Module 2: Basic Pharmacology of Controlled Drugs and Substances
Psychosocial factors must be considered when utilizing controlled drugs and substances within treatment plans. There is no one explanation for why prescription drugs are misused: there are multiple potential pathways affecting patient engagement. Robinson and Woo (2016) identify five spheres that influence positive outcomes in regards to medication therapy: personal, biomedical, interpersonal, socioeconomic, and health system.
- Figure 6-1. Five spheres of influence and multiple factors that impact adherence and self-management. Robinson, M., & Woo, T. (2016). Factors that foster positive outcomes in Pharmacotherapeutics for nurse practitioner prescribers (3rd ed.). Philadelphia, PA: F. A. Davis Company. Derived from Wheeler, K., Roberts, M., & Neiheisel, M. (2014). Medication adherence part two: Predictors of nonadherence and adherence. Journal of the American Association of Nurse Practitioners, 26(4), 225–232. doi:https://doi.org/10.1002/2327-6924.12105