Clinical Psychology

T A B L E 17-2 (Continued)

Findings

No confidence in treatment Decreases compliance

Feelings of control Increases compliance

III. Environmental Factors

A. Economic factors

Low income Decreases compliance

Insurance fails to cover all prescription costs Decreases prescription filling

and refilling

B. Social support

Low social support among adolescents Decreases compliance

Living alone Decreases compliance

Support for specific health behaviors Increases compliance

C. Cultural norms
Belief in traditional healers Decreases compliance
Acculturation to Western culture Increases compliance
Culture places trust in physicians Increases compliance
Physician’s stereotype of African Americans and low-income patients Decreases compliance
Physician disrespect of African Americans, Hispanic Americans, and Asian
Americans

Decreases compliance

IV. Practitioner/Patient Interaction

A. Verbal communication

Poor verbal communication Decreases compliance

Interrupting patients Decreases compliance

Agreement about treatment Increases compliance

Failing to receive expected information Decreases compliance

Problems with language or terminology Decreases compliance

B. Practitioner’s personal qualities

Patient’s confidence in physician’s competence Increases compliance

Friendliness Increases compliance

Practitioner disrespect Decreases compliance

Gender Female doctors provide more

information

SOURCE: Brannon, L., & Feist, J. (2010).Health psychology: An introduction to behavior and health(7th ed.), pp. 84–86. Pacific Grove, CA: Brooks/Cole.
Reprinted with permission.

HEALTH PSYCHOLOGY ANDBEHAVIORAL MEDICINE 505