Noncompliance: Causes & Reasons

Possible Causes for Noncompliance

[…] in favor of using a first-line AEM such as valproate or carbamazepine, or preferably the AEM that previously proved efficacious in a patient with known epilepsy who was noncompliant [ncbi.nlm.nih.gov]

Causes may include AED therapy noncompliance, acute infections or high fever. [texaschildrens.org]

The most common precipitating factor in these cases in adults is withdrawal from medication or noncompliance with the regimen. [epilepsychicago.org]

Bronchial Asthma

A meta-analysis by DiMatteo et al [ 50 ] revealed that patients with a chronic disease and depression were three times more likely to be noncompliant with medical treatment [doi.org]

Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety and depression on patient adherence. [ncbi.nlm.nih.gov]

View Article Google Scholar DiMatteo MR, Lepper HS, Croghan TW: Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety [doi.org]

Chronic Alcoholism

Clients must occasionally be discharged as noncompliant, which reinforces to the chronic relapser that he/she can no longer successfully live on self will. [addictionpro.com]

While treatment requires constantly challenging this resistance, noncompliant behavior that persists beyond a reasonable amount of time or begins to interfere with others' [addictionpro.com]

Acne Vulgaris

TABLE 1 Patient demographics and disposition ENROLLED, N 97 COMPLETED STUDY, N 91 (4 noncompliant, 1 lost to follow-up, 1 protocol violation) MEAN AGE, YEARS 18.4 years (SD [ncbi.nlm.nih.gov]

Rosenberg M, Waugh MS: Causes and consequences of oral contraceptive noncompliance. Am J Obstet Gynecol 1999; 180: 276–9. MEDLINE 5. [doi.org]

[…] attrition bias) All outcomes High risk Quote: “Seven participants did not complete the study (5 in control and 2 in LGL groups), and 4 were removed from data set (two were noncompliant [ncbi.nlm.nih.gov]

Obesity

Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg 2005 ;15: 546 - 551 Citing Articles (1519) Letters Article Figures/Media [dx.doi.org]

The populations in the studies reviewed were generally self‐ or researcher‐selected, and often noncompliant patients were excluded from analyses. [dx.doi.org]

Correcting for noncompliance and dependent censoring in an AIDS clinical trial with inverse probability of censoring weighted (IPCW) log-rank tests. [dx.doi.org]

Schizophrenia

Long-term use can develop dependence and put the patient at risk if they are noncompliant. [emedicine.medscape.com]

Neuroleptic noncompliance in schizophrenia. In: C.A. Tamminga & S.C. Schulz (red.). [directievetherapie.nl]

If a patient is noncompliant with his/her medication, you might be able to give them their regularly prescribed doses of antipsychotics. [emedicine.medscape.com]

Hyperlipidemia

Overestimation of the actual ingested dosage may occur due to some degree of noncompliance. [journals.plos.org]

Morbid Obesity

Morbid obesity is associated with liver pathology, most commonly non-alcoholic steatohepatitis (NASH) leading to cirrhosis. However, the morbid obesity impedes qualification for organ transplantation. We present a case report of a 56-year-old woman who underwent bariatric procedure followed by liver transplantation[…] [ncbi.nlm.nih.gov]

Adjustment Reaction of Adolescence

Jonathan Hill, Barbara Maughan Cambridge University Press, 2001 Conduct disorders are very common conditions and the most frequent reason for clinical referrals to child and adolescent mental health facilities. Aggression and oppositional behavior in youth often becomes persistent, and substantially increases the[…] [books.google.com]

Drug Dependence

J Psychopharmacol. 2014 Nov;28(11):993-1000. doi: 10.1177/0269881114552713. Epub 2014 Sep 29. Author information 1 Universidade Federal de São Paulo, Departamento de Psiquiatria, Instituto Plantando Consciência, São Paulo, Brazil eduardoschenberg@gmail.com. 2 Instituto Plantando Consciência, São Paulo, Brazil. 3 M.P.P.G[…] [ncbi.nlm.nih.gov]

Addictive Behavior

"Helping others discover freedom from addictions and other destructive lifestyles." The Challenge: Many people in the world are caught in bondage of addictions such as alcoholism, chemical dependency, co-dependency, eating disorders, etc. because of abuse, shame, unresolved grief or other unresolved issues. God[…] [ywamchatel.com]

Chronic Pulmonary Edema

CPE can occur in patients with hemodialysis-dependent renal failure, often as a result of noncompliance with dietary restrictions or noncompliance with hemodialysis sessions [emedicine.medscape.com]

[…] pressures due to poor forward flow due to: a) No atrial contribution to ventricular filling, and b) A rate too rapid for ventricular filling, this patient who has a stiff and noncompliant [hqmeded-ecg.blogspot.com]

Stage 3 In stage 3, as fluid filtration continues to increase and the filling of loose interstitial space occurs, fluid accumulates in the relatively noncompliant interstitial [emedicine.medscape.com]

Angiokeratoma Corporis Diffusum with Arteriovenous Fistulas

Pulmonary arteriovenous fistula: diagnosis and prognosis in noncompliant patient. Am Rev Respir Dis, 100 (1969), pp. 177-188 [9.] J.R. Gossage, G. Kang. [archbronconeumol.org]

Deprivation Amblyopia

One RCT including five patients with SDA was found, but it had investigated the effectiveness of an educational program on the predictors of noncompliance to occlusion therapy [cochranelibrary.com]

Compliance Problem

[…] the significance placed on obtaining jurisdiction over the North Pole, and given recent violations of the norms of the Law of the Sea Convention, some experts see risks of noncompliance [unclosdebate.org]

Boards and executives must guard against unintentional noncompliance. Ensure that regulatory compliance functions are internally challenged and regularly updated. [corporatecomplianceinsights.com]

[…] properly excluded leased employees in their plan documents, but still use a number of them in the workforce, read on, as your situation could present a different sort of noncompliance [blog.employerscouncil.org]

Tracheal Sarcoma

He was noncompliant with his clinical follow-ups, leading to lack of antiretroviral treatment. On physical examination, the patient had extensive oral candidiasis. [journals.lww.com]

Restrictive Cardiomyopathy

Restrictive cardiomyopathy is characterized by noncompliant ventricular walls that resist diastolic filling; one (most commonly the left) or both ventricles may be affected [merckmanuals.com]

Hemodynamic changes comprise diastolic heart failure due to rigidity and noncompliance of ventricles. [symptoma.com]

In restrictive cardiomyopathy, endocardial thickening or myocardial infiltration leads to a rigid, noncompliant ventricle and thus diastolic dysfunction; systolic function [merckmanuals.com]

Sporadic Adult-Onset Ataxia of Unknown Etiology

Four participants in the placebo condition discontinued the study: one for urosepsis, one for muscle pain and two for noncompliance. [cochranelibrary.com]

Amelogenesis Imperfecta Type 1H

Along with poor oral hygiene, factors such as patient noncompliance affect the prognosis of prosthetic treatment.4 Esthetic crowns are sometimes used to compensate for soft [aegisdentalnetwork.com]

Long QT Syndrome 15

Beta blockers need to be taken daily and the failure to do so (noncompliance) by affected individuals can lead to the development of symptoms including sudden death. [rarediseases.org]

Ultrasonography

[…] flushing pressure tubing and arterial catheter Nonabsorbable nylon or silk suture (eg, 3-0 or 4-0) Chlorhexidine patch, transparent occlusive dressing Arterial line tubing (noncompliant [merckmanuals.com]

Accommodative Esotropia

Due to behavior problems there was poor adaptation to the glasses thus noncompliance with full-time wear. [aaopt.org]

Deterioration of control of esotropia is greater in patients with a high AC/A ratio, earlier age of onset, and amblyopia. [3] Delay in treatment and noncompliance with treatment [eyewiki.aao.org]

LASIK as an alternative line to treat noncompliant esotropic children. Clin Ophthalmol 2011 ; 5: 1795 – 801. [journals.sagepub.com]

Extraocular Retinoblastoma

All patients who were noncompliant to treatment eventually died due to the disease. All patients with stage IV disease died despite aggressive multimodal treatment. [ncbi.nlm.nih.gov]

Hypertensive Crisis

Med noncompliance in baseline hypertensive pts - probably the most common cause, especially if pts are on drugs like clonidine, metoprolol that can have rebound effect when [errolozdalga.com]

[…] damage to organs Emergency —extremely high blood pressure which has caused damage to organs There are many causes for hypertensive crisis and they can include: Medication noncompliance [hiacode.com]

Medication nonadherence — Use of monoamine oxidase inhibitor — Recreational drug use — Acute postoperative hypertension Risk factors Ineffective outpatient BP control Patient noncompliance [clinicaladvisor.com]

Functional Encopresis

*If the child is noncompliant with adult instructions, the physician may refer the family to a pediatric psychologist familiar with compliance training techniques. [freeprintablebehaviorcharts.com]

Coexisting behavior problems are a predictor of poor outcome in toilet-training protocols. 19 Disruptive behavior and childhood noncompliance across multiple settings (e.g [aafp.org]

Disruptive behavior and childhood noncompliance across multiple settings (e.g., dressing, bath time, bedtime) require direct attention before toilet training is attempted. [cpcwecare.com]

Amelogenesis Imperfecta Type 2A1

Along with poor oral hygiene, factors such as patient noncompliance affect the prognosis of prosthetic treatment.4 Esthetic crowns are sometimes used to compensate for soft [aegisdentalnetwork.com]

Diabetic Ketotic Coma

growth hormone, catecholamine) results in hyperglycemia and ketonemia Most common in type I diabetes Precipitated by infections MI drugs (steroids, thiazide diuretics) noncompliance [medbullets.com]

The most common precipitating factor is infection, followed by noncompliance with insulin therapy. 3 While insulin pump therapy has been implicated as a risk factor for DKA [aafp.org]

Recent studies have emphasized the importance of noncompliance and psychological factors in the incidence of DKA. [spectrum.diabetesjournals.org]

Long QT Syndrome 5

Data from 2 large studies64,65 indicate that mortality is 0.5% and sudden death combined with cardiac arrest reaches 1%. β-Blocker noncompliance and use of QT-prolonging drugs [ahajournals.org]

High efficacy of beta-blockers in long-QT syndrome type 1: contribution of noncompliance and QT-prolonging drugs to the occurrence of beta-blocker treatment “failures”.Circulation [ahajournals.org]

Pectus Carinatum

Expert opinion suggests that the noncompliant chest wall deformity or significant asymmetry of the pectus carinatum deformity caused by a concomitant excavatum-type deformity [physio-pedia.com]

Isoniazid Hepatitis

For high-risk individuals who are likely to be noncompliant and whose prophylactic therapy needs to be directly observed, a dose of 15 mg/kg twice weekly, to a maximum of [rxmed.com]

Of the 146 participants, 24 (16%) were noncompliant. [academic.oup.com]

Furthermore, none of the studies formally accounted for medication noncompliance, which is prevalent in patients with TB. [journals.plos.org]