Category Archives: Directions

Paths that should be explored to find ways to improve adherence.

3 Ways to Cut through the Adherence Clutter

In the 10+ years since the WHO’s “Evidence for Action” report, little real-world progress in adherence has been achieved. We’re drowning in information, but struggle to convert it into practical solutions. Here are some thoughts on how to cut through all the adherence clutter. More of the Same? No one doubts that adherence is a complex issue to solve. After all, over 50 reasons for non-adherence have been described and… Read More »

Adherence Issues: Can Behavior Change Be a Game-Changer?

When physicians talk with patients about adherence issues, attitudes and behaviors should be important topics of discussion. Understanding the best ways to change attitudes and behaviors may be a vital step in improving adherence. Attitudes, Behaviors, and Adherence Discussions Discussions about adherence issues are rarely simple and straightforward. Patients typically have many beliefs and attitudes that influence their adherence behaviors. Some of these may be openly shared. Others may be deeply buried and not so easy to… Read More »

Are We Ignoring Important Adherence Information?

What if all barriers to adherence are not created equal? The immensity of available adherence information may obscure core ‘veto’ barriers that negate common types of intervention. Exploring this idea opens up major new adherence insight opportunities. Hidden Gems of Adherence Information It’s a common enough phrase, but how about if it applies to medication adherence? After years of research, have we gotten to the point where we can’t see… Read More »

Changing Patient Beliefs is Key to Better Adherence

To promote better adherence, should greater emphasis be placed on changing patients’ beliefs? This post explores why changing beliefs may be a key component in interventions to improve medication adherence. Health Psychology as a Route to Better Adherence A news release on adherence and patient beliefs recently caught my eye. It came from Atlantis Healthcare, a company that uses health psychology to encourage better adherence. The rationale for this approach… Read More »

Improving Adherence – Aligning Interventions to Reasons, pt 2

Part 2 of this post examines proven interventions for improving adherence. Then it looks at how these interventions match up to with the ‘top ten’ reasons for non-adherence (see Part 1). Matching interventions to reasons is important, because approaches are then aligned with individual patient needs. Every story needs a beginning, middle, and end. Part 1 of this post represented the beginning; proposing a top ten reasons why patients don’t adhere to… Read More »

Improving Adherence – Aligning Interventions to Reasons, pt1

Improving adherence depends on identifying specific patient reasons for non-adherence, then choosing the right intervention(s) to address them. This is part one of a two-part post that explores how this can be achieved in everyday practice. Some posts are easy to write. You get an idea – often sparked by a new piece of information – and away you go! This two-part post is different. It has taken research time and… Read More »

Nurses and NPs Can Do More to Improve Adherence

Efforts to improve patient adherence are making slow progress. Could nurses and NPs be key factors in accelerating adherence improvements? This post explores reasons why physician practices should look urgently at this option. Nurses Are Well Qualified to Improve Adherence, But Are Underused With over 3 million members, nurses are the largest group in the healthcare workforce. Nurses are increasingly well qualified (see here: “Focus on Education”), with 50% or more holding a… Read More »

Improving Adherence – What Will It Take to Really Move the Dial?

Many recommendations for improving adherence focus on ‘policy’. But are these aimed at the healthcare providers (HCPs) who can make a day-to-day difference? Here are some thoughts on practical approaches that could make big advances in adherence. Need for Practical Approaches to Improving Adherence Numerous healthcare-related bodies have issued numerous reports on ‘policy recommendations’ for improving adherence. They are great documents and they contain many good ideas. However, I can’t help… Read More »

Improving Adherence: Factors Affecting Progress

To speed up improvements in adherence, we need to focus on factors that most impact progress. But which are those factors? This post considers five potential blocks to improvement and assesses their relative effects.  Barriers to Improving Adherence A previous post (see here) suggested five factors that may be slowing advances in medication adherence. These are: Maybe some key adherence information pieces are still missing? Perhaps there’s poor understanding among… Read More »

Why So Little Progress in Improving Adherence?

How can we reenergize efforts to improve medication adherence? Figuring out what’s impeding progress would be a great start. Through looking back to the WHO 2003 report, this post suggests 5 key questions that need to be answered. ‘Back to the Future’? It’s over 10 years since the WHO released its report “Adherence to Long-Term Therapies: Evidence for Action”. This critical, evidence-based review remains one of most relevant, most complete… Read More »