Ascione F J, Shimp L A
Drug Intell Clin Pharm. 1984 Nov;18(11):926-31. doi: 10.1177/106002808401801121.
A study was designed for practitioners wishing to provide comprehensive educational services to the elderly. The effectiveness of four methods (i.e., oral instructions alone or in combination with written information, a medication reminder calendar, or a medication reminder package) of changing patient attitudes, drug knowledge, and compliance behavior was measured in 158 ambulatory cardiovascular patients using a randomized, controlled, single-blind design. The results indicate that drug knowledge will most likely be improved by a strategy that provides small amounts of specific information, thereby reducing the possibility of overwhelming the patient. Noncompliance behavior caused by forgetfulness can be best improved by combining a reminder aid with oral reinforcement. The high levels of motivation present in these patients indicate that improving patient attitudes toward medication taking may be unnecessary.
一项研究是为那些希望为老年人提供全面教育服务的从业者设计的。采用随机、对照、单盲设计，对158名门诊心血管疾病患者测量了四种方法（即单独口头指导或与书面信息、药物提醒日历或药物提醒包相结合）在改变患者态度、药物知识和依从行为方面的有效性。结果表明，通过提供少量具体信息的策略最有可能提高药物知识，从而降低使患者不堪重负的可能性。通过将提醒辅助工具与口头强化相结合，由遗忘导致的不依从行为能够得到最佳改善。这些患者中存在的高度积极性表明，改善患者对服药的态度可能没有必要。
