Promoting Treatment Adherence provides health care providers with a comprehensive set of information and strategies for understanding and promoting treatment adherence across a wide range of treatment types and clinical populations. The information is presented in a practical how-to manner, and is intended as a resource that practitioners can draw from to improve skills in promoting treatment adherence.
Assessing Readiness for Adherence to Treatment
To date, existing interventions designed to improve adherence have had limited success. According to a recent review of randomized clinical trials of adherence interventions (McDonald, Garg, & Haynes, 2002), theoretical, multifaceted interventions in clinic settings are common. Based on a review of 33 trials, including 39 interventions, less than half (19) were associated with statistically significant improvements in adherence.
The most effective interventions were multi-faceted, combining several of the following common strategies: increased patient education and counseling, convenience of care, and patient involvement in care; use of reminders; and rewards or reinforcements for adherence (McDonald et al., 2002). Although these complex interventions may produce greater success in many cases, there are several ...