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Table 2 Reasons for nonadherent behavior of patients[45]

From: Overshadowing as prevention of anticipatory nausea and vomiting in pediatric cancer patients: study protocol for a randomized controlled trial

Patient-related factors Therapy-related factors
• Low level of suffering • Complexity of regimen
• Anxiety that therapy harms • Side effects
• Anxiety that medication leads to nausea/vomiting, and so forth • Long-term therapy
• Syringe phobia  
• Negative experiences related to clinic or doctor  
• Laziness, restrictions in intelligence or memory  
Doctor–patient relationship Institution
• Insufficient education and information • Longer waiting times
• Dissatisfaction • Insufficiently structured processes
• Long consultation interval