Improving Adherence and Promoting Behavioral Change
Treatment adherence consists of behaviors employed to follow recommendations by healthcare professionals with the goal of appropriate management or primary prevention of a disease state. Medication compliance is most commonly associated with treatment adherence. Other examples include lifestyle and behavior changes, such as following specific diet or exercise recommendations, complying with referrals to specialists and adhering to primary preventive practices like vaccinations. Identification of adherence problems is essential for medical providers as part of ongoing medical treatment and planning. Nonadherence can lead to significant medical repercussions and high medical costs (Brody 2017). Multiple factors contribute to treatment nonadherence. Among these factors are forgetfulness, cost, medication side effects, health-belief models, illness response and severity, as well as a myriad of intersecting psychosocial and healthcare system factors. Addressing these issues is a critical component to improving adherence.
KeywordsTreatment adherence and compliance Health behavior Patient acceptance of healthcare Patient compliance Medication adherence Pediatrics
- Blair, I. V., Steiner, J. F., Hanratty, R., et al. (2014). An investigation of associations between clinicians’ ethnic or racial bias and hypertension treatment, medication adherence and blood pressure control. Journal of General Internal Medicine, 29(7), 987–995. https://doi.org/10.1007/s11606-014-2795-z.
- Brody. (2017). The cost of not taking your medicine. NY Times. https://nyti.ms/2psUF6a. Accessed 17 Apr 2017.Google Scholar
- Campbell, J., & Cardona, L. (2007). The consultation and liaison processes to pediatrics. In A. Martin & F. Volkmar (Eds.), Lewis’s child and adolescent psychiatry: A comprehensive textbook (4th ed., pp. 912–920). Philadelphia: Lippinkott Williams & Wilkins.Google Scholar
- DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101–2107. https://doi.org/10.1001/archinte.160.14.2101.CrossRefPubMedGoogle Scholar
- Fitzmaurice, S. (2017, February 2). Study: Children, parents over-report leukemia treatment adherence American Society of Hematology. Accessed on 1 Dec 2017 from http://www.hematology.org/Newsroom/Press-Releases/2017/7045.aspxGoogle Scholar
- LaGreca, A. M., & Bearman, K. J. (2003). Adherence to pediatric treatment regimens. In M. C. Roberts (Ed.), Handbook of pediatric psychology (3rd ed., pp. 119–140). New York: Guilford Press.Google Scholar
- Petrie, K. J., Perry, K., Broadbent, E., & Weinman, J. (2012). A text message programme designed to modify patients’ illness and treatment beliefs improves self-reported adherence to asthma preventer medication. British Journal of Health Psychology, 17, 74–84. https://doi.org/10.1111/j.2044-8287.2011.02033.x.CrossRefPubMedGoogle Scholar
- Rianthavorn, P., Ettenger, R. B., Malekzadeh, M., Marik, J. L., & Struber, M. (2004). Noncompliance with immonsuppressive medications in pediatric and adolescent patients receiving solid-organ transplants. Transplantation, 77, 778–782.Google Scholar
- Sabaté, E. (Ed.). (2003). Adherence to long-term therapies: Evidence for action. Geneva: World Health Organization.Google Scholar
- Warner, & Hauer. (2009). Unique considerations when using treating adolescents with chronic illness. In Donahue & Woodward (Eds.), Behavioral approaches to chronic illness in adolescents: An integrative approach (pp. 15–81). New York: Springer. https://doi.org/10.1007/978-0-387-87687-0.CrossRefGoogle Scholar