Table 3.
Summary of client ratings (minimum, maximum, and median scores) of specific issues associated with nonadherence from behavior consultation and their significance with respect to treatment success.
| Item no. | Specific issue | Min | Max | Median |
|---|---|---|---|---|
| 1* | Terminology used by clinician | 1 | 2 | 1 |
| 2 | Insufficient explanation of advice | 1 | 2 | 1 |
| 3 | Uncomfortable environment | 1 | 3 | 1.5 |
| 4 | Occurrence of distractions | 1 | 4 | 1.5 |
| 5 | Consultation too long | 1 | 2 | 1 |
| 6 | Consultation too short | 1 | 3 | 1 |
| 7* | Trust in the advice of the clinician | 1 | 5 | 1 |
| 8* | Complex advice | 1 | 4 | 2 |
| 9* | Too much information | 1 | 3 | 1 |
| 10* | Too little information | 1 | 3 | 2 |
| 11* | Technical terminology | 1 | 5 | 1.5 |
| 12* | Previous negative experience of intervention | 1 | 5 | 2 |
| 13 | Treatment took too long to administer | 1 | 4 | 2 |
| 14 | Owner’s life considered too busy | 1 | 4 | 2 |
| 15 | Owner distress | 1 | 4 | 1.5 |
| 16 | Financial cost | 1 | 3 | 2 |
| 17* | Immediate distress to pet | 1 | 5 | 2 |
| 18* | Longer-term distress to pet | 1 | 5 | 1 |
| 19 | Longer-term behavioral issue | 1 | 4 | 2 |
| 20 | Failure to implement advice | 1 | 5 | 2 |
| 21* | Failure to implement advice correctly | 1 | 4 | 2 |
| 22 | Failure to implement advice for long enough | 1 | 4 | 2 |
| 23 | Changes to daily routine | 1 | 5 | 2 |
| 24 | Changes to lifestyle | 1 | 5 | 2 |
| 25 | Too physically demanding for owner | 1 | 5 | 2 |
| 26 | Too physically demanding for pet | 1 | 4 | 1 |
| 27 | Not asking for support from the clinic | 1 | 4 | 2 |
| 28 | Lack of response from the clinic | 1 | 3 | 2 |
| 29* | Lack of support from friends and family | 1 | 4 | 2 |
Item number refers to the original survey, whereas the specific issue relates to the expression of the item in such a way that a high score (max 5) indicates that the client agrees strongly with this being an issue, whereas a low score (minimum 1) indicates that they disagree strongly with this being an issue. Items have been converted into issues, as some original items were expressed positively and some negatively. Ratings on items with “*” were negatively correlated with treatment success in a simple univariate analysis, and items in bold remained significant in the final logistic regression model.