Behavioral Compliance and Adherence Assessment Test - the question form
Questions: 66 · 13 minutes
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1. I feel upset if I miss taking my medication during an illness.
Always
Sometimes
Never
2. If I feel that I could do without my medication today, I still follow my doctor’s instructions because I think my doctor would not approve of a break in treatment.
Always
Sometimes
Never
3. I do not follow my treatment contrary to my doctor's instructions.
1 – Always
2 – Sometimes
3 – Never
4. If, for any reason, I do not follow my doctor's instructions, I inform them immediately.
1 – Always
2 – Sometimes
3 – Never
5. I feel very anxious before seeing my treating physician.
1 - Always
2 - Sometimes
3 - Never
6. I believe that illness is simply an obstacle to be overcome.
Always
Sometimes
Never
7. I prefer to take well-known, trusted, widely advertised medications.
Always
Sometimes
Never
8. I forget to take my medication at the scheduled time.
1 – Always
2 – Sometimes
3 – Never
9. I would like my doctor to think that I am able to manage my medication schedule on my own.
Always
Sometimes
Never
10. I feel that my doctor judges me for how well I follow my medication regimen, and I try to avoid this.
Always
Sometimes
Never
11. I seek help only from a doctor who has been recommended to me as the most competent in that area.
Always
Sometimes
Never
12. I fully agree with all of my doctor’s recommendations.
Always
Sometimes
Never
13. During my illness, I follow my doctor's instructions exactly.
Always
Sometimes
Never
14. I see a doctor at the first signs of illness because I am very concerned about my health.
Always
Sometimes
Never
15. I remember when and which medications I need to take when I am ill.
Always
Sometimes
Never
16. Even if my symptoms improve almost immediately, I still continue the prescribed treatment.
1 – Always
2 – Sometimes
3 – Never
17. I know exactly what to do if my health condition worsens.
1 – Always
2 – Sometimes
3 – Never
18. When I think about possible complications of illness, I feel intense fear.
Always
Sometimes
Never
19. I have a panic attack when illnesses are discussed.
Always
Sometimes
Never
20. If people say that a doctor is good, I am willing to trust them with my health.
Always
Sometimes
Never
21. When I start treatment, I set myself the goal of getting better.
1 – Always
2 – Sometimes
3 – Never
22. I am a responsible person and I approach treatment accordingly.
Always
Sometimes
Never
23. I tell my treating physician about any concerns I have about possible complications.
Always
Sometimes
Never
24. I am confident that I will be able to cope with my illness.
1 – Always
2 – Sometimes
3 – Never
25. If difficulties arise during treatment, I will try to do everything I can to overcome them.
1 – Always
2 – Sometimes
3 – Never
26. I follow my doctor’s instructions and prescriptions exactly, despite anxiety about possible side effects.
1 – Always
2 – Sometimes
3 – Never
27. I feel calm when I know I am not causing unnecessary trouble for my treating physician.
1 – Always
2 – Sometimes
3 – Never
28. I follow all of my doctor’s instructions responsibly.
1 – Always
2 – Sometimes
3 – Never
29. I believe that following the doctor’s instructions is key to overcoming illness.
Always
Sometimes
Never
30. Taking medication makes me feel anxious about taking it.
1 – Always
2 – Sometimes
3 – Never
31. I have mood swings after taking medication.
Always
Sometimes
Never
32. During treatment, when I leave home, I check whether I have taken the necessary medication with me.
Always
Sometimes
Never
33. When dealing with my health problems, I generally cannot manage without help from others.
Always
Sometimes
Never
34. I feel that I am excessively concerned about my health.
Always
Sometimes
Never
35. When I am ill, I consult my doctor when I decide to stop taking my medications.
Always
Sometimes
Never
36. When I am ill, I look forward to my next dose because I am afraid of missing it.
Always
Sometimes
Never
37. I believe that people who are careless about following a doctor's instructions put their health at risk.
Always
Sometimes
Never
38. If I feel unwell, I try to push through it.
1 – Always
2 – Sometimes
3 – Never
39. When I am ill, what upsets me most is that people start to avoid me.
Always
Sometimes
Never
40. I try to overcome my illness and work (study) as I did before.
Always
Sometimes
Never
41. I try my best not to give in to the illness.
1 – Always
2 – Sometimes
3 – Never
42. I am afraid of the difficulties and risks associated with the upcoming treatment.
Always
Sometimes
Never
43. I would be willing to undergo even the most painful and even risky treatment if it meant getting rid of the illness.
Always
Sometimes
Never
44. I would prefer to be treated by a doctor who is well-known.
Always
Sometimes
Never
45. I often worry that I did not tell my doctor something important that could affect the success of my treatment.
1 – Always
2 – Sometimes
3 – Never
46. I feel uncomfortable if, when I am ill, I do not take my medication on time.
Always
Sometimes
Never
47. When I am ill, I feel ashamed to admit it even to those closest to me.
Always
Sometimes
Never
48. I would not want to burden people close to me with my illness.
1 – Always
2 – Sometimes
3 – Never
49. I do not believe that illness can interfere with my work (or studies).
1 – Always
2 – Sometimes
3 – Never
50. By carefully following my treatment and regimen, I hope to improve my health in the future.
Always
Sometimes
Never
51. I believe that taking medication during illness helps me recover.
1 – Always
2 – Sometimes
3 – Never
52. I am worried that my illness could significantly affect my future.
1 – Always
2 – Sometimes
3 – Never
53. I try with all my strength to overcome my illness.
1 – Always
2 – Sometimes
3 – Never
54. I try not to disappoint my treating clinician and therefore follow all of their recommendations.
Always
Sometimes
Never
55. When following my doctor's instructions during an illness, I worry for a long time that I might do something incorrectly.
Always
Sometimes
Never
56. I willingly listen to advice about my health.
1 – Always
2 – Sometimes
3 – Never
57. I try to maintain a healthy lifestyle to keep my health in the best possible condition.
1 – Always
2 – Sometimes
3 – Never
58. If a doctor says I am ill, then I should get treatment.
1 – Always
2 – Sometimes
3 – Never
59. To start treatment, I need to know the sequence of steps.
Always
Sometimes
Never
60. If I feel emotional support and care from my doctor, I follow their recommendations with pleasure.
1 – Always
2 – Sometimes
3 – Never
61. If the prescribed procedures/medications cause me discomfort, I still continue treatment because I do not want to disappoint my doctor.
1 – Always
2 – Sometimes
3 – Never
62. I feel anxious if, during an illness, my treating physician recommends switching from an older medication to a newer one.
Always
Sometimes
Never
63. I believe that effective treatment is based on a close, trusting relationship with my doctor.
Always
Sometimes
Never
64. I feel at ease about my health when my doctor is in a good mood.
1 – Always
2 – Sometimes
3 – Never
65. When my health is in danger and I cannot cope with it, I feel that only my doctor can help me.
Always
Sometimes
Never
66. Because I am very concerned about my health, I am willing to take any medications prescribed by my doctor when I am ill.
Always
Sometimes
Never
1. I feel upset if I miss a dose of my medication during an illness.
1 – Always
2 – Sometimes
3 – Never
2. If I feel I can manage without my medication today, I still follow my doctor's instructions because I think my doctor would not approve of a break in treatment.
Always
Sometimes
Never
3. I do not follow the treatment plan contrary to my doctor's instructions.
1 – Always
2 – Sometimes
3 – Never
4. If, for any reason, I do not follow my doctor's instructions, I tell them right away.
Always
Sometimes
Never
5. I feel very anxious before visiting my treating physician.
Always
Sometimes
Never
6. I believe that illness is simply an obstacle that must be overcome.
Always
Sometimes
Never
7. I prefer to take well-known, proven, widely advertised medications.
Always
Sometimes
Never
8. I forget to take my medication at the scheduled time.
Always
Sometimes
Never
9. I would like my doctor to think that I am able to manage my medication schedule on my own.
Always
Sometimes
Never
10. I feel that my doctor judges me for how well I follow my medication regimen, and I try to avoid it.
Always
Sometimes
Never
11. I seek help only from a doctor who has been recommended to me as the most competent in that area.
Always
Sometimes
Never
12. I fully agree with all of my doctor's recommendations.
Always
Sometimes
Never
13. During my illness, I follow my doctor's instructions exactly.
1 – Always
2 – Sometimes
3 – Never
14. I see a doctor at the first signs of illness because I am very concerned about my health.
1 - Always
2 - Sometimes
3 - Never
15. I remember when to take my medications and which ones I need to take when I am ill.
Always
Sometimes
Never
16. Even if my symptoms improve almost immediately, I still continue the prescribed treatment.
Always
Sometimes
Never
17. I know exactly what to do if my health condition worsens.
1 – Always
2 – Sometimes
3 – Never
18. When I think about possible complications of illness, I feel very afraid.
Always
Sometimes
Never
19. I have a panic attack when the topic of illness comes up.
1 - Always
2 - Sometimes
3 - Never
20. If people say that a doctor is “good,” I am willing to trust them with my health.
1 – Always
2 – Sometimes
3 – Never
21. When I start treatment, I set myself the goal of getting well.
Always
Sometimes
Never
22. I am a responsible person and approach my treatment accordingly.
1 – Always
2 – Sometimes
3 – Never
23. I tell my treating physician about any concerns I have regarding possible complications.
Always
Sometimes
Never
24. I am confident that I will be able to cope with my illness.
1 – Always
2 – Sometimes
3 – Never
25. If difficulties arise during treatment, I will try to do everything I can to overcome them.
1 – Always
2 – Sometimes
3 – Never
26. I follow my doctor’s instructions and prescriptions exactly, despite worrying about possible side effects.
1 – Always
2 – Sometimes
3 – Never
27. I feel calm when I know I am not causing unnecessary trouble for my treating physician.
Always
Sometimes
Never
28. I follow all of my doctor’s instructions responsibly.
1 – Always
2 – Sometimes
3 – Never
29. Many people say that following medical advice is the basis for overcoming illness, and I share this view.
Always
Sometimes
Never
30. Taking medication makes me feel anxious about taking it.
1 - Always
2 - Sometimes
3 - Never
31. After taking my medication, I have mood swings.
1 – Always
2 – Sometimes
3 – Never
32. During treatment, when leaving home, I check whether I have taken the necessary medication with me.
1 – Always
2 – Sometimes
3 – Never
33. When dealing with my health problems, I generally cannot manage without help from others.
1 - Always
2 - Sometimes
3 - Never
34. I feel that I am overly concerned about my health.
1 – Always
2 – Sometimes
3 – Never
35. During my illness, I consult my doctor when I decide to stop taking my medications.
Always
Sometimes
Never
36. When I am ill, I look forward to my next dose of medication because I am afraid of missing it.
Always
Sometimes
Never
37. I believe that people who are careless about following a doctor's instructions put their health at risk.
Always
Sometimes
Never
38. When I feel unwell, I try to push through it.
Always
Sometimes
Never
39. When I am ill, what upsets me most is that people start to avoid me.
Always
Sometimes
Never
40. I try to overcome my illness and work (study) as I did before.
1 – Always
2 – Sometimes
3 – Never
41. I try with all my strength not to give in to my illness.
1 – Always
2 – Sometimes
3 – Never
42. I am afraid of the difficulties and risks associated with the upcoming treatment.
1 – Always
2 – Sometimes
3 – Never
43. I would be willing to undergo even the most painful and potentially dangerous treatment if it meant getting rid of my illness.
Always
Sometimes
Never
44. I would like to be treated by a doctor who is well known.
Always
Sometimes
Never
45. I often worry that I did not tell my doctor something important that could affect the success of my treatment.
Always
Sometimes
Never
46. I feel uncomfortable if, when I am ill, I do not take my medication on time.
Always
Sometimes
Never
47. When I am ill, I feel ashamed to admit it even to the people closest to me.
1 – Always
2 – Sometimes
3 – Never
48. I would not want to burden people close to me with my illness.
1 – Always
2 – Sometimes
3 – Never
49. I do not think that my illness can interfere with my work or studies.
Always
Sometimes
Never
50. I hope that careful treatment and following the prescribed regimen will improve my health in the future.
Always
Sometimes
Never
51. I believe that taking medication during an illness helps me recover.
Always
Sometimes
Never
52. I am worried that my illness could significantly affect my future.
Always
Sometimes
Never
53. I do everything I can to overcome the illness that has developed.
1 – Always
2 – Sometimes
3 – Never
54. I try not to disappoint my treating clinician, and therefore I follow all of their recommendations.
1 – Always
2 – Sometimes
3 – Never
55. When I follow my doctor’s instructions during an illness, I continue to worry for a long time that I might do something incorrectly.
Always
Sometimes
Never
56. I willingly listen to advice about my health.
1 – Always
2 – Sometimes
3 – Never
57. I try to maintain a healthy lifestyle to keep my health in the best possible condition.
Always
Sometimes
Never
58. If a doctor says I am ill, then I need to get treatment.
Always
Sometimes
Never
59. To start treatment, I need to know the sequence of steps.
Always
Sometimes
Never
60. If I feel emotional support and care from my doctor, I follow their recommendations with pleasure.
1 – Always
2 – Sometimes
3 – Never
61. If the prescribed procedures/medications cause me discomfort, I still continue treatment because I do not want to disappoint my doctor.
Always
Sometimes
Never
62. I worry if, during an illness, my treating physician advises switching from an older medication to a newer one.
Always
Sometimes
Never
63. I believe that effective treatment is based on a close, trusting relationship with my doctor.
Always
Sometimes
Never
64. I feel reassured about my health when my doctor is in a good mood.
1 – Always
2 – Sometimes
3 – Never
65. When my health is at risk and I am unable to cope with it, I feel that only my doctor can help me.
Always
Sometimes
Never
66. Because I am very concerned about my health, I am willing to take any medications prescribed by my doctor when I am ill.
1 - Always
2 - Sometimes
3 - Never