Decision Tree Model of the Treatment-Seeking Behaviors Among Korean Cancer Patients

Oh, Hyo-Sook; Park, Hyeoun-Ae

doi:10.1097/00002820-200407000-00001

Cited by 9 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Gladwin 23 suggests a sample of approximately 150 when there are multiple groups and outcomes. This sample size is in keeping with our previous work, 26 , 27 as well as that of others, 24 , 25 , 28 , 29 who have used this method.…”

Section: Methodssupporting

confidence: 81%

Understanding ethno-cultural differences in cardiac medication adherence behavior: a Canadian study

King‐Shier¹,

Quan²,

Mather³

et al. 2018

PPA

View full text Add to dashboard Cite

BackgroundThere are ethno-cultural differences in cardiac patients’ adherence to medications. It is unclear why this occurs. We thus aimed to generate an in-depth understanding about the decision-making process and potential ethno-cultural differences, of white, Chinese, and south Asian cardiac patients when making the decision to adhere to a medication regimen.MethodsA hierarchical descriptive decision-model was generated based on previous qualitative work, pilot tested, and revised to be more parsimonious. The final model was examined using a novel group of 286 cardiac patients, using their self-reported adherence as the reference. Thereafter, each node was examined to identify decision-making constructs that might be more applicable to white, Chinese or south Asian groups.ResultsNon-adherent south Asians were most likely to identify a lack of receipt of detailed medication information, and less confidence and trust in the health care system and health care professionals. Both Chinese and south Asian participants were less likely to be adherent when they had doubts about western medicine (eg, the effects and safety of the medication). Being able to afford the cost of medications was associated with increased adherence. Being away from home reduced the likelihood of adherence in each group. The overall model had 67.1% concordance with the participants’ initial self-reported adherence, largely due to participants’ overreporting adherence.ConclusionThese identified elements of the decision-making process are generally not considered in traditionally used medication adherence questionnaires. Importantly these elements are modifiable and ought to be the focus of both interventions and measurement of medication adherence.

show abstract