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Improving medication adherence by using practitioner nonverbal techniques: a field experiment on the effect of touch

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Abstract

Though the positive effect of touch on compliance has been widely reported in the social psychology literature, a new evaluation has been made in a health setting. Six general practitioners were instructed to touch (or not) their patients on the forearm for 1–2 s. Patients who suffered from mild pharyngitis were solicited by the practitioners at the end of the consultation for a verbal promise to take the antibiotic medication as prescribed. One week later, patients were contacted at home to determine the number of pills that had been taken and to evaluate the practitioner. Touch increased medication adherence in both male and female patients, but was associated with a greater increase in male patients. It was also found that practitioners were perceived to be more concerned about their patients by those in the touch condition. Practitioner competence appeared to be slightly higher in the touch condition. The theoretical implications of this positive effect of tactile contact are discussed and the practical interest for practitioners is highlighted, showing how this nonverbal technique could help them to increase the medication adherence of their patients.

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References

  • Alagna, F., Whitcher, S., Fisher, J., & Wicas, E. (1979). Evaluative reaction to interpersonal touch in a counseling interview. Journal of Counseling Psychology, 26, 465–472.

    Article  Google Scholar 

  • Bacorn, C., & Dixon, D. (1984). The effects of touch on depressed and vocationally undecided clients. Journal of Counseling Psychology, 31, 488–496.

    Article  Google Scholar 

  • Céruse, P., Bolot, G., Pignat, J. C., & Dubreuil, C. (2002). ORL. Paris: Masson.

    Google Scholar 

  • Crémieux, A. C. (2008). Du bon usage des antibiotiques. Paris: Doin.

    Google Scholar 

  • Crusco, A., & Wetzel, C. (1984). The midas touch: The effects of interpersonal touch on restaurant tipping. Personality and Social Psychology Bulletin, 10, 512–517.

    Article  Google Scholar 

  • Durana, C. (1998). The use of touch in psychotherapy: Ethical and clinical guidelines. Pychotherapy, 35, 269–280.

    Google Scholar 

  • Eaton, M., Mitchell-Bonair, I., & Friedmann, E. (1986). The effect of touch on nutritional intake of chronic organic brain syndrome patients. Journal of Gerontology, 41, 611–616.

    CAS  PubMed  Google Scholar 

  • Ebesu Hubbard, A. S., Tsuji, A., Williams, C., & Seatriz, V. (2003). Effects of touch on gratuities received in same-gender and cross-gender dyads. Journal of Applied Social Psychology, 33(11), 2427–2438.

    Article  Google Scholar 

  • Erceau, D., & Guéguen, N. (2007). The effect of touch on the evaluation of the “toucher”. The Journal of Social Psychology, 147(4), 441–444.

    Article  PubMed  Google Scholar 

  • Field, T. (1999). Preschoolers in America are touched less and are more aggressive than preschoolers in France. Early Childhood Development and Care, 151, 11–17.

    Article  Google Scholar 

  • Field, T. (2001). Touch. Cambridge: MIT Press.

    Google Scholar 

  • Fincham, J. E. (2007). Patient compliance with medications: issues and opportunities. NY: Pharmaceutical Products Press.

    Google Scholar 

  • Fisher, J., Rytting, M., & Heslin, R. (1976). Hands touching hands: Affective and evaluative effects on interpersonal touch. Sociometry, 39, 416–421.

    Article  CAS  PubMed  Google Scholar 

  • Guéguen, N. (2001a). Toucher et soumission à une requête: Réplications expérimentales en situation naturelle et évaluation de l’impact du statut. Revue Internationale de Psychologie Sociale, 14(3), 113–158.

    Google Scholar 

  • Guéguen, N. (2001b). L’effet d’influence du toucher sur le comportement du consommateur: 2 illustrations expérimentales en extérieur. Direction et Gestion: La Revue des Sciences de Gestion, 190–191, 123–132.

    Article  Google Scholar 

  • Guéguen, N. (2002a). Touch, awareness of touch and compliance to a request. Perceptual and Motor Skills, 95, 355–360.

    PubMed  Google Scholar 

  • Guéguen, N. (2002b). Status, apparel and touch: Their joint effects on compliance to a request. North American Journal of Psychology, 4(2), 279–286.

    Google Scholar 

  • Guéguen, N. (2004). Nonverbal encouragement of participation in a course: The effect of touch. Social Psychology of Education, 7, 89–98.

    Article  Google Scholar 

  • Guéguen, N., & Jacob, C. (2005). The effect of touch on tipping: An evaluation in a French’s bar. International Journal of Hospitality Management, 24(2), 295–299.

    Article  Google Scholar 

  • Hollinger, L. (1986). Communicating with the elderly. Journal of Gerontology Nursing, 12, 8–13.

    CAS  Google Scholar 

  • Hornik, J. (1987). The effect of touch and gaze upon compliance and interest of interviewees. The Journal of Social Psychology, 127, 681–683.

    Google Scholar 

  • Hornik, J. (1992a). Effects of physical contact on customers’ shopping time and behavior. Marketing Letters, 3, 49–55.

    Article  Google Scholar 

  • Hornik, J. (1992b). Tactile stimulation and consumer response. Journal of Consumer Research, 19, 449–458.

    Article  Google Scholar 

  • Hornik, J., & Ellis, S. (1988). Strategies to secure compliance for a mall intercept interview. Public Opinion Quarterly, 52, 539–551.

    Article  Google Scholar 

  • Hubble, M., Noble, F., & Robinson, S. (1981). The effect of counselor touch in an initial counseling session. Journal of Counseling Psychology, 28, 533–535.

    Article  Google Scholar 

  • Jourard, S. (1966). An exploratory study of body accessibility. British Journal of Social and Clinical Psychology, 5, 221–231.

    CAS  PubMed  Google Scholar 

  • Kleinke, C. (1977). Compliance to requests made by gazing and touching experimenters in field settings. Journal of Experimental Social Psychology, 13, 218–223.

    Article  Google Scholar 

  • Kulik, J., & Carlino, P. (1987). The effect of verbal commitment and treatment choice on medication compliance in a pediatric setting. Journal of Behavioral Medicine, 10, 367–376.

    Article  CAS  PubMed  Google Scholar 

  • Laude, A., & Tabuteau, D. (2007). De l’observance à la gouvernance de sa santé. Presses Universitaires de France.

  • Lynn, M., Le, J. M., & Sherwyn, D. (1998). Reach out and touch your customers. Cornell Hotel and Restaurant Administration Quarterly, 39, 60–65.

    Google Scholar 

  • Nannberg, J., & Hansen, C. (1994). Post-compliance touch: An incentive for task performance. The Journal of Social Psychology, 134, 301–307.

    Article  CAS  PubMed  Google Scholar 

  • Palazoolo, J., & Olié, J. P. (2004). Observance medicamenteuse et psychiatrie. Paris: Elsevier.

    Google Scholar 

  • Pattison, J. (1973). Effects of touch on self-exploration and the therapeutic relationship. Journal of Consulting and Clinical Psychology, 40, 170–175.

    Article  CAS  PubMed  Google Scholar 

  • Paulsell, S., & Goldman, M. (1984). The effect of touching different body areas on prosocial behavior. The Journal of Social Psychology, 122, 269–273.

    Article  Google Scholar 

  • Reach, G. (2007). Pourquoi se soigne-t-on ? : enquete sur la rationalite morale de l’observance. Bordeaux: Editions Le Bord de l’Eau.

    Google Scholar 

  • Rissman, R., & Zimmer-Rissman, B. (1987). Compliance. I. Non compliance a review II. Facilitating compliance. Family Systems Medicine, 5(4), 446–467.

    Article  Google Scholar 

  • Segrin, C. (1993). The effects of nonverbal behavior on outcomes of compliance gaining attempts. Communication Studies, 44, 169–187.

    Google Scholar 

  • Shea, C. S. (2006). Improving medication adherence: how to talk with patients about their medications. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Smith, D., Gier, J., & Willis, F. (1982). Interpersonal touch and compliance with a marketing request. Basic and Applied Social Psychology, 3, 35–38.

    Article  Google Scholar 

  • Stephen, R., & Zweigenhaft, R. (1986). The effect on tipping of a waitress touching male and female customers. The Journal of Social Psychology, 126, 141–142.

    Article  Google Scholar 

  • Steward, L., & Lupfer, M. (1987). Touching as teaching: the effect of touch on students’ perceptions and performance. Journal of Applied Social Psychology, 17, 800–809.

    Article  Google Scholar 

  • Stewart, M. A. (1984). What is a successful doctor-patient interview? A study of interactions and outcomes. Social Science Medicine, 19(2), 167–175.

    Article  CAS  PubMed  Google Scholar 

  • Stockwell, S., & Dye, A. (1980). Effects of counselor touch on counseling outcome. Journal of Counseling Psychology, 27, 443–446.

    Article  Google Scholar 

  • Wycoff, E., & Holley, J. (1990). Effects of flight attendants’ touch upon airline passengers’ perceptions of the attendant and the airline. Perceptual and Motor Skills, 71, 932–934.

    Article  Google Scholar 

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Correspondence to Nicolas Guéguen.

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Guéguen, N., Meineri, S. & Charles-Sire, V. Improving medication adherence by using practitioner nonverbal techniques: a field experiment on the effect of touch. J Behav Med 33, 466–473 (2010). https://doi.org/10.1007/s10865-010-9277-5

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  • DOI: https://doi.org/10.1007/s10865-010-9277-5

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