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Psychological Techniques to Promote Adherence

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Book cover Treatment Adherence in Dermatology

Part of the book series: Updates in Clinical Dermatology ((UCD))

Abstract

Adherence is a multifaceted behavioral process involving individuals, families, medical providers, communities, and health-care systems. Each of these factors represents a target for behavioral interventions to improve patient adherence. This chapter will describe adherence interventions centred on psychological principles of patients, health care providers, and health systems. Patient-based psychological approaches involve developing self-management techniques, or learning how particular behaviors associate with a health outcome, such as cognitive behavioral therapy. Physician-based strategies involve using motivational interviewing to help patients better understand their behavior and its consequences, or developing a sense of accountability in the patient-provider relationship. System-based approaches include scheduling longer appointment times, continuity of care, and communication with patients. Psychology offers useful theories, models, and strategies to promote practical strategies to promote adherence in patients suffering from chronic dermatological conditions.

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Conflicts of Interest

Dr. Steven R. Feldman is a speaker for Taro. He is a consultant and speaker for Galderma, Abbvie, Celgene, Abbott Labs, Lilly, Janssen, Novartis Pharmaceuticals and Leo Pharma Inc. Dr. Feldman has received grants from Galderma, Janssen, Abbott Labs, Abbvie, Celgene, Taro, Sanofi, Celgene, Novartis Pharmaceuticals, Qurient, Pfizer Inc. and Anacor. He is a consultant for Advance Medical, Caremark, Gerson Lehrman Group, Guidepoint Global, Kikaku, Lilly, Merck & Co Inc., Mylan, Pfizer Inc., Qurient, Sanofi, Sienna, Sun Pharma, Suncare Research, Valeant, and Xenoport. Dr. Feldman is the founder, chief technology officer and holds stock in Causa Research. Dr. Feldman holds stock and is majority owner in Medical Quality Enhancement Corporation. He receives Royalties from UpToDate, Informa and Xlibris.

Dr. Adrian Pona, Dr. Abigail Cline, Dr. Masicampo, Monica Shah, and Felicia Tai have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Faculty of Medicine, University of Toronto, Toronto, ON, Canada

    Monica Shah & Felicia Tai

  2. Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Abigail Cline & Adrian Pona

  3. Department of Psychology, Wake Forest University, Winston-Salem, NC, USA

    E. J. Masicampo

  4. Departments of Dermatology, Pathology and Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Steven R. Feldman

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  1. Monica Shah
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  2. Felicia Tai
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  3. Abigail Cline
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  4. Adrian Pona
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  5. E. J. Masicampo
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  6. Steven R. Feldman
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Corresponding author

Correspondence to Adrian Pona .

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Editors and Affiliations

  1. Departments of Dermatology, Pathology and Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Steven R. Feldman

  2. Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Abigail Cline

  3. Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Adrian Pona

  4. Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC, USA

    Sree S. Kolli

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Shah, M., Tai, F., Cline, A., Pona, A., Masicampo, E.J., Feldman, S.R. (2020). Psychological Techniques to Promote Adherence. In: Feldman, S., Cline, A., Pona, A., Kolli, S. (eds) Treatment Adherence in Dermatology. Updates in Clinical Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-27809-0_4

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  • DOI: https://doi.org/10.1007/978-3-030-27809-0_4

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