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. 2022 Sep 15:13:829880.
doi: 10.3389/fpsyg.2022.829880. eCollection 2022.

Patient and economic benefits of psychological support for noncompliant patients

Phil Reed  1 , Lisa A Osborne  2   3 , C Mair Whittall  3 , Simon Emery  3 , Roberto Truzoli  4
Affiliations

Patient and economic benefits of psychological support for noncompliant patients

Phil Reed et al. Front Psychol. .

Abstract

The current paper provides an overview of treatment noncompliance at various points in the treatment pathway, especially with respect to treatment for Pelvic-floor Dysfunction (PFD). The effects of noncompliance on healthcare are considered, and examples of supporting patients psychologically to increase compliance are discussed. An outline of a method to identify costs of non-compliance, and where such costs most intensely impact the healthcare system, is provided. It is suggested that psychological support is effective in terms of increased compliance and improved healthcare economics. The model is presented for PFD, but the principles developed can be generalised to many aspects of healthcare.

Keywords: anxiety; clinical outcome-effectiveness; depression; motivation; pelvic floor dysfunction; treatment noncompliance.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Top panel = example ‘attrition curve’ for pelvic floor dysfunction patients undergoing physiotherapy. Bottom panel = costs of surgical and other procedures per patient in United Kingdom.
Figure 2
Figure 2
Top left = attendance at initial pelvic-floor muscle training (PFMT) session following brief tele-support (Osborne et al., 2017a). Top right = attendance at PFMT sessions with and without psychological support (Osborne et al., 2016). Bottom left = economic savings from reduced attrition. Bottom right = three type of attrition curve.
See this image and copyright information in PMC

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