Tag Archives: Interventions

Actions initiated to improve medication adherence. For example, such activities may be designed to mitigate cost, provide social support, gain better understanding of adherence, achieve better communication, simplify medications, change patient behaviors, and address patient motivation or beliefs.

Behavioral Economics: A Promising New Way to Improve Adherence

Behavioral economics describes and predicts how common biases influence our decision-making. An understanding of these biases opens up promising new ways to improve adherence. Read on to find out more. Patient motivation is a key factor for improving adherence. My last post presented reasons for including Motivational Interviewing into any adherence improvement plan; to boost patients’ internal motivation to adhere. Now here’s another way to approach the motivation issue. An… Read More »

Motivational Interviewing: 6 Reasons It’s Key to Adherence

Patient motivation is a critical to the success of any adherence intervention. Without it, patients lack the energy or desire to follow through on recommended solutions. Here are 6 reasons to make Motivational Interviewing a cornerstone of adherence improvement. Patient Motivation Is Pivotal My last post described patient motivation as the ‘fuel’ needed to drive an ‘adherence improvement engine’ (see here for the full story). Without this ‘fuel’, adherence improvement… Read More »

How Can HCPs Improve Patient Motivation to Adhere?

Lack of patient motivation is a major barrier to adherence; one that may be under-recognized and under-addressed. Yet highly effective ways exist to both assess and improve motivation to adhere. This post explores the available tools to improve patient motivation. Is Patient Motivation an Adherence Deal Breaker? My last post explored the importance of patient motivation as an adherence factor. It concluded that lack of motivation to adhere can be a… Read More »

5 Reasons Why Patient Motivation Is Vital for Adherence

It’s widely accepted that patient motivation is a factor in non-adherence. But just how much of a factor is it? And how does it rank vs other factors? Here are some thoughts on why patient motivation is of primary importance to improving adherence. Improving Adherence Behaviors Isn’t Easy I’d guess we’re all familiar with the old joke about psychiatrists and light bulbs. It goes something like this: Q. How many psychiatrists… Read More »

Simplify Adherence by Identifying Patient Intentions

Progress to improve adherence has been frustratingly slow. Maybe there are just too many options and too much information; making understanding and interpretation difficult? We need to simplify adherence in order to make the breakthroughs needed. Identifying patient intentions can help achieve this. Too Many Pieces in the Adherence Puzzle? Improvements in adherence have been difficult to achieve and progress has been frustratingly slow. To what extent is this lack… Read More »

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 »

Adherence Approaches: What If We Have the Wrong Focus?

Some adherence approaches aim to motivate patients by imposing opinions. Other approaches draw out motivations from within the patient. So which should be the more important focus? Recipe for Improved Adherence Approaches? A JAMA editorial appeared last week with the title of: “Ingredients of Successful Interventions to Improve Medication Adherence”.  The article suggested that well-designed interventions should be based on four essential approaches – patient knowledge, counseling and accountability, self-monitoring,… 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 »