Table 2.
Organization of factors associated with nonadherence to advice given at behavior consultation including related Lincoln Adherence Instrument Record survey items.
| Broad issue | Functional issue | Specific issue | Survey item | Item no. |
|---|---|---|---|---|
| Practical barriers to implementation | Time | Treatment took too long to administer | Implementing the treatment did not take up too much of my time each day. | 13 |
| Owner’s life considered too busy | I found treatment easy to fit into my busy life. | 14 | ||
| Distress | Immediate distress to pet | Implementing the treatment plan caused my pet immediate distress. | 17 | |
| Longer-term distress to pet | Implementing the treatment plan resulted in my pet being distressed over time. | 18 | ||
| Longer-term behavioral issue | Implementing the treatment plan caused other behavior problems in my pet. | 19 | ||
| Owner distress | Implementing the treatment plan caused me distress | 15 | ||
| Physical resources | Financial cost | Implementing treatment plan was too expensive | 16 | |
| Too physically demanding for owner | I found the treatment plan physically demanding | 25 | ||
| Too physically demanding for pet | The treatment plan was too physically demanding for my pet | 26 | ||
| Change | Changes to daily routine | Implementing the treatment plan caused significant changes to my daily routine | 23 | |
| Changes to lifestyle | Implementing the treatment plan caused significant changes to my lifestyle | 24 | ||
| Client understanding | Consultation-related factors | Terminology used by clinician | The clinician used terminology I did not understand | 1 |
| Insufficient explanation of advice | I didn’t understand the advice given in the consultation | 2 | ||
| Uncomfortable environment | The consultation took place in a comfortable environment | 3 | ||
| Occurrence of distractions | I became distracted during the consultation | 4 | ||
| Consultation too long | The consultation was too long | 5 | ||
| Consultation too short | The consultation was too short | 6 | ||
| Report-related factors | Complex advice | The treatment plan was too complex | 8 | |
| Too much information | The clinician’s report contained too much information | 9 | ||
| Too little information | The clinician’s report contained too little information | 10 | ||
| Technical terminology | I understood all the terminology used on the treatment plan | 11 | ||
| Client confidence | Belief in recommendation | Trust in the advice of the clinician | I trusted the advice of the clinician | 7 |
| Previous negative experience of the intervention | I had tried the recommended advice previously and it did not work | 12 | ||
| Treatment failure | Failure to implement all advice | I followed all advice recommended in the treatment plan | 20 | |
| Failure to implement advice correctly | I followed all advice recommended in the treatment plan to an appropriate standard | 21 | ||
| Failure to implement advice for long enough | I followed the treatment plan for the recommended amount of time | 22 | ||
| Support networks | Clinic support | Not asking for support from the clinic | I asked for support from the clinician when I needed it | 27 |
| Lack of response from the clinic | The clinician provided support whenever I asked | 28 | ||
| Personal support | Lack of support from friends and family | I had sufficient support from friends and family to implement the treatment plan. | 29 | |
Light gray items relate to the consultation, dark gray items to the report, and white items the implementation of treatment.