Accountability in patient adherence

Figures & data

Table 1 Patient demographics

Variable	Paper-based	Web-based	Total	Score Range
n	27	265	292
Age (years)	56	29	31.4	21–78
Sex (% female)	59%	59.2%	59.2%
Education (% > high school)	78%	85.9%	84.9%
Race (% White)	78%	63.3%	63.7%

Table 2 Main factors and communalities for the accountability measurement tool

Item	Autonomous Accountability	Controlled Accountability	Communalities
I am pleased letting my health care provider know how well I have taken my medication.	0.821		0.564
I look forward to letting my health care provider know how well I have taken my medication.	0.784		0.673
An upcoming office visit with my health care provider motivates me to follow my health care provider’s recommendations.	0.756		0.711
I feel proud showing my health care provider how well my condition has improved	0.746		0.526
I try to take my medication regularly because I have a health care provider’s visit coming up.	0.582		0.600
All in all, I feel accountable towards my health care provider.	0.578		0.448
I am afraid of disappointing my health care provider by not following his/her recommendations.		0.809	0.585
I am concerned that my health care provider may be disappointed if I do not follow his/her recommendations.		0.774	0.688
I would feel guilty if [I thought] the health care provider believed I wasn’t following his/her directions.		0.760	0.664
I am concerned of how I would be perceived if my health care provider thought I didn’t do a good job taking my medication.		0.702	0.606
I feel guilty if I do not follow my health care provider’s recommendations.		0.687	0.745
I don’t want to let my health care provider down by not taking my medicine well.		0.636	0.702

Table 3 Means, standard deviations, and correlations for the accountability measurement tool

Item	Mean	Standard Deviation	Item-Total Correlation
I feel guilty if I do not follow my doctor’s recommendations.	3.27	1.09	0.671
I am afraid of disappointing my doctor by not following his/her recommendations.	3.11	1.12	0.654
I am concerned that my doctor may be disappointed if I do not follow his/her recommendations.	3.22	1.09	0.679
I feel proud showing my doctor how well my condition has improved.	3.67	0.93	0.606
I am pleased letting my doctor know how well I have taken my medication.	3.54	0.94	0.697
I look forward to letting my doctor know how well I have taken my medication.	3.47	0.98	0.692
All in all, I feel accountable towards my doctor.	3.50	1.04	0.684
An upcoming office visit with my doctor motivates me to follow my doctor’s recommendations.	3.62	0.92	0.691
I would feel guilty if [I thought] the doctor believed I wasn’t following his/her directions.	3.26	1.09	0.753
I don’t want to let my doctor down by not taking my medicine well.	3.34	1.03	0.639
I am concerned of how I would be perceived if my doctor thought I didn’t do a good job taking my medication.	3.31	1.05	0.674
I try to take my medication regularly because I have a doctor’s visit coming up.	3.44	0.99	0.574

Table 4 Correlations between the AMT and other validated scales

	Total Accountability	Autonomous Accountability	Controlled Accountability
BFNE	0.31*	0.23*	0.34*
TSRQ (Total)	0.72*	0.66*	0.66*
Autonomous Motivation	0.52*	0.56*	0.42*
Introjected Regulation	0.65*	0.57*	0.63*
External Regulation	0.44*	0.37*	0.44*
Amotivation	0.38*	0.29*	0.41*
Length with Doctor	0.11	0.08	0.12
SWL	0.49	0.45	0.44
ERQ	0.49	0.40	0.43

Note: *Correlation is significant at the 0.01 level (2-tailed).

Abbreviations: BFNE, Brief Fear of Negative Evaluation; TSRQ, Treatment Self-Regulation Questionnaire; SWL, Satisfaction with Life; ERQ, Emotional Regulation Questionnaire.