Predicting and Reducing Non-Adherence in
Chronic Disease: Validating a Novel
Clinical Tool (Traffic Light)
Non-adherence poses a significant problem in healthcare, both for the health of patients and to the cost it imposes on the health care system. Non-adherence is defined by the World Health Organization as “the extent to which a person’s behaviour-taking medication, following a diet, and/or executing lifestyle changes, corresponds with agreed recommendations from a health care provider”. The purpose of this study is to determine whether a novel clinical tool, which we refer to as the Traffic Light Assessment, is an effective means of predicting nonadherence in patients with kidney disease and their adherence to dialysis attendance. Potential patients were identified by a member of their medical team to participate in the research study. Following informed consent discussions, a readiness assessment about their attendance at dialysis for the following week was performed. The research team tracked whether the patient attended dialysis for the recommended number of times and length. The patient will then be called after their week of dialysis to learn more about why they did or did not attend dialysis.
Chronic diseases are among the most common and costly health problems, they are also among the most preventable. Primary health care workers can support their client’s management of chronic disease by advocating healthy behaviors. However, most health care providers don’t have the training to effectively help manage their clients’ healthy behaviors. For the first time, we have an online curriculum teaching health care providers behavior change skills within the scope of their practice.
In this 8 week study, health care provider training was conducted online to observe the effectiveness of training compared to in-person training. Alberta health care providers watched 6 behavior change skills training video sessions of about 30 minutes – one hour in length. Participants scheduled about one hour per week to watch each video and answer its corresponding online questions.
The 8 week program protocol:
1. Week 1: online pre-intervention behavior skills questionnaire
2. Weeks 2-7: one video session/week
3. Week 8: online post-intervention behavior skills questionnaire
To circumvent conflicting patient care appointments, participants were given a total of 10 weeks to complete the training.
Results of the effectiveness of the training will be posted when study analysis has been completed.