3 курс / Фармакология / Приверженность_лечению_Российское_национальное_руководство_Николаев
.pdfПриверженность 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 |
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Not important |
Rather more |
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with a chronic illness, is it impor- |
Completely |
Almost not |
important |
Really im- |
Very impor- |
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rather than |
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tant for you to know what signs it |
unimportant |
important |
than not |
portant |
tant |
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important |
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shows? |
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important |
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2. If your doctor prescribes |
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More compli- |
Rather not |
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Completely |
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a medication that you must take |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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every day for many years, how |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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complicated would it be for you to |
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cated |
cated |
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follow that recommendation? |
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3. If your doctor prescribes |
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More compli- |
Rather not |
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Completely |
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a medication that you need to take |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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several times a day for years, how |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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complicated would it be for you to |
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cated |
cated |
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follow that recommendation? |
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4. If your doctor prescribes sev- |
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More compli- |
Rather not |
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Completely |
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eral medications for you to take |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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every day for many years, how |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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complicated would it be for you to |
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cated |
cated |
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follow that recommendation? |
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5. If your doctor suggested that |
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More compli- |
Rather not |
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Completely |
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you note your symptoms every |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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day for many years, how compli- |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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cated would it be for you to follow |
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cated |
cated |
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this recommendation? |
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6. Chronic illness has its symp- |
Completely |
Almost not |
Not important |
Rather more |
Really im- |
Very impor- |
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toms. How important is it for you, |
unimportant |
important |
rather than |
important |
portant |
tant |
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if you get sick, not to feel these |
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important |
than not |
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symptoms? |
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important |
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7. How important is it for you to |
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Not important |
Rather more |
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be in a loving relationship with |
Completely |
Almost not |
important |
Really im- |
Very impor- |
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rather than |
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someone? |
unimportant |
important |
than not |
portant |
tant |
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important |
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important |
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8. A chronic illness can force you |
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More compli- |
Rather not |
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Completely |
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to change your lifestyle. How |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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complicated would it be for you to |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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make this change? |
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cated |
cated |
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9. A chronic illness can force you |
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More compli- |
Rather not |
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Completely |
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to change your usual diet. How |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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complicated would that change be |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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for you? |
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cated |
cated |
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10. A chronic illness can lead to |
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Not important |
Rather more |
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restriction or loss of ability to |
Completely |
Almost not |
important |
Really im- |
Very impor- |
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rather than |
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work. How important is it for you |
unimportant |
important |
than not |
portant |
tant |
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important |
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to receive social assistance from |
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important |
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the government in this case? |
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11. Сhronic illness can change the |
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Not important |
Rather more |
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way your internal organs work |
Completely |
Almost not |
important |
Really im- |
Very impor- |
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rather than |
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and lab tests. How important |
unimportant |
important |
than not |
portant |
tant |
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important |
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would it be for you to know your |
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important |
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lab test results? |
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12. All people believe or disbelieve |
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Not important |
Rather more |
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in something. How important is it |
Completely |
Almost not |
important |
Really im- |
Very impor- |
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rather than |
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to you to believe in something? |
unimportant |
important |
than not |
portant |
tant |
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important |
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important |
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170
Adherence to treatment. Russian National Russian National Guidelines
13. Chronic illness leads to the |
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More compli- |
Rather not |
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Completely |
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need for regular medical fol- |
Very compli- |
Complicated |
complicated |
Almost not |
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cated than not |
uncompli- |
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low-ups. How complicated is it for |
cated |
enough |
than compli- |
complicated |
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complicated |
cated |
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you to have this kind of medical |
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cated |
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follow-up? |
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14. Taking medicine can be |
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More compli- |
Rather not |
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Completely |
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uncomfortable. How complicated |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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would it be for you to tolerate |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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these feelings? |
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cated |
cated |
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15. A chronic illness can limit your |
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More compli- |
Rather not |
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Completely |
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usual life, activities and entertain- |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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ment. How complicated is it for |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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you to accept such restrictions? |
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cated |
cated |
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16. If your doctor prescribes you |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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a medicine to be taken every day |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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for many years, will you always |
it than do it |
do it |
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follow that recommendation |
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exactly? |
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17. If your doctor prescribes you |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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a medication to be taken several times |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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a day for many years, will you always |
it than do it |
do it |
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follow that recommendation exactly? |
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18. If your doctor prescribes several |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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medications for you to take every |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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day for many years, will you always |
it than do it |
do it |
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follow this recommendation exactly? |
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19. If your doctor suggested that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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you note your symptoms every |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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day for many years, would you |
it than do it |
do it |
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always follow this recommenda- |
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tion exactly? |
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20. If your doctor tells you that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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the prescribed medicine may |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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cause discomfort, will you take it? |
it than do it |
do it |
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21. If your doctor tells you that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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the prescribed medication may |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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impair your sexual abilities, will |
it than do it |
do it |
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you take the medication? |
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22. If your doctor tells you that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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you need to change your lifestyle |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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because of an illness, will you fol- |
it than do it |
do it |
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low this recommendation exactly? |
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23. If your doctor tells you that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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you need to change your diet be- |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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cause of an illness, will you follow |
it than do it |
do it |
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this recommendation exactly? |
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24. If your doctor tells you that you |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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need to make regular follow-ups |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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because of your illness, will you fol- |
it than do it |
do it |
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low that recommendation exactly? |
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25. If your doctor tells you that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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you should have regular lab tests |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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because of your illness, will you fol- |
it than do it |
do it |
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low this recommendation exactly? |
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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 |
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Not important |
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Rather more |
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ward with a chronic illness. Is it |
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Completely |
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Almost not |
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important |
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Really im- |
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Very impor- |
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rather than |
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important for you to know what |
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unimportant |
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important |
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than not |
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portant |
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tant |
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important |
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the signs it shows? |
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important |
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2. A doctor has prescribed a med- |
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More compli- |
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Rather not |
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Completely |
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ication for a ward that must be |
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Very compli- |
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Complicated |
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cated than |
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complicated |
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Almost not |
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uncompli- |
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taken every day for many years. |
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cated |
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enough |
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not compli- |
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than compli- |
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complicated |
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cated |
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How complicated is it for you to |
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cated |
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cated |
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follow this recommendation? |
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3. A doctor has prescribed a med- |
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More compli- |
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Rather not |
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Completely |
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ication for the ward that must be |
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Very compli- |
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Complicated |
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cated than |
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complicated |
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Almost not |
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uncompli- |
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taken several times a day for many |
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cated |
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enough |
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not compli- |
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than compli- |
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complicated |
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cated |
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years. How complicated is it for you |
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cated |
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cated |
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to follow this recommendation? |
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4. A doctor has prescribed several |
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More compli- |
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Rather not |
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Completely |
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medications for a ward to take |
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Very compli- |
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Complicated |
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cated than |
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complicated |
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Almost not |
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uncompli- |
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every day for many years. How |
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cated |
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enough |
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not compli- |
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than compli- |
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complicated |
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cated |
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complicated is it for you to follow |
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cated |
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cated |
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this recommendation? |
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5. A doctor suggested that every |
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More compli- |
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Rather not |
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Completely |
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day for many years, you should |
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Very compli- |
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Complicated |
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cated than |
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complicated |
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Almost not |
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uncompli- |
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note the ward’s symptoms. How |
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cated |
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enough |
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not compli- |
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than compli- |
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complicated |
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cated |
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complicated is it for you to follow |
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cated |
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cated |
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this recommendation? |
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6. Chronic illness has its symp- |
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Not important |
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Rather more |
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toms. How important is it for you |
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Completely |
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Almost not |
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important |
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Really im- |
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Very impor- |
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rather than |
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that the ward does not feel these |
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unimportant |
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important |
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than not |
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portant |
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tant |
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important |
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symptoms? |
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important |
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7. How important to you is your |
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Not important |
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Rather more |
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ward’s ability to have a sex life? |
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Completely |
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Almost not |
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important |
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Really im- |
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Very impor- |
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rather than |
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unimportant |
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important |
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than not |
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portant |
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tant |
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important |
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important |
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8. A chronic illness forces a change |
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More compli- |
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Rather not |
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Completely |
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in the ward’s lifestyle. How com- |
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Very compli- |
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Complicated |
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cated than |
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complicated |
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Almost not |
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uncompli- |
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plicated is this change for you? |
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cated |
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enough |
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not compli- |
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than compli- |
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complicated |
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cated |
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cated |
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cated |
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9. A chronic illness forces change |
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More compli- |
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Rather not |
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Completely |
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the ward’s usual diet. How compli- |
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Very compli- |
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Complicated |
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cated than |
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complicated |
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Almost not |
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uncompli- |
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cated is this change for you? |
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cated |
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enough |
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not compli- |
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than compli- |
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complicated |
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cated |
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cated |
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cated |
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10. If the ward is limited or totally |
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Not important |
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Rather more |
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unable to work, how important |
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Completely |
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Almost not |
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important |
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Really im- |
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Very impor- |
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rather than |
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would it be for you to provide him |
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unimportant |
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important |
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than not |
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portant |
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tant |
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important |
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or her with social assistance from |
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important |
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the government? |
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11. Chronic illness can change the |
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Not important |
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Rather more |
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ward’s internal organs functioning |
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Completely |
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Almost not |
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important |
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Really im- |
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Very impor- |
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rather than |
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and lab tests. How important is it |
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unimportant |
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important |
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than not |
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portant |
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tant |
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important |
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for you to know the results of his |
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important |
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lab tests? |
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12. All people believe or don’t |
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Not important |
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Rather more |
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believe in God. How important is |
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Completely |
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Almost not |
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important |
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Really im- |
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Very impor- |
||
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rather than |
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it to you to believe in God? |
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unimportant |
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important |
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than not |
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portant |
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tant |
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important |
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important |
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6 |
172
Adherence to treatment. Russian National Russian National Guidelines
13. Chronic illness leads to the |
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|
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? |
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1 |
2 |
3 |
4 |
5 |
6 |
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14. Taking medication can make |
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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 |
|
||
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1 |
2 |
3 |
4 |
5 |
6 |
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15. A chronic illness can limit |
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|
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? |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
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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? |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
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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 |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
exactly? |
|||||||
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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 |
|||||
|
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|
|
||||
Will you follow this recommenda- |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
tion exactly? |
|||||||
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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 |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
exactly? |
|||||||
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|
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? |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
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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? |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
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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? |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
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|||||||
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|
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? |
|
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1 |
2 |
3 |
4 |
5 |
6 |
||
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|||||||
|
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|
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? |
|
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|
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|
1 |
2 |
3 |
4 |
5 |
6 |
||
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|||||||
|
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|
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 |
||
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|
173 |
Рекомендовано к изучению разделом по фармакологии сайта https://meduniver.com/
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 |
|
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|
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|
|
|
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? |
|
|
|
|
|
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|
1 |
2 |
3 |
4 |
5 |
6 |
||
|
|||||||
|
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|
|
|
|
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 |
|
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7. How important to you is your |
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ward’s ability to have a sex life? |
Completely |
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Really im- |
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unimportant |
important |
than not |
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in the ward’s lifestyle. How com- |
Very compli- |
Complicated |
cated than |
complicated |
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plicated is this change for you? |
cated |
enough |
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the ward’s usual diet. How com- |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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plicated is this change for you? |
cated |
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unable to work, how important |
Completely |
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important |
Really im- |
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would it be for you to provide him |
unimportant |
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than not |
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or her with social assistance from |
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11. Chronic illness can change the |
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ward’s internal organs functioning |
Completely |
Almost not |
important |
Really im- |
Very impor- |
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rather than |
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and lab tests. How important is it |
unimportant |
important |
than not |
portant |
tant |
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for you to know the results of his |
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12. All people believe or don’t |
Completely |
Almost not |
Not impor- |
Rather more |
Really im- |
Very impor- |
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believe in God. How important is |
tant rather |
important |
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it to you to believe in God? |
unimportant |
important |
than impor- |
than not |
portant |
tant |
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tant |
important |
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174
Adherence to treatment. Russian National Russian National Guidelines
13. Chronic illness leads to the |
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More compli- |
Rather not |
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Completely |
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need for regular follow-up exami- |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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nations by the ward’s doctor. How |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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complicated is it for you to have |
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cated |
cated |
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this follow-up with a doctor? |
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14. Taking medication can make |
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It’s more |
It rather |
It almost |
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the ward feel uncomfortable. How |
It’s very |
It disturbs |
likely to dis- |
doesn’t |
It doesn’t |
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doesn’t |
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disturbed are you by these feelings |
disturbing |
enough |
turb than not |
disturb than |
disturb at all |
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disturb |
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in your ward? |
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to disturb |
it disturbs |
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15. A chronic illness can limit |
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More compli- |
Rather not |
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Completely |
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your normal life, activities and |
Very compli- |
Complicated |
cated than |
complicated |
Almost not |
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uncompli- |
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entertainment. How complicated |
cated |
enough |
not compli- |
than compli- |
complicated |
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cated |
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is it for you to limit your ward in |
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cated |
cated |
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this way? |
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16. If a doctor prescribes a med- |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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ication for a ward to take every |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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day for many years, will you fol- |
it than do it |
do it |
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low that recommendation exactly? |
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17. If a doctor prescribes a med- |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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ication for a ward that must be |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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taken several times a day for |
it than do it |
do it |
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years, will you follow that recom- |
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mendation exactly? |
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18. If a doctor prescribes several |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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medications for a ward to take |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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every day for years, will you fol- |
it than do it |
do it |
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low that recommendation exactly? |
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19. If a doctor suggested that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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you note your ward’s symptoms |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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every day for many years, would |
it than do it |
do it |
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you follow the recommendation |
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exactly? |
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20. If a doctor tells you that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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a prescribed medication may |
wouldn’t do |
do than not |
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going to do it |
won’t do it |
to do it |
nitely do it |
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make your ward feel uncomforta- |
it than do it |
do it |
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ble, will you give him or her that |
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medication? |
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21. If a doctor tells you that |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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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 |
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will you give him or her that |
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medication? |
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22. If a doctor tells you that you |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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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? |
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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 |
|||||
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follow the recommendation exactly? |
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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? |
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25. If a doctor tells you that due to |
No way I’m |
Probably |
More likely |
Would rather |
More likely |
Would defi- |
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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 |
|||||
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this recommendation exactly? |
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175 |
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Приверженность лечению. Российское национальное руководство
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 |
177
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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 %).
178
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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