Adherence is a term used to describe the extent to which an individual’s behavior coincides with health-related instructions or recommendations given by a health-care provider in the context of a specific disease or disorder. The term has been used extensively in psychology and medicine in reference to acute, chronic, and preventive treatment regimens (e.g., a course of prescribed medication, wound self-care), preventive health screenings, dietary restriction, exercise recommendations, smoking cessation, and other health behaviors. Although adherence is synonymous with compliance in many contexts, the former is often preferred by behavioral scientists and allied health professionals given its emphasis of patient-provider collaboration as opposed to a more authoritarian, provider-centered exchange.
Extent and Implications of Nonadherence
Despite significant advances in biomedical science related to the treatment of disease, the problem...
KeywordsPatient Adherence Pill Count Personal Health Record Adherence Behavior Directly Observe Therapy
References and Further Readings
- Christensen, A. J. (2004). Patient adherence to medical treatment regimens: Bridging the gap between behavioral science and biomedicine. New Haven: Yale University Press.Google Scholar
- Christensen, A. J., Howren, M. B., Hillis, S. L., Kaboli, P., Carter, B. L., et al. (2010). Patient and physician beliefs about control over health: Association of symmetrical beliefs with medication regimen adherence. Journal of General Internal Medicine, 25, 397–402.CrossRefPubMedPubMedCentralGoogle Scholar
- Dunbar-Jacob, J., & Schlenk, E. (2001). Patient adherence to treatment regimen. In A. Baum, T. A. Revenson, & J. E. Singer (Eds.), Handbook of health psychology (pp. 571–580). Mahwah: Lawrence Erlbaum.Google Scholar
- Haynes, R. B., Ackloo, E., Sahota, N., McDonald, H. P., & Yao, X. (2008). Interventions for enhancing medication adherence. Cochrane Database of Systematic Reviews, (2), Article CD000011. doi:10.1002/14651858.CD000011.pub3.Google Scholar
- Howren, M.B., Cozad, A.J., & Christensen, A.J. The interactive effects of patient control beliefs on adherence to fluid-intake restrictions in hemodialysis: Results from a randomized controlled trial. J Health Psychology. Online ahead of print DOI: 10.1177/1359105316631813.Google Scholar
- Stone, A. A., Turkkan, J., Jobe, J., Kurtzman, H., & Cain, V. (2000). The science of self-report. Mahwah: Lawrence Erlbaum.Google Scholar