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Приверженность лечению. Российское национальное руководство

Questionnaire QAA-25 D2 quantitative assessment of potential adherence to treatment for limited capable 12-14 years old respondents

1. If your doctor diagnoses you

 

 

Not important

Rather more

 

 

with a chronic illness, is it impor-

Completely

Almost not

important

Really im-

Very impor-

rather than

tant for you to know what signs it

unimportant

important

than not

portant

tant

important

shows?

 

 

important

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

2. If your doctor prescribes

 

 

More compli-

Rather not

 

Completely

a medication that you must take

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

every day for many years, how

cated

enough

not compli-

than compli-

complicated

cated

complicated would it be for you to

 

 

cated

cated

 

 

 

 

 

follow that recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

3. If your doctor prescribes

 

 

More compli-

Rather not

 

Completely

a medication that you need to take

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

several times a day for years, how

cated

enough

not compli-

than compli-

complicated

cated

complicated would it be for you to

 

 

cated

cated

 

 

 

 

 

follow that recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

4. If your doctor prescribes sev-

 

 

More compli-

Rather not

 

Completely

eral medications for you to take

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

every day for many years, how

cated

enough

not compli-

than compli-

complicated

cated

complicated would it be for you to

 

 

cated

cated

 

 

 

 

 

follow that recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

5. If your doctor suggested that

 

 

More compli-

Rather not

 

Completely

you note your symptoms every

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

day for many years, how compli-

cated

enough

not compli-

than compli-

complicated

cated

cated would it be for you to follow

 

 

cated

cated

 

 

 

 

 

this recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

6. Chronic illness has its symp-

Completely

Almost not

Not important

Rather more

Really im-

Very impor-

toms. How important is it for you,

unimportant

important

rather than

important

portant

tant

if you get sick, not to feel these

 

 

important

than not

 

 

symptoms?

 

 

 

important

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

7. How important is it for you to

 

 

Not important

Rather more

 

 

be in a loving relationship with

Completely

Almost not

important

Really im-

Very impor-

rather than

someone?

unimportant

important

than not

portant

tant

important

 

 

 

important

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

8. A chronic illness can force you

 

 

More compli-

Rather not

 

Completely

to change your lifestyle. How

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

complicated would it be for you to

cated

enough

not compli-

than compli-

complicated

cated

make this change?

 

 

cated

cated

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

9. A chronic illness can force you

 

 

More compli-

Rather not

 

Completely

to change your usual diet. How

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

complicated would that change be

cated

enough

not compli-

than compli-

complicated

cated

for you?

 

 

cated

cated

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

10. A chronic illness can lead to

 

 

Not important

Rather more

 

 

restriction or loss of ability to

Completely

Almost not

important

Really im-

Very impor-

rather than

work. How important is it for you

unimportant

important

than not

portant

tant

important

to receive social assistance from

 

 

important

 

 

 

 

 

 

 

the government in this case?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

11. Сhronic illness can change the

 

 

Not important

Rather more

 

 

way your internal organs work

Completely

Almost not

important

Really im-

Very impor-

rather than

and lab tests. How important

unimportant

important

than not

portant

tant

important

would it be for you to know your

 

 

important

 

 

 

 

 

 

 

lab test results?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

12. All people believe or disbelieve

 

 

Not important

Rather more

 

 

in something. How important is it

Completely

Almost not

important

Really im-

Very impor-

rather than

to you to believe in something?

unimportant

important

than not

portant

tant

important

 

 

 

important

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

170

Adherence to treatment. Russian National Russian National Guidelines

13. Chronic illness leads to the

 

 

More compli-

Rather not

 

Completely

need for regular medical fol-

Very compli-

Complicated

complicated

Almost not

cated than not

uncompli-

low-ups. How complicated is it for

cated

enough

than compli-

complicated

complicated

cated

you to have this kind of medical

 

 

 

cated

 

 

follow-up?

1

2

3

4

5

6

 

 

 

 

 

 

 

14. Taking medicine can be

 

 

More compli-

Rather not

 

Completely

uncomfortable. How complicated

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

would it be for you to tolerate

cated

enough

not compli-

than compli-

complicated

cated

these feelings?

 

 

cated

cated

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

15. A chronic illness can limit your

 

 

More compli-

Rather not

 

Completely

usual life, activities and entertain-

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

ment. How complicated is it for

cated

enough

not compli-

than compli-

complicated

cated

you to accept such restrictions?

 

 

cated

cated

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

16. If your doctor prescribes you

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

a medicine to be taken every day

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

for many years, will you always

it than do it

do it

 

 

 

 

follow that recommendation

1

2

3

4

5

6

exactly?

 

 

 

 

 

 

 

 

 

 

 

 

 

17. If your doctor prescribes you

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

a medication to be taken several times

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

a day for many years, will you always

it than do it

do it

 

 

 

 

follow that recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

18. If your doctor prescribes several

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

medications for you to take every

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

day for many years, will you always

it than do it

do it

 

 

 

 

follow this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

19. If your doctor suggested that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

you note your symptoms every

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

day for many years, would you

it than do it

do it

 

 

 

 

always follow this recommenda-

1

2

3

4

5

6

tion exactly?

 

 

 

 

 

 

 

 

 

 

 

 

 

20. If your doctor tells you that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

the prescribed medicine may

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

cause discomfort, will you take it?

it than do it

do it

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

21. If your doctor tells you that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

the prescribed medication may

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

impair your sexual abilities, will

it than do it

do it

 

 

 

 

you take the medication?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

22. If your doctor tells you that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

you need to change your lifestyle

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

because of an illness, will you fol-

it than do it

do it

 

 

 

 

low this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

23. If your doctor tells you that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

you need to change your diet be-

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

cause of an illness, will you follow

it than do it

do it

 

 

 

 

this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

24. If your doctor tells you that you

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

need to make regular follow-ups

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

because of your illness, will you fol-

it than do it

do it

low that recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

25. If your doctor tells you that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

you should have regular lab tests

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

because of your illness, will you fol-

it than do it

do it

low this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

171

Рекомендовано к изучению разделом по фармакологии сайта https://meduniver.com/

Приверженность лечению. Российское национальное руководство

Questionnaire QAA-25 E1 quantitative assessment of adherence to treatment for respondents – legal representatives, including parents, guardians, custodians, persons under 12 years of age,

other incapacitated or disabled persons

1. A doctor has diagnosed your

 

 

 

 

 

Not important

 

Rather more

 

 

 

 

ward with a chronic illness. Is it

 

Completely

 

Almost not

 

 

important

 

Really im-

 

Very impor-

 

 

 

rather than

 

 

 

important for you to know what

 

unimportant

 

important

 

 

than not

 

portant

 

tant

 

 

 

important

 

 

 

the signs it shows?

 

 

 

 

 

 

important

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

2. A doctor has prescribed a med-

 

 

 

 

 

More compli-

 

Rather not

 

 

 

Completely

ication for a ward that must be

 

Very compli-

 

Complicated

 

cated than

 

complicated

 

Almost not

 

 

 

 

 

 

 

uncompli-

taken every day for many years.

 

cated

 

enough

 

not compli-

 

than compli-

 

complicated

 

 

 

 

 

 

 

cated

How complicated is it for you to

 

 

 

 

 

cated

 

cated

 

 

 

 

 

 

 

 

 

 

 

 

 

follow this recommendation?

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. A doctor has prescribed a med-

 

 

 

 

 

More compli-

 

Rather not

 

 

 

Completely

ication for the ward that must be

 

Very compli-

 

Complicated

 

cated than

 

complicated

 

Almost not

 

 

 

 

 

 

 

uncompli-

taken several times a day for many

 

cated

 

enough

 

not compli-

 

than compli-

 

complicated

 

 

 

 

 

 

 

cated

years. How complicated is it for you

 

 

 

 

 

cated

 

cated

 

 

 

 

 

 

 

 

 

 

 

 

 

to follow this recommendation?

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. A doctor has prescribed several

 

 

 

 

 

More compli-

 

Rather not

 

 

 

Completely

medications for a ward to take

 

Very compli-

 

Complicated

 

cated than

 

complicated

 

Almost not

 

 

 

 

 

 

 

uncompli-

every day for many years. How

 

cated

 

enough

 

not compli-

 

than compli-

 

complicated

 

 

 

 

 

 

 

cated

complicated is it for you to follow

 

 

 

 

 

cated

 

cated

 

 

 

 

 

 

 

 

 

 

 

 

 

this recommendation?

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. A doctor suggested that every

 

 

 

 

 

More compli-

 

Rather not

 

 

 

Completely

day for many years, you should

 

Very compli-

 

Complicated

 

cated than

 

complicated

 

Almost not

 

 

 

 

 

 

 

uncompli-

note the ward’s symptoms. How

 

cated

 

enough

 

not compli-

 

than compli-

 

complicated

 

 

 

 

 

 

 

cated

complicated is it for you to follow

 

 

 

 

 

cated

 

cated

 

 

 

 

 

 

 

 

 

 

 

 

 

this recommendation?

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Chronic illness has its symp-

 

 

 

 

 

Not important

 

Rather more

 

 

 

 

toms. How important is it for you

 

Completely

 

Almost not

 

 

important

 

Really im-

 

Very impor-

 

 

 

rather than

 

 

 

that the ward does not feel these

 

unimportant

 

important

 

 

than not

 

portant

 

tant

 

 

 

important

 

 

 

symptoms?

 

 

 

 

 

 

important

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

7. How important to you is your

 

 

 

 

 

Not important

 

Rather more

 

 

 

 

ward’s ability to have a sex life?

 

Completely

 

Almost not

 

 

important

 

Really im-

 

Very impor-

 

 

 

rather than

 

 

 

 

 

unimportant

 

important

 

 

than not

 

portant

 

tant

 

 

 

 

important

 

 

 

 

 

 

 

 

 

 

important

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

 

 

 

 

 

8. A chronic illness forces a change

 

 

 

 

 

More compli-

 

Rather not

 

 

 

Completely

in the ward’s lifestyle. How com-

 

Very compli-

 

Complicated

 

cated than

 

complicated

 

Almost not

 

 

 

 

 

 

 

uncompli-

plicated is this change for you?

 

cated

 

enough

 

not compli-

 

than compli-

 

complicated

 

 

 

 

 

 

 

cated

 

 

 

 

 

 

cated

 

cated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

2

 

3

 

4

 

5

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

9. A chronic illness forces change

 

 

 

 

 

More compli-

 

Rather not

 

 

 

Completely

the ward’s usual diet. How compli-

 

Very compli-

 

Complicated

 

cated than

 

complicated

 

Almost not

 

 

 

 

 

 

 

uncompli-

cated is this change for you?

 

cated

 

enough

 

not compli-

 

than compli-

 

complicated

 

 

 

 

 

 

 

cated

 

 

 

 

 

 

cated

 

cated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

2

 

3

 

4

 

5

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

10. If the ward is limited or totally

 

 

 

 

 

Not important

 

Rather more

 

 

 

 

unable to work, how important

 

Completely

 

Almost not

 

 

important

 

Really im-

 

Very impor-

 

 

 

rather than

 

 

 

would it be for you to provide him

 

unimportant

 

important

 

 

than not

 

portant

 

tant

 

 

 

important

 

 

 

or her with social assistance from

 

 

 

 

 

 

important

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the government?

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

2

 

3

 

4

 

5

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11. Chronic illness can change the

 

 

 

 

 

Not important

 

Rather more

 

 

 

 

ward’s internal organs functioning

 

Completely

 

Almost not

 

 

important

 

Really im-

 

Very impor-

 

 

 

rather than

 

 

 

and lab tests. How important is it

 

unimportant

 

important

 

 

than not

 

portant

 

tant

 

 

 

important

 

 

 

for you to know the results of his

 

 

 

 

 

 

important

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

lab tests?

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

2

 

3

 

4

 

5

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. All people believe or don’t

 

 

 

 

 

Not important

 

Rather more

 

 

 

 

believe in God. How important is

 

Completely

 

Almost not

 

 

important

 

Really im-

 

Very impor-

 

 

 

rather than

 

 

 

it to you to believe in God?

 

unimportant

 

important

 

 

than not

 

portant

 

tant

 

 

 

important

 

 

 

 

 

 

 

 

 

 

important

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

2

 

3

 

4

 

5

 

6

172

Adherence to treatment. Russian National Russian National Guidelines

13. Chronic illness leads to the

 

 

More compli-

Rather not

 

Completely

need for regular follow-up exami-

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

nations by the ward’s doctor. How

cated

enough

not compli-

than compli-

complicated

cated

complicated is it for you to have

 

 

cated

cated

 

 

 

 

 

this follow-up with a doctor?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

14. Taking medication can make

 

 

It’s more

It rather

It almost

 

the ward feel uncomfortable. How

It’s very

It disturbs

likely to dis-

doesn’t

It doesn’t

doesn’t

disturbed are you by these feelings

disturbing

enough

turb than not

disturb than

disturb at all

disturb

in your ward?

 

 

to disturb

it disturbs

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

15. A chronic illness can limit

 

 

More compli-

Rather not

 

Completely

your normal life, activities and

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

entertainment. How complicated

cated

enough

not compli-

than compli-

complicated

cated

is it for you to limit your ward in

 

 

cated

cated

 

 

 

 

 

this way?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

16. A doctor has prescribed a medi-

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

cine for the ward to take every day

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

for many years. Will you follow this

it than do it

do it

 

 

 

 

recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

17. A doctor has prescribed

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

a medication to be taken several

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

times a day for many years. Will

it than do it

do it

 

 

 

 

you follow this recommendation

 

 

 

 

 

 

1

2

3

4

5

6

exactly?

 

 

 

 

 

 

 

18. A doctor has prescribed

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

several medications for the ward

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

to take every day for many years.

it than do it

do it

 

 

 

 

Will you follow this recommenda-

 

 

 

 

 

 

1

2

3

4

5

6

tion exactly?

 

 

 

 

 

 

 

19. A doctor has suggested that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

you note your ward’s symptoms

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

every day for many years. Will

it than do it

do it

 

 

 

 

you follow this recommendation

 

 

 

 

 

 

1

2

3

4

5

6

exactly?

 

 

 

 

 

 

 

20. A doctor told you that the pre-

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

scribed medication may make the

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

ward feel uncomfortable. Will you

it than do it

do it

 

 

 

 

give him such medication?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

21. A doctor has said that the pre-

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

scribed medication may impair the

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

ward’s sexual abilities. Will you

it than do it

do it

 

 

 

 

give him such medication?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

22. A doctor told you that you need

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

to change your ward’s lifestyle be-

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

cause of the illness. Will you follow

it than do it

do it

 

 

 

 

this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

23. A doctor told you that you have

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

to change your ward’s usual diet

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

because of his illness. Will you fol-

it than do it

do it

 

 

 

 

low this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

24. A doctor told you that due to

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

an illness, the ward needs to have

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

regular follow-up. Will you defi-

it than do it

do it

 

 

 

 

nitely follow this recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

25. A doctor told you that due to

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

the illness, the ward needs to have

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

regular lab tests. Will you follow

it than do it

do it

this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

173

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Приверженность лечению. Российское национальное руководство

Questionnaire QAA-25 E2 quantitative assessment of potential adherence to treatment for respondents – legal representatives, including parents, guardians, custodians, persons under the age of 12, other incapacitated or disabled persons

1. If a doctor identifies a ward

 

 

Not important

Rather more

 

 

with a chronic illness, would it be

Completely

Almost not

important

Really im-

Very impor-

rather than

important for you to know what

unimportant

important

than not

portant

tant

important

symptoms it shows?

 

 

important

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

2. If a doctor prescribes a medi-

 

 

More compli-

Rather not

 

Completely

cation for the ward that must be

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

taken every day for many years.

cated

enough

not compli-

than compli-

complicated

cated

How complicated is it for you to

 

 

cated

cated

 

 

 

 

 

follow this recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

3. If a doctor prescribes a medica-

 

 

More compli-

Rather not

 

Completely

tion for the ward that must be taken

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

several times a day for many years.

cated

enough

not compli-

than compli-

complicated

cated

How complicated is it for you to

 

 

cated

cated

 

 

 

 

 

follow this recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

4. If a doctor prescribes several

 

 

More compli-

Rather not

 

Completely

medications for a ward to take

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

every day for many years. How

cated

enough

not compli-

than compli-

complicated

cated

difficult is it for you to follow this

 

 

cated

cated

 

 

 

 

 

recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

5. If a doctor suggested that every

 

 

More compli-

Rather not

 

Completely

day for many years you should note

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

the symptoms of your ward’s illness,

cated

enough

not compli-

than compli-

complicated

cated

how difficult would it be for you to

 

 

cated

cated

 

 

 

 

 

follow this recommendation?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

6. Chronic illness has its symp-

 

 

Not important

Rather more

 

 

toms. How important is it for you

Completely

Almost not

important

Really im-

Very impor-

rather than

that the ward does not feel these

unimportant

important

than not

portant

tant

important

symptoms?

 

 

important

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

7. How important to you is your

 

 

Not important

Rather more

 

 

ward’s ability to have a sex life?

Completely

Almost not

important

Really im-

Very impor-

rather than

 

unimportant

important

than not

portant

tant

 

important

 

 

 

important

 

 

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

8. A chronic illness forces a change

 

 

More compli-

Rather not

 

Completely

in the ward’s lifestyle. How com-

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

plicated is this change for you?

cated

enough

not compli-

than compli-

complicated

cated

 

 

 

cated

cated

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

9. A chronic illness forces change

 

 

More compli-

Rather not

 

Completely

the ward’s usual diet. How com-

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

plicated is this change for you?

cated

enough

not compli-

than compli-

complicated

cated

 

 

 

cated

cated

 

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

10. If the ward is limited or totally

 

 

Not important

Rather more

 

 

unable to work, how important

Completely

Almost not

important

Really im-

Very impor-

rather than

would it be for you to provide him

unimportant

important

than not

portant

tant

important

or her with social assistance from

 

 

important

 

 

 

 

 

 

 

the government?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

11. Chronic illness can change the

 

 

Not important

Rather more

 

 

ward’s internal organs functioning

Completely

Almost not

important

Really im-

Very impor-

rather than

and lab tests. How important is it

unimportant

important

than not

portant

tant

important

for you to know the results of his

 

 

important

 

 

 

 

 

 

 

lab tests?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

12. All people believe or don’t

Completely

Almost not

Not impor-

Rather more

Really im-

Very impor-

believe in God. How important is

tant rather

important

it to you to believe in God?

unimportant

important

than impor-

than not

portant

tant

 

 

 

tant

important

 

 

 

1

2

3

4

5

6

174

Adherence to treatment. Russian National Russian National Guidelines

13. Chronic illness leads to the

 

 

More compli-

Rather not

 

Completely

need for regular follow-up exami-

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

nations by the ward’s doctor. How

cated

enough

not compli-

than compli-

complicated

cated

complicated is it for you to have

 

 

cated

cated

 

 

 

 

 

this follow-up with a doctor?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

14. Taking medication can make

 

 

It’s more

It rather

It almost

 

the ward feel uncomfortable. How

It’s very

It disturbs

likely to dis-

doesn’t

It doesn’t

doesn’t

disturbed are you by these feelings

disturbing

enough

turb than not

disturb than

disturb at all

disturb

in your ward?

 

 

to disturb

it disturbs

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

15. A chronic illness can limit

 

 

More compli-

Rather not

 

Completely

your normal life, activities and

Very compli-

Complicated

cated than

complicated

Almost not

uncompli-

entertainment. How complicated

cated

enough

not compli-

than compli-

complicated

cated

is it for you to limit your ward in

 

 

cated

cated

 

 

 

 

 

this way?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

16. If a doctor prescribes a med-

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

ication for a ward to take every

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

day for many years, will you fol-

it than do it

do it

 

 

 

 

low that recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

17. If a doctor prescribes a med-

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

ication for a ward that must be

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

taken several times a day for

it than do it

do it

 

 

 

 

years, will you follow that recom-

 

 

 

 

 

 

1

2

3

4

5

6

mendation exactly?

 

 

 

 

 

 

 

18. If a doctor prescribes several

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

medications for a ward to take

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

every day for years, will you fol-

it than do it

do it

 

 

 

 

low that recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

19. If a doctor suggested that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

you note your ward’s symptoms

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

every day for many years, would

it than do it

do it

 

 

 

 

you follow the recommendation

 

 

 

 

 

 

1

2

3

4

5

6

exactly?

 

 

 

 

 

 

 

20. If a doctor tells you that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

a prescribed medication may

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

make your ward feel uncomforta-

it than do it

do it

 

 

 

 

ble, will you give him or her that

 

 

 

 

 

 

1

2

3

4

5

6

medication?

 

 

 

 

 

 

 

21. If a doctor tells you that

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

a prescribed medication may

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

impair your ward’s sexual ability,

it than do it

do it

 

 

 

 

will you give him or her that

 

 

 

 

 

 

1

2

3

4

5

6

medication?

 

 

 

 

 

 

 

22. If a doctor tells you that you

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

need to change your ward’s lifestyle

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

because of his or her illness, will you

it than do it

do it

follow the recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

23. If a doctor tells you that your

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

ward’s usual diet must be changed

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

because of his or her illness, will you

it than do it

do it

 

 

 

 

follow the recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

24. If a doctor tells you that your ward

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

needs to be seen by a doctor regularly

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

because of his or her illness, will you

it than do it

do it

follow that recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

 

25. If a doctor tells you that due to

No way I’m

Probably

More likely

Would rather

More likely

Would defi-

an illness your ward needs to have

wouldn’t do

do than not

going to do it

won’t do it

to do it

nitely do it

regular lab tests, will you follow

it than do it

do it

 

 

 

 

this recommendation exactly?

 

 

 

 

 

 

1

2

3

4

5

6

 

 

 

 

 

 

 

175

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9.3. Обработка результатов анкетирования / Processing of survey results

Заполненная анкета обрабатывается интервьюером в ручном режиме (в два этапа), либо автоматизировано, на калькуляторе расчета приверженности.

The completed questionnaire is processed by the interviewer manually (in two stages), or automatically, on the adherence calculator.

9.3.1.Обработка результатов анкетирования в ручном режиме /

Processing of survey results in manual mode

На каждый вопрос анкеты имеется 6 вариантов ответов, оцениваемых в баллах.

Вне завиисмости от варианта анкеты и от формулировки конкретного ответа, для последующих расчетов номерам ответов присваиваются следующие баллы:

варианту ответа под порядковым номером

«1» – 1 балл,

варианту ответа под порядковым номером

«2» – 2 балла,

варианту ответа под порядковым номером

«3» – 3 балла,

варианту ответа под порядковым номером

«4» – 4 балла,

варианту ответа под порядковым номером

«5» – 5 баллов,

варианту ответа под порядковым номером

«6» – 6 баллов.

Первый этап

На первом этапе вычисляют технические показатели: «важность лекарственной терапии», «важность медицинского сопровождения», «важность модификации образа жизни» и «готовность к лекарственной терапии», «готовность

кмедицинскому сопровождению», «готовность

кмодификации образа жизни».

Каждый технический показатель представляет собой простую сумму баллов, полученную при ответах на соответствующие вопросы, таким образом, минимально возможное значение каждого технического показателя составляет 5 баллов, а максимально возможное – 30 баллов.

После этого рассчитывают коэффициенты предикции. Коэффициент предикции вычисляют как отношение полученного значения соответствующего показателя готовности к полученному значению соответствующего показателя важности.

There are 6 possible answers to each question of the questionnaire, evaluated in points.

Regardless of the questionnaire variant and the wording of a specific answer, the following points are assigned to the answer numbers for subsequent calculations:

the answer variant with the ordinal number “1” – 1 point,

the answer variant with the ordinal number “2” – 2 points,

the answer variant with the ordinal number “3” – 3 points,

the answer variant with the ordinal number “1” – 1 point, the answer variant with the ordinal number “2” – 2 points, the answer variant with the ordinal number “3” – 3 points, the answer variant with the ordinal number the number “4” – 4 points,

the answer option under the ordinal number “5” – 5 points,

the answer option under the ordinal number “6” – 6 points.

The first stage

At the first stage, technical indicators are calculated: “the importance of drug therapy”, “the importance of medical support”, “the importance of lifestyle modification” and “readiness for drug therapy”, “readiness for medical support”, “readiness for lifestyle modification”.

Each technical indicator is a simple sum of points obtained by answering the relevant questions, so the minimum possible value of each technical indicator is 5 points, and the maximum possible is 30 points.

After that, the reduction coefficients are calculated. The reduction coefficient is calculated as the ratio of the received value of the corresponding readiness indicator to the received value of the corresponding importance indicator.

176

Adherence to treatment. Russian National Russian National Guidelines

Технические показатели / Technical indicators

Показатель / Indicator

Важность (потенциальная важность) лекарственной терапии / The importance (potential importance) of drug therapy

Важность (потенциальная важность) медицинского сопровождения / Importance (potential importance) of medical support

Важность (потенциальная важность) модификации образа жизни / The importance (potential importance) of lifestyle modification

Готовность (потенциальная готовность) к лекарствен-

ной терапии / Readiness (potential readiness) for drug therapy

Готовность (потенциальная готовность) к медицин-

скому сопровождению / Readiness (potential readiness) for medical support

Готовность (потенциальная готовность) к модифика-

ции образа жизни / Readiness (potential readiness) for lifestyle modification

Номера вопросов анкеты, баллы ответов на которые Символ / суммируют / The numbers of

Symbol the questionnaire questions, the scores of the answers to

which are summed up

ВТ (ВТп)

2, 3, 4, 6, 14

ВС (ВСп)

1, 5, 10, 11, 13

ВМ (ВМп)

7, 8, 9, 12, 15

ГТ (ГТп)

16, 17, 18, 20, 21

ГС (ГСп)

16, 19, 20, 24, 25

ГМ (ГМп)

19, 22, 23, 24, 25

Коэффициенты предикции / Prediction coefficients

Показатель / Indicator

Коэффициент предикции лекарственной терапии /

Predictive factor of drug therapy

Коэффициент потенциальной предикции лекарствен-

ной терапии / Coefficient of potential prediction of drug therapy

Коэффициент предикции медицинского сопровожде-

ния / The coefficient of prediction of medical support

Коэффициент потенциальной предикции медицинско-

го сопровождения / Coefficient of potential prediction of medical support

Коэффициент предикции модификации образа жиз-

ни / The coefficient of prediction of lifestyle modification

Коэффициент предикции модификации образа жиз-

ни / The coefficient of prediction of lifestyle modification

Символ /

Расчет показателя /

Symbol

Calculation of the indicator

КТ

КТ = ГТ ÷ ВТ

КТп

КТп = ГТп ÷ ВТп

КС

КС = ГС ÷ ВС

КСп

КСп = ГСп ÷ ВСп

КМ

КМ = ГМ ÷ ВМ

КМп

КМп = ГМп ÷ ВМп

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Приверженность лечению. Российское национальное руководство

Интерпретация значений коэффициентов предикции и потенциальной предикции

При значении показателя 1,0 и более вероятность реализации респондентом рекомендаций увеличивается.

При хначении показателя менее 1,0 вероятность реализации рекомендаций уменьшается.

Комментарии:

Коэффициент предикции (потенциальной предикции) может предоставить поставщику медицинских услуг или исследователю дополнительную информацию об увеличении или уменьшении вероятности того, что респондент будет следовать рекомендованным ему действиям.

При этом расчет коэффициентов предикции (потенциальной предикции) пока не может рассматриваться как обязательный, поскольку пока не накоплено достаточно убедительной информации о его диагностической и прогностической ценности.

В то же время, количественная оценка показателей важности и готовности и коэффициента предикции рассматривается Рабочей группой в качестве потенциально важных дополнительных предикторов прогноза сохранения приверженности на протяжении времени и потенциальных маркеров эффективности мероприятий, направленных на управление приверженностью. Рабочая группа призывает к расширению исследований в данной области.

Interpretation of the prediction coefficients values and potential prediction

With a value of 1.0 or more, the probability of the respondent implementing the recommendations increases.

If the indicator value is less than 1.0, the probability of implementing the recommendations decreases.

Comments:

The prediction coefficient (potential prediction) can provide additional information to the health care provider or researcher about the increase or decrease in the probability that the respondent will follow the recommended actions.

The calculation of prediction coefficients (potential prediction) cannot yet be considered mandatory, since sufficient convincing information about its diagnostic and prognostic value has not yet been accumulated.

The quantitative assessment of the indicators of importance and readiness and the prediction coefficient is considered as potentially important additional predictors of the forecast of maintaining adherence over time and potential markers of the effectiveness of measures aimed at managing adherence.

Второй этап

На втором этапе рассчитывают показатели приверженности (потенциальной приверженности) лекарственной терапии, медицинскому сопровождению, модификации образа жизни и интегральный показатель – приверженность лечению.

Каждый такой показатель представляет собой величину, вычисленную для конкретного респондента, выраженную в условных процентах (от максимальной теоретически возможной, принятой за 100 %).

The second stage

At the second stage, indicators of adherence (potential adherence) to drug therapy, medical support, lifestyle modification and adherence to treatment are calculated.

Each indicator is a value calculated for a particular respondent. It is expressed in conditional percentages (from the maximum theoretically possible, taken as 100 %).

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Adherence to treatment. Russian National Russian National Guidelines

Расчет показателей приверженности и потенциальной приверженности /

Calculation of adherence and potential adherence indicators

Приверженность лекарственной терапии / Adherence to drug therapy

где ПТ – приверженность лекарственной терапии, % / adherence to drug therapy, %; ВТ – важность лекарственной терапии, баллов / the importance of drug therapy, points; ГТ – готовность к лекарственной терапии, баллов / readiness for drug therapy, points.

Приверженность медицинскому сопровождению / Adherence to medical support

где ПС – приверженность медицинскому сопровождению, % / adherence to medical support, %; ВТ – важность медицинского сопровождения, баллов / the importance of medical support, points; ГТ – готовность к медицинскому сопровождению, баллов / readiness for medical support, points.

Приверженность модификации образа жизни / Adherence to lifestyle modification

где ПМ – приверженность модификации образа жизни, % / adherence to lifestyle modification, %; ВТ – важность модификации образа жизни, баллов / the importance of lifestyle modification, points; ГТ – готовность к модификации образа жизни, баллов / readiness for lifestyle modification, points.

Приверженность лечению / Adherence to treatment

где ПЛ – приверженность лечению, % / adherence to treatment, %; ПС – приверженность медицинскому сопровождению, % / adherence to medical support, %; ПМ – приверженность модификации образа жизни, % / adherence to lifestyle modification, %; ПТ – приверженность лекарственной терапии, % / adherence to drug therapy, %.

Потенциальная приверженность лекарственной терапии / Potential adherence to drug therapy

где ПТп – потенциальная приверженность лекарственной терапии, % / potential adherence to drug therapy, %; ВТп – потенциальная важность лекарственной терапии, баллов / potential importance of drug therapy, points; ГТп – потенциальная готовность к лекарственной терапии, баллов / potential readiness for drug therapy, points.

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