that research?" My project actually has to do with parenting, not medication. I'm basically interested in applying models from many areas of academia to parenting, including the research on medical non-adherence. However I'm only interested in ameliorating one or two very specific issues, and medical adherence best practices will probably end up playing only a supporting role to research from other areas of academia. Also I'm still in the kitchen table phase of the project; I just finished my undergrad two days ago so today is really day one in the library. If you could find the meta studies, that would be excellent though. EDIT: I'm also interested in whether there are applications of adherence medical research in athletics, in terms of understanding why people don't do stuff (like working out) in general.
- LPTS 18y agoI'll dig those up either late tonight or late tomorrow night but I'll get there.
- LPTS 18y agohttp://clinical.diabetesjournals.org/cgi/content/full/26/1/17 http://clinical.diabetesjournals.org/cgi/content/full/26/1/1... Where things are now. Check the cites/links on the bottom http://jac.oxfordjournals.org/cgi/content/full/55/4/413 http://jac.oxfordjournals.org/cgi/content/full/55/4/413 Antiretroviral adherence, drug resistance, viral fitness and HIV disease progression: a tangled web is woven. This article is great. Also it has a bunch of cites and links to other relevant issues. http://www.ajmc.com/files/articlefiles/AJMC1995OctCramer167_174.pdf http://www.ajmc.com/files/articlefiles/AJMC1995OctCramer167_... Partial Medication Adherence, The Enigma in Poor Medical Outcomes. It's old (1995) but still relevant. That's all for now. Dig through those and their links and you'll find a lot to get started.