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Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
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Accountability in patient adherence.

Elias Oussedik1,2, Abigail Cline1, Jennifer J Su1

  • 1Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA.

Patient Preference and Adherence
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PubMed
Summary

A new 12-item accountability scale was developed to measure patient-provider interaction, showing high reliability and validity. This tool can assess accountability

Keywords:
accountabilityadherencepatient behaviorself-determination theoryself-efficacy

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Area of Science:

  • Health Psychology
  • Patient-Provider Communication
  • Treatment Adherence Research

Background:

  • Patient motivation to adhere to treatment is influenced by accountability in patient-provider interactions.
  • A validated measure of accountability is needed to understand its role in improving self-efficacy and self-management.
  • Enhancing patient adherence is crucial for effective treatment outcomes.

Purpose of the Study:

  • To develop and validate a new outcome measure assessing patient accountability.
  • To test the reliability and sensitivity of the accountability measurement tool.
  • To establish the psychometric properties of the novel accountability scale.

Main Methods:

  • Literature review, expert consultation, and focus groups informed the scale's development.
  • Pilot studies were conducted in clinical settings and via online crowdsourcing.
  • Principal Component Analysis and Cronbach's alpha assessed constructs and internal consistency; convergent and divergent correlations established validity.

Main Results:

  • A 12-item accountability scale was developed with 292 participants.
  • The scale demonstrated excellent internal consistency (Cronbach's α=0.92).
  • The measure showed predicted correlations with validated scales and established divergent validity across demographic groups.

Conclusions:

  • The validated accountability scale can assess the patient-provider interaction's role in treatment adherence.
  • This tool may facilitate the development of interventions to improve patient adherence.
  • Future research can utilize this measure to explore accountability's impact on self-efficacy and self-management.