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Principles and Concepts of Behavioral Medicine pp 565–593Cite as

Adherence

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Abstract

This chapter reviews the multicomponents of adherence to diet, physical activity, and medication taking from the broader perspective of the social-ecological model (SEM) framework. The discussion focuses on the individual, the social and contextual factors that influence the individual’s adherence within the greater community, and the resources that can improve or support adherence. This chapter:

  1. 1.

    Introduces key concepts related to adherence

  2. 2.

    Reviews subjective and objective measures of adherence

  3. 3.

    Reviews determinants of adherence, including intrapersonal, interpersonal, community and environment, and organizational factors

  4. 4.

    Provides reasons for using the SEM framework for guiding adherence enhancement

  5. 5.

    Reviews evidence-based adherence-enhancing strategies (e.g., self-monitoring, goal setting, self-efficacy enhancement, motivational interviewing, and mobile health approaches)

  6. 6.

    Highlights future directions for enhancement of long-term adherence, particularly application of the Patient-Centered Medical Home, the Chronic Care Model, and delivery of multicomponent interventions to improve long-term adherence

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Authors and Affiliations

  1. Department of Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA

    Lora E. Burke

  2. Connell School of Nursing, Boston College, Chestnut Hill, MA, USA

    Yaguang Zheng

  3. Department of Nursing Systems, School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX, USA

    Jing Wang

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  2. Yaguang Zheng
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  3. Jing Wang
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Correspondence to Lora E. Burke .

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Editors and Affiliations

  1. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

    Edwin B. Fisher

  2. Psychological Sciences, University of California, Merced, Merced, CA, USA

    Linda D. Cameron

  3. Department of Psychological and Brain Sciences and Department of Internal Medicine, The University of Iowa, Iowa City, IA, USA

    Alan J. Christensen

  4. Department of Clinical Psychology and Psychotherapy, University of Zurich, Zürich, Switzerland

    Ulrike Ehlert

  5. School of Public Health, Peking University Health Science Center, Beijing, China

    Yan Guo

  6. Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia

    Brian Oldenburg

  7. Departments of Medical Psychology, Academic Medical Center (AMC) and VU University Medical Center (VUMC), Amsterdam, The Netherlands

    Frank J. Snoek

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Burke, L.E., Zheng, Y., Wang, J. (2018). Adherence. In: Fisher, E., et al. Principles and Concepts of Behavioral Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-93826-4_19

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