{"id":3128,"date":"2026-09-07T12:46:44","date_gmt":"2026-09-07T12:46:44","guid":{"rendered":"http:\/\/localhost\/bpscoretextbooks\/?post_type=content&#038;p=3128"},"modified":"2026-09-08T11:00:22","modified_gmt":"2026-09-08T11:00:22","slug":"chapter-6-adherence","status":"publish","type":"content","link":"https:\/\/routledgelearning.com\/bpscoretextbooks\/9781032707433-chapter-6-adherence\/","title":{"rendered":"Chapter 6 &#8211; Adherence"},"content":{"rendered":"\n<div class=\"wp-block-group has-background has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\" style=\"background-color:#eedbd1;padding-top:var(--wp--preset--spacing--70);padding-bottom:var(--wp--preset--spacing--70)\">\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\"><nav style=\"--separator: &quot;\/&quot;\" class=\"wp-block-breadcrumbs\" aria-label=\"Breadcrumbs\"><ol><li><a href=\"https:\/\/routledgelearning.com\/bpscoretextbooks\/\">Home<\/a><\/li><li><span aria-current=\"page\">Chapter 6 &#8211; Adherence<\/span><\/li><\/ol><\/nav>\n\n<h1 class=\"wp-block-post-title\">Chapter 6 &#8211; Adherence<\/h1>\n\n\n<p class=\"wp-block-paragraph\">This chapter explores the nature of adherence and non adherence, through an expanded model that builds on Ley\u2019s (1986) cognitive model, incorporating factors such as culture, ethnicity and minority status and social determinants of health. We examine what heath literacy is, how it influences adherence, how health literacy is measured and how cultural and intersectionality shape adherence. We explore the World Health Organisation\u2019s Multidimensional Adherence Model that outlines the multiplicity of factors that can impact on medication adherence. We then consider medication adherence in relation to ethnicity, religious beliefs, chronic disease and healthcare system issues. We consider ways in which medication adherence can be improved and examine the hierarchical model for medication adherence (Unni &amp; Bae, 2022). Finally, we examine factors than impact on non-attendance at medical appointments.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-query alignwide is-layout-flow wp-block-query-is-layout-flow\"><ul class=\"wp-block-post-template is-layout-flow wp-block-post-template-is-layout-flow\"><li class=\"wp-block-post post-3182 content type-content status-publish format-standard hentry content-type-content parent-book-49 resource-type-further-reading\">\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\"><h2 class=\"alignwide wp-block-post-title\">Chapter 6 &#8211; Key Readings<\/h2>\n\n<div class=\"entry-content alignwide wp-block-post-content is-layout-flow wp-block-post-content-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>These readings have been chosen by the author to support and enhance the chapter material.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alturbag, M. (2024). Factors and reasons associated with appointment non-attendance in hospitals: A narrative review. <em>Cureus 16<\/em>(4): e58594. <a href=\"https:\/\/doi.org\/10.7759\/cureus.58594\">https:\/\/doi.org\/10.7759\/cureus.58594<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aremu, T. O., Oluwole, O. E., Adeyinka, K. O., &amp; Schommer, J. C. (2022). Medication adherence and compliance: Recipe for improving patient outcomes. <em>Pharmacy, 10<\/em>(5), 106. <a href=\"https:\/\/doi.org\/10.3390\/pharmacy10050106\">https:\/\/doi.org\/10.3390\/pharmacy10050106<\/a> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dale, S. K., Bogart, L. M., Wagner, G. J., Galvan, F. H., &amp; Klein, D. J. (2016). Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV. <em>Journal of Health Psychology<\/em>, <em>21<\/em>(7), 1311\u20131321. <a href=\"https:\/\/doi.org\/10.1177\/1359105314551950\">https:\/\/doi.org\/10.1177\/1359105314551950<\/a><\/p>\n<\/div><\/div>\n\n<\/li><li class=\"wp-block-post post-3171 content type-content status-publish format-standard hentry content-type-content parent-book-49 resource-type-audio-and-video-links\">\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\"><h2 class=\"alignwide wp-block-post-title\">Chapter 6 &#8211; Video Resources<\/h2>\n\n<div class=\"entry-content alignwide wp-block-post-content is-layout-flow wp-block-post-content-is-layout-flow\">\n<p class=\"wp-block-paragraph\">There is no video resources for this chapter.<\/p>\n<\/div><\/div>\n\n<\/li><li class=\"wp-block-post post-3159 content type-content status-publish format-standard hentry content-type-content parent-book-49 resource-type-essay-questions\">\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\"><h2 class=\"alignwide wp-block-post-title\">Chapter 6 &#8211; Reflective Questions<\/h2>\n\n<div class=\"entry-content alignwide wp-block-post-content is-layout-flow wp-block-post-content-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>These questions are designed to prompt deeper thinking about the ideas and themes presented in this chapter.<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Outline what is meant by adherence and explain factors that may influence adherence across different population groups.<\/li>\n\n\n\n<li>What is health literacy and why is it important for adherence?<\/li>\n\n\n\n<li>How can culture affect whether people attend medical appointments?<\/li>\n<\/ol>\n<\/div><\/div>\n\n<\/li><li class=\"wp-block-post post-3145 content type-content status-publish format-standard hentry content-type-content parent-book-49 resource-type-flashcards\">\n\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\"><h2 class=\"alignwide wp-block-post-title\">Chapter 6 &#8211; Flashcards<\/h2>\n\n<div class=\"entry-content alignwide wp-block-post-content is-layout-flow wp-block-post-content-is-layout-flow\">\n<!-- Swiper -->\n<div class=\"swiper mySwiper\" id=\"swiper-block_409b65b4755bdeed51ffe4f9770773e1\">\n    <div class=\"swiper-wrapper\">\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Immunosuppressive\" data-back=\"Medication  that reduces or suppresses the immune response, usually used to prevent rejection of transplanted organs.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Immunosuppressive<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Medication  that reduces or suppresses the immune response, usually used to prevent rejection of transplanted organs.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Adherence\" data-back=\"Involves active engagement in making health lifestyle choices, treatment related decisions and attendance at health-related appointments\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Adherence<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Involves active engagement in making health lifestyle choices, treatment related decisions and attendance at health-related appointments<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Intentional nonadherence\" data-back=\"Making an active decision no to adhere to medical advice, treatment or attend appointments. Intentional non adherence can also include partial adherence.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Intentional nonadherence<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Making an active decision no to adhere to medical advice, treatment or attend appointments. Intentional non adherence can also include partial adherence.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Unintentional nonadherence\" data-back=\"Usually related to forgetting to take medication or attend appointments or not understanding the health advice or instructions provided by a healthcare professional.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Unintentional nonadherence<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Usually related to forgetting to take medication or attend appointments or not understanding the health advice or instructions provided by a healthcare professional.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Functional health literacy\" data-back=\"Being able to read, understand and use health information to make health decisions about taking medication or attending appointments.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Functional health literacy<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Being able to read, understand and use health information to make health decisions about taking medication or attending appointments.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Interactive health literacy\" data-back=\"The ability to actively engage in conversations and decision making with healthcare professionals, asking questions and applying health information to daily living.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Interactive health literacy<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>The ability to actively engage in conversations and decision making with healthcare professionals, asking questions and applying health information to daily living.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Critical health literacy\" data-back=\"To critical analyse health information, evaluate relevance of the information and engage in critical thinking about healthcare policies and advocate for change.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Critical health literacy<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>To critical analyse health information, evaluate relevance of the information and engage in critical thinking about healthcare policies and advocate for change.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Multidimensional scale\" data-back=\"A scale that measures more than one aspect of the topic being assessed.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Multidimensional scale<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>A scale that measures more than one aspect of the topic being assessed.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Back translation\" data-back=\"Text is translated into from the original language into the target language and translated back into the original language by another person.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Back translation<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Text is translated into from the original language into the target language and translated back into the original language by another person.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Trans-specific care\" data-back=\"Healthcare than is tailored to the needs of transgender people.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Trans-specific care<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Healthcare than is tailored to the needs of transgender people.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Lacking ability to consent\" data-back=\"When an individual cannot understand information to make informed decisions about their own healthcare due to learning disability, age, severe mental health problems or other conditions and problems that impact on cognitive ability.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Lacking ability to consent<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>When an individual cannot understand information to make informed decisions about their own healthcare due to learning disability, age, severe mental health problems or other conditions and problems that impact on cognitive ability.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Partial doses\" data-back=\"Not taking the full dose of a prescribed medication.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Partial doses<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Not taking the full dose of a prescribed medication.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Polypharmacy\" data-back=\"The use of multiple medications at the same time.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Polypharmacy<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>The use of multiple medications at the same time.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Ramadan\" data-back=\"A month of fasting from dawn to sunset that occurs annually in the Muslim faith.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Ramadan<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>A month of fasting from dawn to sunset that occurs annually in the Muslim faith.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Antiretroviral therapy\" data-back=\"Medication prescribed for an individual who has HIV, to suppress the immune system and prevent the development of AIDs.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Antiretroviral therapy<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Medication prescribed for an individual who has HIV, to suppress the immune system and prevent the development of AIDs.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Pre-Exposure Prophylaxis\" data-back=\"A preventative medication taken by people who are HIV negative to reduce the risk of contracting HIV.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Pre-Exposure Prophylaxis<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>A preventative medication taken by people who are HIV negative to reduce the risk of contracting HIV.<\/p>\n<\/div>\n            <\/div>\n          <\/button>\n        <\/div>\n\n        \n        <!-- Swiper Slide -->\n        <div class=\"swiper-slide\">\n          <!-- Flashcard -->\n           <button class=\"flip-card\" role=\"button\" tabindex=\"0\" data-front=\"Stereotypic descriptors\" data-back=\"Words or phrases that are used to generalise beliefs to all people within certain groups, usually based on ethnicity, religion, socioeconomic status, disability, gender identity and sexual orientation.\">\n            <div class=\"flip-card-inner\">\n              <div class=\"flip-card-front\">\n                <p><p>Stereotypic descriptors<\/p>\n<\/p>\n                <div id=\"flashcard-instruction-block_409b65b4755bdeed51ffe4f9770773e1\" class=\"flashcard-instruction\">Click to Flip<\/div>\n              <\/div>\n              <div class=\"flip-card-back\"><p>Words or phrases that are used to generalise beliefs to all people within certain groups, usually based on ethnicity, religion, socioeconomic status, disability, gender identity and sexual orientation.<\/p>\n<\/div>\n  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class=\"qsm-auto-page-row qsm-question-page qsm-apc-1\" data-apid=\"1\" data-qpid=\"1\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1421 slide0 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>1.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>What is the key difference between adherence and compliance in healthcare: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1421-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1421\" id=\"question1421_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1421_1\">\n\t\t\t\t\tAdherence implies passive following of instructions\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1421-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1421\" id=\"question1421_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1421_2\">\n\t\t\t\t\tCompliance emphasises patient autonomy\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1421-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1421\" id=\"question1421_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1421_3\">\n\t\t\t\t\tAdherence involves active patient participation\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1421-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1421\" id=\"question1421_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1421_4\">\n\t\t\t\t\tCompliance is always voluntary\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1421_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1421\" id=\"question1421_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1421\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-2\" data-apid=\"2\" data-qpid=\"2\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1422 slide1 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>2.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Health literacy primarily refers to: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1422-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1422\" id=\"question1422_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1422_1\">\n\t\t\t\t\tAbility to read medical journals\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1422-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1422\" id=\"question1422_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1422_2\">\n\t\t\t\t\tAbility to diagnose health conditions\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1422-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1422\" id=\"question1422_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1422_3\">\n\t\t\t\t\tAbility to memorise medical terminology\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1422-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1422\" id=\"question1422_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1422_4\">\n\t\t\t\t\tAbility to understand and use health information\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1422_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1422\" id=\"question1422_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1422\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-3\" data-apid=\"3\" data-qpid=\"3\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1423 slide2 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>3.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Why is health literacy important in healthcare: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1423-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1423\" id=\"question1423_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1423_1\">\n\t\t\t\t\tIt reduces the need for healthcare professionals\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1423-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1423\" id=\"question1423_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1423_2\">\n\t\t\t\t\tIt improves patient adherence and outcomes\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1423-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1423\" id=\"question1423_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1423_3\">\n\t\t\t\t\tIt eliminates cultural barriers\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1423-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1423\" id=\"question1423_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1423_4\">\n\t\t\t\t\tIt guarantees medication effectiveness\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1423_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1423\" id=\"question1423_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1423\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-4\" data-apid=\"4\" data-qpid=\"4\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1424 slide3 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>4.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Which communication strategy is most effective for improving health literacy in patients with learning disabilities: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1424-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1424\" id=\"question1424_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1424_1\">\n\t\t\t\t\tUsing medical jargon to sound professional\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1424-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1424\" id=\"question1424_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1424_2\">\n\t\t\t\t\tProviding written instructions only\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1424-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1424\" id=\"question1424_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1424_3\">\n\t\t\t\t\tTailoring communication to the patient's needs\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1424-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1424\" id=\"question1424_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1424_4\">\n\t\t\t\t\tEncouraging patients to research online\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1424_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1424\" id=\"question1424_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1424\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-5\" data-apid=\"5\" data-qpid=\"5\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1425 slide4 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>5.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Which of the following is a common barrier to health literacy for LGBTQI+ individuals: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1425-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1425\" id=\"question1425_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1425_1\">\n\t\t\t\t\tDiscrimination and stigma in healthcare settings\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1425-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1425\" id=\"question1425_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1425_2\">\n\t\t\t\t\tLanguage barriers\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1425-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1425\" id=\"question1425_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1425_3\">\n\t\t\t\t\tLack of internet access\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1425-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1425\" id=\"question1425_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1425_4\">\n\t\t\t\t\tOveruse of medical jargon\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1425_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1425\" id=\"question1425_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1425\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-6\" data-apid=\"6\" data-qpid=\"6\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1426 slide5 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>6.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Indigenous populations may have lower adherence to medication due to: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1426-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1426\" id=\"question1426_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1426_1\">\n\t\t\t\t\tHigh education levels\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1426-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1426\" id=\"question1426_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1426_2\">\n\t\t\t\t\tUniversal healthcare access\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1426-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1426\" id=\"question1426_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1426_3\">\n\t\t\t\t\tFrequent hospital visits\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1426-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1426\" id=\"question1426_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1426_4\">\n\t\t\t\t\tThe cultural mismatch between Western healthcare and Indigenous healing\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1426_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1426\" id=\"question1426_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1426\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-7\" data-apid=\"7\" data-qpid=\"7\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1427 slide6 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>7.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Which of the following is NOT a common reason for non-adherence: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1427-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1427\" id=\"question1427_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1427_1\">\n\t\t\t\t\tSide effects of medication\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1427-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1427\" id=\"question1427_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1427_2\">\n\t\t\t\t\tForgetfulness\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1427-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1427\" id=\"question1427_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1427_3\">\n\t\t\t\t\tHigh health literacy\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1427-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1427\" id=\"question1427_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1427_4\">\n\t\t\t\t\tCultural beliefs\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1427_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1427\" id=\"question1427_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1427\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-8\" data-apid=\"8\" data-qpid=\"8\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1428 slide7 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>8.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Which method is commonly used to assess medication adherence: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1428-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1428\" id=\"question1428_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1428_1\">\n\t\t\t\t\tPill counts and pharmacy refill records\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1428-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1428\" id=\"question1428_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1428_2\">\n\t\t\t\t\tBlood pressure monitoring\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1428-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1428\" id=\"question1428_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1428_3\">\n\t\t\t\t\tMRI scans\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1428-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1428\" id=\"question1428_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1428_4\">\n\t\t\t\t\tPatient height and weight\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1428_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1428\" id=\"question1428_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1428\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-9\" data-apid=\"9\" data-qpid=\"9\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1429 slide8 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>9.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Which strategy is most effective in improving adherence: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1429-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1429\" id=\"question1429_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1429_1\">\n\t\t\t\t\tIncreasing medication dosage\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1429-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1429\" id=\"question1429_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1429_2\">\n\t\t\t\t\tAvoiding patient involvement\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1429-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1429\" id=\"question1429_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1429_3\">\n\t\t\t\t\tReducing appointment frequency\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1429-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1429\" id=\"question1429_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1429_4\">\n\t\t\t\t\tUsing culturally tailored education\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1429_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1429\" id=\"question1429_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1429\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-10\" data-apid=\"10\" data-qpid=\"10\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1430 slide9 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>10.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>The World Health Organisation Multidimensional Adherence Model identifies which of the following as a dimension of adherence: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1430-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1430\" id=\"question1430_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1430_1\">\n\t\t\t\t\tGenetic predisposition\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1430-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1430\" id=\"question1430_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1430_2\">\n\t\t\t\t\tSocioeconomic factors\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1430-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1430\" id=\"question1430_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1430_3\">\n\t\t\t\t\tWeather conditions\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1430-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1430\" id=\"question1430_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1430_4\">\n\t\t\t\t\tPatient height\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1430_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1430\" id=\"question1430_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1430\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-11\" data-apid=\"11\" data-qpid=\"11\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1431 slide10 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>11.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Cultural beliefs may affect medication adherence by: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1431-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1431\" id=\"question1431_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1431_1\">\n\t\t\t\t\tEncouraging overuse of medication\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1431-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1431\" id=\"question1431_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1431_2\">\n\t\t\t\t\tPromoting universal compliance\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1431-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1431\" id=\"question1431_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1431_3\">\n\t\t\t\t\tInfluencing perceptions of illness and treatment\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1431-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1431\" id=\"question1431_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1431_4\">\n\t\t\t\t\tEliminating the need for healthcare\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1431_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1431\" id=\"question1431_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1431\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t\t\t\t<div class=\"qsm-auto-page-row qsm-question-page qsm-apc-12\" data-apid=\"12\" data-qpid=\"12\" style=\"display: none;\">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0  question-section-id-1432 slide11 \">\n\t\t\t\t\t\t\t\t\t\t<span class='mlw_qmn_question_number'>12.&nbsp;<\/span>\n\t\t\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Which factor is most likely to affect attendance at medical appointments among Indigenous populations: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1432-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1432\" id=\"question1432_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1432_1\">\n\t\t\t\t\tHigh health literacy\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1432-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1432\" id=\"question1432_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1432_2\">\n\t\t\t\t\tCultural safety and trust in providers\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1432-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1432\" id=\"question1432_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1432_3\">\n\t\t\t\t\tOveruse of healthcare services\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question1432-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question1432\" id=\"question1432_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question1432_4\">\n\t\t\t\t\tLack of medication\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question1432_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question1432\" id=\"question1432_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_1432\" value=\"\" \/>\n\t\t\t\t<\/div><!-- .quiz_section -->\n\t\t\t\t\t\t\t\t<\/div><!-- .qsm-auto-page-row -->\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"qmn_question_list\" value=\"1421Q1422Q1423Q1424Q1425Q1426Q1427Q1428Q1429Q1430Q1431Q1432Q\" \/>\n\t\t\t\t\t<div class=\"qsm-auto-page-row quiz_section quiz_end empty_quiz_end qsm-d-none\" >\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div id=\"mlw_error_message_bottom\" class=\"qsm-error-message qmn_error_message_section\"><\/div>\n\t\t\t\t\t<input type=\"hidden\" name=\"qmn_all_questions_count\" id=\"qmn_all_questions_count\" value=\"12\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"total_questions\" id=\"total_questions\" value=\"12\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"timer\" id=\"timer\" value=\"0\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"timer_ms\" id=\"timer_ms\" value=\"0\"\/>\n\t\t\t\t\t<input type=\"hidden\" 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