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Health Behavior Change and Treatment AdherenceEvidence-based Guidelines for Improving Healthcare$
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Leslie Martin, Kelly Haskard-Zolnierek, and M. Robin DiMatteo

Print publication date: 2009

Print ISBN-13: 9780195380408

Published to Oxford Scholarship Online: February 2010

DOI: 10.1093/acprof:oso/9780195380408.001.0001

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Partnering for Adherence in the Healthcare System

Partnering for Adherence in the Healthcare System

(p.176) 8 Partnering for Adherence in the Healthcare System
Health Behavior Change and Treatment Adherence

Leslie R. Martin

Kelly B. Haskard-Zolnierek

M. Robin DiMatteo

Oxford University Press

Successful adherence is influenced by many factors, including disease type, the complexity of the regimen, patient resources, system-level barriers, the clinician–patient relationship itself, and various cultural beliefs and experiences. Approximately one-fourth of patients fail to follow their prescribed treatment regimens, and the focus of this chapter is on understanding the barriers to adherence, with an eye toward strategies that promote adherence (e.g., simpler regimens, clear explanations, accurate understandings of likely side effects, strong social support networks, fostering patient autonomy and self-efficacy, partnering with patients, ensuring access to care). Multifaceted interventions to improve adherence are most effective.

Keywords:   regimen complexity, system-level barriers, adherence, barriers to adherence, social support, autonomy, self-efficacy, access to care

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