Assessing historical compliance with medical recommendations among transplant candidates: preliminary findings.

Prog Transplant

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, 1-South, PO Box 250861, Charleston, SC 29425, USA.

Published: March 2010

Context: Noncompliance with medical recommendations by transplant candidates and recipients carries serious consequences for morbidity and mortality. Few patient-specific, objective measures for assessing historical compliance exist.

Objective: To address this gap, a psychometric and exploratory analysis of an interview-based, global measure of clinician-rated judgment of historical compliance was undertaken.

Methods: All findings are based on a retrospective chart review of the medical and psychosocial evaluations of 96 consecutive potential heart transplant candidates seen at a large Southeastern academic medical center.

Results: Preliminary results demonstrated adequate interrater reliability and discriminant validity for the measure. Additionally, results from hierarchical multivariable regression analysis revealed years of education to be positively associated with clinician-rated judgment of historical compliance.

Conclusions: This study provides preliminary psychometric support for the use of a measure of historical compliance among heart transplant candidates. Findings from this study also are consistent with the literature to date and may be reflective of a psychobiological process that mediates the relationship between socioeconomic status and health outcomes.

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Source
http://dx.doi.org/10.1177/152692481002000108DOI Listing

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