Client Compliance Research Articles

Factors Associated with Medication Noncompliance in Dogs in New Zealand.

Client compliance with prescribed medication instructions to treat their pets is a concern. This study describes factors associated with the noncompliance of dog owners with veterinary recommendations for medication, as well as client-reported barriers and aids to administering medications. A cross-sectional survey of dog owners' compliance with veterinary medication recommendations was performed from 9 January 2019 to 18 July 2020. A convenience sample of owners who prescribed medication for their dogs during or following elective veterinary examination was surveyed regarding medication administration experience and compliance. Owners were followed up to determine if the course of medication had been completed. Compliance data were analyzed descriptively. Logistic regression was performed with compliance as the outcome. Medication noncompliance was recorded for 47% (71/151) of owners. Increasing dog age was associated with better owner compliance (p < 0.05). Pet owners who used "nothing" as an aid to medicating were less likely to be noncompliant (p < 0.05). Forty-seven percent (71/151) of owners reported that "nobody" showed them how to administer the medication. One-third of dog owners (47/151) reported challenges in medicating their pets. The most common reason cited by clients reporting challenges was a resistant pet. Demonstration of medication administration techniques and discussion about available aids to medicating a pet may improve client compliance.

PEMBERDAYAAN MELALUI PENDIDIKAN PERILAKU DAPAT MENINGKATKAN KEPATUHAN PENGOBATAN KLIEN DIABETES TIPE 2

Management of diabetes mellitus (DM) has been carried out through various government policies, but has not shown optimal results. The main obstacle is the low level of client compliance in treatment. The task of ensuring that DM clients comply with treatment is not only borne by health service providers, but clients are also responsible for this. This study aims to explore empowerment through behavioral education in helping type 2 DM clients adhere to treatment. This research uses quasi-experimental pre-test and post-test design without control methods. The sample was 15 people with inclusion criteria, namely type 2 DM clients, aged over 15 years, able to communicate and normal general condition. Data was collected through interview techniques using the Morisky Medication Adherence Scale 8 instrument. Data analysis used the T test. The results of the study showed that there was an influence of behavioral education on type 2 DM clients' compliance with treatment with p-value: 0.001. Empowerment through constructed behavioral education can help Type 2 DM clients comply with treatment, namely through changes in antecedents, behavior and consequences (ABC).

Conducting a successful diet trial for the diagnosis of food allergy in dogs and cats.

A limited antigen diet trial and subsequent food provocation is currently the optimal method of confirming a diagnosis of food allergy in dogs and cats. However, performing an effective diet trial can be challenging as it requires a high level of client and pet compliance, appropriate diet selection and correct interpretation of the provocative challenge. This narrative guides the clinician through the process, highlights potential pitfalls and specifies how these can be avoided to achieve a successful outcome.

Effectiveness of a Daily Honeycomb-Shaped Dental Chew in Reducing Calculus, Plaque, Gingivitis and Malodor in Dogs.

Periodontal disease in dogs is common. Client compliance with oral hygiene and oral care for pets is low. The gold standard is annual dental prophylaxis under general anesthesia with imaging followed by home care including daily brushing. Clients should be offered methods to reduce calculus, plaque, gingivitis, and resulting halitosis that are time efficient, cost-effective, and easy to administer between annual preventative dental prophylaxis with the goal to move into maintenance phase of managing periodontal disease. This study aimed to evaluate the efficacy of a honeycomb-shaped dental chew in reducing hardened calculus, plaque, gingivitis, and malodor in client-owned dogs in their normal home environment including various breeds, skull types, ages, and weights. Calculus, plaque, and gingival scores with volatile sulfur compounds readings were performed under sedation and evaluated under general anesthesia after 60 consecutive days of receiving a daily honeycomb-shaped dental chew treat. There was an overall statistically significant percentage reduction of calculus (26.6%), plaque (14.2%), and malodor (46.71%). Gingival scores did not demonstrate statistically significant reduction (0.99%). Use of this honeycomb-shaped daily dental chew significantly reduced calculus, plaque, and associated malodor in dogs when fed consecutively for 60 days.

Practical pharmacology for the new graduate

New veterinary graduates can be helped by guidance for thera­peutic decision-making when using antimicrobial drugs in bovine practice. Aspects to be considered include empirical therapy in the absence of a definitive diagnosis, governmental regulations, client compliance, therapeutic indications, cost, food safety, and extra-label drug administration.

Talking treats: A qualitative study to understand the importance of treats in the pet-caregiver relationship

Treats are a prevalent aspect of pet care, frequently given by dog and cat caregivers for varying reasons. However, recommendations of reducing or eliminating treat feeding poses a common challenge, leading to potential non-adherence surrounding weight management practices. To explore caregivers’ perceptions and experiences surrounding treat feeding, we conducted five online focus groups with 24 dog and cat caregivers, recruited via an infographic shared on social media using snowball sampling. NVivo12© was used to organize and analyze verbatim transcripts using inductive thematic analysis. Outcomes illustrated three major themes: 1) the role of treats as an important tool for caregivers; 2) considerations for treat selection and provision; and 3) caregivers’ need for more and better information and support related to treats. Participants emphasized the importance of treats for managing behaviours, health-related activities, and enhancing the pet-caregiver relationship. Results suggest that the diverse and valued applications of treats, caregivers’ satisfaction associated with treat-giving, and perceived lack of guidance surrounding treats may present challenges for caregivers in reducing treat feeding with their pets. Findings highlight opportunities to enhance the available resources that can empower both veterinary professionals and caregivers to make well-informed decisions and foster sustainable changes in treat feeding practices to support weight management and overall health. Such considerations can improve client compliance with veterinary recommendations, to promote companion animal health and well-being while fostering the human-animal bond.

A Qualitative Study of the Psychosocial, Physical and Spiritual Benefits and Challenges Experienced by Psychiatric Patients Engaging Community Mental Health Services

Background Mental illness generates feelings of shame, low self-esteem, isolation, and hopelessness which affect wellbeing and quality of life. Mental health care practitioners, therefore, need to support their clients to improve their quality of life. Despite an increasing awareness of the importance of spirituality in mental health contexts, a religiosity gap exists in the difference in the value placed on spirituality and religion. This may be due to a lack of understanding about the complex ways people connect with spirituality within contemporary society and mental health contexts and can result in people's spiritual needs being neglected or dismissed within clinical practice (K. Milner et al., 2020). Additionally, mental illness may cause a variety of psychosocial problems such as decreased quality of life of the patient and their family members as well as increased social distance for the patient and the family caring for the patient. Psychosocial challenges are enhanced by the stigma attached to mental illness, which is a problem affecting not only the patient but also the family. Coping mechanisms for dealing with mentally ill patients differ from one family to another for a variety of reasons (Kakuma R et al., 2010). Objective: The aim of this study was to explore the contribution of community mental healthcare services to the wellbeing of persons with a history of mental illness using the Betty Ferrell’s Quality of Life (QoL) model. Methods A qualitative research approach was adopted, using exploratory descriptive design to describe the experiences of psychiatric patients engaging community mental health services. An in-depth interview was conducted using Betty Ferrell’s Model as a guiding framework. Each interview lasted about an hour. All interviews were audiotaped, transcribed, and the content analyzed thematically. A purposive sampling method was used to select 11 participants who participated in a face-to-face in-depth interview. Responses from the interviews were transcribed verbatim and analysed using the thematic content analysis approach. Results The findings from the study revealed the important and valuable contribution of community mental health nursing services to the quality of life and wellbeing of persons with mental illness in all spheres of their functioning. The main themes and sub-themes on how community mental healthcare services impact the wellbeing of persons with history of mental illness were Spiritual wellbeing (‘hope’, ‘transcendence’, ‘positive changes’), Social wellbeing (‘good social interaction’, ‘good relationship with family’, ‘good relationship with community members’, ‘good relationship with church members’), Psychological wellbeing (‘perception of overall quality of life’, ‘anxiety/depression’, cognition/attention’, assertiveness’), and Physical wellbeing (‘adherence to medication regimen’, overall physical health’, functional ability’, appetite’). Community mental health nurses have also been instrumental in promoting the social wellbeing of people with history of mental illness. Improvement in the spiritual lives and religious activities of the clients through the intervention of the nurses helped them to find some purpose and meaning in life. Counselling, reassurance, encouragement, and education of clients by the nurses provided some relief from their anxieties and depression and promoted client compliance with prescribed treatment regimen. Conclusion Both theoretical and empirical literature reviewed show that social and emotional support for persons living with mental illness, or with a history of mental illness, are important to their quality of life. The support given within the community is invaluable. Thus, community mental health care services span the well-being in the domains of physical, social, spiritual, and psychological functioning.

Analysis of the Role of Family Support in Treatment Compliance of Pulmonary Tuberculosis Clients

Pulmonary tuberculosis is a deadly infectious disease caused by Mycobacterium tuberculosis. Pulmonary tuberculosis is very easily resistant to drugs, so treating it takes a long time. In the process of treatment, the role of the family is needed as the closest unit to the patient to supervise. This study aimed to determine the relationship between the part of family support and adherence to treatment of pulmonary tuberculosis clients. The research design used was analytic descriptive research with a cross-sectional study approach. The sample in this study was 30 people, who were taken using the total sampling technique—data analysis using Chi-square on SPSS. The results showed that the role of a good family was 53.3% and less was 46.7%. The frequency of client compliance is 80% and 20% non-compliant. The results of the statistical test showed that the p-value was smaller than the ? value, which meant that there was a relationship between the role of family support and adherence to treatment for pulmonary tuberculosis clients in the working area of ??the Wara Public Health Center, Palopo City, South Sulawesi Province, Indonesia. The long process of treating pulmonary TB will result in boredom and boredom in patients. Therefore, the family has an important role in monitoring and increasing the motivation of pulmonary TB patients to remain consistent in the treatment process. As the frontline in disease prevention and rehabilitation, health workers must always be active in providing health education to the community, especially to families of pulmonary TB sufferers, about the importance of family support in the patient's treatment process.

Relationship between Family Support and Compliance of Post-Stroke Clients Undergoing Physiotherapy in the Medical Rehabilitation Room of Pariaman Hospital

One of the degenerative diseases whose incidence has increased recently is stroke. The recovery rate of stroke is still low, as many as 15-30% of patients will experience paralysis. One of the healing processes is to follow the physiotherapy program. In the physiotherapy unit of Pariaman Hospital, more than half (50%) were not compliant with physiotherapy. The purpose of this study was to determine the relationship between family support and client compliance with physiotherapy in the physiotherapy unit of Pariaman Hospital.Stroke is an acute vascular injury to the brain, or a severe and sudden injury to the blood vessels of the brain. Injury can be caused by blockage of blood clots, narrowing of blood vessels, blockage or rupture of blood vessels. Physiotherapy is a health service that is carried out for the healing process. The implementation is in accordance with the degree of disability experienced by the client. This research is descriptive analytic with cross sectional approach. The population is stroke clients who follow physiotherapy in the physiotherapy unit of Pariaman Hospital, with sampling techniques using accidental sampling which amounted to 52 people. Data were collected by interview in accordance with the questionnaire provided and the data were processed by SPSS and then analyzed univariately and bivariately. The results of this study obtained 28 (53.8%) family support that played a role there were 3 (10.7%) clients who were not compliant with undergoing physiotherapy and from 24 (46.2%) family support did not play a role there were 22 (91.7%) clients who were not compliant with undergoing physiotherapy, P Value = 0.025 &lt;0.05 means Ha accepts which means there is a significant relationship between family support and compliance with undergoing physiotherapy for post-stroke patients in the medical rehabilitation room of Pariaman Hospital. to increase client compliance, health workers can provide counseling on the importance of family support in increasing stroke client compliance to follow physiotherapy for the client's healing process.

Community-Based Intervention: A Case Study of Pantoloan Boya Village Community Through the Rehabilitation Field Program of National Narcotics Agency, Palu City

Drug abuse is becoming more of a threat and garnering global attention, particularly in parts of Southeast Asia. The drug issue in Indonesia is urgent and multifaceted. In 2019, Central Sulawesi ranked fourth in Indonesia for the highest rate of drug abuse, with 3.30% of the population, or the equivalent of 61,857 drug users. According to research, Palu City has the highest rate of drug abuse in Central Sulawesi province. The purpose of this research was to find out how the Community-Based Intervention (CBI) Program is being implemented in the Rehabilitation Sector of BNN Kota Palu in Pantoloan Boya Village. The method used in this study was qualitative. This study used a purposive sample strategy to select 7 informants. The results showed that the mapping was carried out by RW (Hamlet)/RT (Neighbourhood)-based Recovery Agents (RA) with minimal Human Resources (HR) and clients who participated in limited interventions. Outreach is the delivery of information and approaches to the community, families, and drug users. This study's recommendations include mapping to expand HR capacity, in this case, RAs and clients, so that the program works more efficiently. Increase client compliance in group and individual meetings as part of outreach. Recovery services are being provided by pushing for the continuation of CBI's activities in Pantoloan Boya Village

Effect of apple cider vinegar on the urine pH of lambs

Urolithiasis is a common disease in growing lambs. Acidifica­tion of the urine is both a treatment and prevention for struvite urolithiasis. Ammonium chloride has been shown to produce acidic urine within 24-72 hours, depending on dose. The chal­lenges with increasing ammonium chloride level in feed is the unpalatability of the salt and daily individual dosing has issues with client compliance. Apple cider vinegar has been used by producers as both a treatment and prevention of urolithiasis by both addition to water and by direct drenching. There is cur­rently a lack of evidence to support use of apple cider vinegar in the peer-reviewed literature. The objectives of this study were to investigate the effect of apple cider vinegar on the urine pH of sheep when drenched by mouth and compare the effects on urine pH to ammonium chloride.

Influence Of Satisfaction, Commitment, And Trust Customer To Customer Loyalty Gojek Users In Bandar Lampung

In this modern era, people have various activities and to fulfill the needs of these activities, people need transfers as fork equipment or auxiliary equipment in carrying out their activities. One of the online transfer services currently available among the public is Gojek Indonesia, which is an online transfer service application that can be used on smartphones. To offer compliance to its customers, currently the services offered by Gojek range from a service system for accompanying passengers using motorized transportation, a food delivery service system, to a one day grocery shopping service system. The aim of this research is to identify the effects of Happiness, Commitment and Confidence in Compliance on Gojek consumers in Bos Lampung. The research used is quantitative research and the sampling method used in this research is probability sampling. The number of examples obtained was 81 respondents, namely Gojek clients in Bos Lampung. Based on the research results, it shows that satisfaction and trust elasticities have an impact on Gojek client compliance in Bos Lampung, while for elastic commitments it has no effect on Gojek client compliance in Bos Lampung. In this research the elastic effects of Satisfaction, Commitment and Confidence affect 78% of Gojek client compliance in Bos Lampung. Conversely, more than 22% is influenced by other aspects not monitored in this research.

Relationship between Family Support with Relapse in Schizophrenic Patients

According to Afconneri et al's research, (2020), factors that influence relapse in schizophrenic clients include educational status, work status, living with caregivers, level of anxiety, family support, caregiver burden and adherence to taking medication. The support provided by the family can improve the client's recovery or compliance in undergoing therapy at home. The purpose of this study was to analyze the relationship between family support and relapse in schizophrenia patients in the working area of ​​the Labanan and Teluk Bayur Health Centers, Berau District. Shows that the results of the hypothesis test obtained a p value of 0.001, so that there is a relationship between family support and recurrence of schizophrenia patients in the Work Area of ​​the Labanan and Teluk Bayur Health Centers, Berau District.

The step in time study: A feasibility study of a mobile app for measuring walking ability after massage treatment in patients with osteoarthritis

BackgroundMassage therapy is a popular intervention for those suffering osteoarthritis, however, there is a paucity of evidence to support its effectiveness in osteoarthritis. A simple measure that could potentially assess the benefits of massage treatment is walking speed which is a predictor of mobility and survival length, particularly in ageing populations. The primary aim of the study was to assess the feasibility of using a phone app to measure walking ability in people with osteoarthritis.MethodsThis feasibility study used a prospective, observational design to collect data from massage practitioners and their clients over a 5-week period. Feasibility outcomes included practitioner and client recruitment and protocol compliance. The app MapMyWalk was used to record average speed for each walk. Pre-study surveys and post-study focus groups were conducted. Clients received massage therapy in a massage clinic and were instructed to walk in their own local community for 10 min every other day. Focus group data were analysed thematically. Qualitative data from clients’ pain and mobility diaries were reported descriptively. Average walking speeds were graphed for each participant in relation to massage treatments.ResultsFifty-three practitioners expressed interest in the study, 13 completed the training, with 11 successfully recruiting 26 clients, 22 of whom completed the study. 90% of practitioners collected all required data. A strong motivation for participating practitioners was to contribute to evidence for massage therapy. Client compliance with using the app was high, but low for completing pain and mobility diaries. Average speed remained unchanged for 15 (68%) clients and decreased for seven (32%). Maximum speed increased for 11 (50%) clients, decreased for nine (41%) and remained unchanged for two (9%). However, data retrieved from the app were unreliable for walking speed.ConclusionsThis study demonstrated that it is feasible to recruit massage practitioners and their clients for a study involving mobile/wearable technology to measure changes in walking speed following massage therapy. The results support the development of a larger randomised clinical trial using purpose-built mobile/wearable technology to measure the medium and long-term effects of massage therapy on people with osteoarthritis.

MOTIVASI KLIEN DENGAN KEPATUHAN MINUM OBAT PADA PENDERITA HIPERTENSI

Hypertension is a non-communicable disease and is one of the highest causes of mobirdity and mortality in the world. Conditions like this require treatment for a long time and even a lifetime, so the successful treatment of this disease requires compliance in treatment. The purpose of this study was to determine the relationship between client motivation and compliance with hypertension in taking medication. The design of this study is descriptives with a cross sectional approach and data analysis using the chi-square test. The number of samples used was 144 respondents through a purposive sampling technique. The research instruments used the TMQ (Treatment Motivation Questionnaire) questionnaire, and MMAS-8 (Morisky Medication Adherence Scale). The results of the study found that there was arelationship between client motivation and adherence to taking medication with p-value = 0.000 (p &lt;0.005). This shows that there is a relationship between client motivation and medication adherence in hypertension sufferers Self-motivation is needed for clients so that hypertension therapy can be achieved according to the target.

Relationship between Family Support and Nurse Caring Behavior on Compliance of Kidney Failure Patients Undergoing Hemodialysis at Undata Hospital, Central Sulawesi Province

Kidney failure is a condition where kidney function declines in a few months or years, so you have to get family support and nurse caring behavior towards the compliance of kidney failure clients undergoing hemodialysis. The design used in this study was a cross sectional design, the population in the study were all respondents at the UNDATA Hospital, Central Sulawesi Province, as many as 70 respondents with the provision that the sample was according to the sample and the error was 0.10%, so the number of samples became 56. The results obtained from the relationship of family support on the compliance of renal failure clients undergoing hemodialysis. = 0.05. It was concluded that family support for the compliance of clients with kidney failure undergoing hemodialysis at the UNDATA Hospital, Central Sulawesi Province, was related. Should be able to further develop in providing support, especially for clients with kidney failure.

Hubungan Dukungan Keluarga dalam Kepatuhan Pengobatan Pasien TB Paru Terhadap Pencegahan TB MDR Pasien Rawat Jalan di Rumah Sakit

Family support is an activity oriented towards improving family function based on raising children and other family activities in a system and supporting resources. Client compliance is behavior towards the provisions given by health workers. MDR TB is a condition in which the bacteria are resistant to OAT. TB-resistant TB is the result of the treatment of TB patients who are not regularly infected or infected by TB-resistant TB patients. This study aims to identify the relationship between family support in medication adherence in pulmonary TB patients and the prevention of MDR TB in outpatients. The research method used is a quantitative research using a correlation design. The sample consisted of 73 outpatient pulmonary TB patients. Participation in this study using Systematic Random Sampling. Researchers collected data using family support research instruments using a questionnaire. MDR TB prevention adherence used a standardized questionnaire based on the MMAS-8 adherence questionnaire. The statistical test uses the Spearman Rank statistical test. treatment of TB patients with prevention of MDR TB has a value of r = 0.962, which means that there is a significant or very strong influence between family support in the treatment of TB patients on the prevention of MDR TB in patients at Aminah Hospital, Tangerang City in 2021. Conclusion Family support influences the treatment of TB patients against prevention of MDR TB

188 A REVIEW OF THE REABLEMENT PROGRAM WHICH INCLUDES THERAPY ASSISTANTS WITHIN THE AMBULATORY HUB

Abstract Background The Ambulatory Hub for the older person commenced in May 2021 in line with the Enhanced Community Care Implementation Guidance documents. From a client and carer perspective, the hub provides a single point of access and a co-ordinated approach to the client's care needs with a focus on frailty. The Reablement service is provided alongside the Hub team providing a specialist Occupational Therapy and Physiotherapy geriatric assessment. Depending on the outcome of the assessment and needs identified, the client can avail of the Reablement program. Each patient will have an individualised therapy program which is carried out by the therapy assistants in the client’s home. The Reablement program aims to provide care in line with the “Right Care, Right Place, Right Team, Right Time” ethos. Methods The charts of 20 clients who completed the Reablement program were reviewed. The data collected included the number of visits by the Occupational Therapist, Physiotherapist and therapy assistants. Feedback from the client and their family was sought and documented. Results The results showed that clients received on average 4 Occupational Therapy and 4 Physiotherapy sessions each. The therapy assistants provided on average 15 visits per client to support the implementation of specialist programs developed by the therapy team. The feedback from clients and family was very positive and the following feedback was received “A program like this is a great initiative”, “ It Improved my confidence”, “I’m able to cook my meals for myself again” Conclusion The Reablement program with the support of therapy assistants has led to a patient centred service and co-ordinated approach to the care of the client with increased client compliance. A similar service was not available in the community previously. The Reablement program has reduced the need for inpatient reablement beds which was previously the pathway of care for these clients in the community.

Feeling Rule Management and Relational Authority: Fostering patient compliance in palliative care consultations

Once conferred by jurisdictions, hierarchies, or credentials, professional authority is now considered relational and probabilistic, drawing attention to actions that professionals can take to encourage client compliance. In this paper, we use ethnographic observations of palliative care consultations to show that professionals suggest feeling rules that correct patients’ lay understandings and in doing so facilitate compliance. Palliative care professionals suggested three corrective feeling rules that validate patients’ emotions and reattribute them to circumstances aligned with professionals’ expert recommendations for care: that patients should fear curative treatment, that patients should hope for pain relief, and that patients and family members should feel guilty for prolonging misery. We argue that authority depends, in part, on professionals’ ability to manage broader feeling rules instead of individual emotions. Given that feeling rule management involves altering meanings of what is considered appropriate, we contend that professionals’ symbolic power and emotional capital underpin their authority in the professional–client encounter.

Quality improvement frameworks to maximise wound assessment

Wound management should be a holistic process that assesses not only the wound itself, but also includes patient and client factors. To ensure veterinary professionals try to minimise mistakes and maximise communication, quality improvement methods can be applied to help prevent mistakes and miscommunications. Veterinary medicine lacks in veterinary specific wound assessment frameworks but there are numerous that are applied successfully to human medicine that can aid in the holistic approach, and cross over well to veterinary patients. The application of a simple checklist and care bundle could help to improve client communication and compliance and also facilitate healing, leading to improved patient outcomes.