Promoting Treatment Adherence Using Motivational Interviewing: Guidelines and Tools
What Is Treatment Adherence?
Treatment adherence describes the “extent to which patients follow the instructions they are given for prescribed treatments” (Haynes et al., 2005, p. 2). Conversely, treatment non-adherence refers to the degree to which patients do not follow treatment recommendations. Examples of non-adherence behaviors include missing or being late to appointments, not beginning a recommended treatment, not completing homework, not taking medication as prescribed, and terminating treatment early (Levensky & O’Donohue, 2006).
Treatment non-adherence is a complex and multifaceted problem that is often difficult to remedy. The identified causes of patient non-adherence are numerous, but can be grouped into general categories of factors related to the patient (e.g., insufficient knowledge, resources, or motivation; depression; substance abuse; and problematic health-related beliefs), the specific illness (e.g., lack of immediate consequences to health and functioning,...
KeywordsMotivational Interview Target Behavior Motivational Interview Change Plan Patient Resistance
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