5651651
| Pregunta | Respuesta |
| Background | Most of the time, adherence to regimes is measure by doctors who look at the medicines effect on the body - e.g. if someone is given tablets to fight an infection, if the infection is gone it can be assumed they complied This however is not always an accurate measure |
| Background: Chung and Naya | Looked at using a mechanical device for measuring adherence = susceptible to social desirability bias |
| Background: Lustman et. al | - Blood sugar (GHb) measured adherence - Higher in those with diabetes - Therefore normal GHb level means adherence to medical regime |
| Aim | To assess the efficacy of the anti-depressant Fluoxetine in treating depression, by measuring Glycemic control |
| Methodology | Controlled double-blind study |
| Sample | 60 patients with Type 1 or 2 Diabetes - and diagnosed with depression |
| Procedure | Randomly assigned to Fluoxetine or placebo group = Assessed for depression using psychometric tests =Adherence to medical regime through GHb |
| Results | Patients given Fluoxetine reported lower levels of depression They also had lower GHb levels, indicating adherence |
| Conclusion | This research suggests that reducing depression may improve adherence of diabetic patients |
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