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Related Experiment Videos

Adherence in chronic disease.

J Dunbar-Jacob1, J A Erlen, E A Schlenk

  • 1Schools of Nursing and Public Health, University of Pittsburgh, USA.

Annual Review of Nursing Research
|August 5, 2000
PubMed
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Patient adherence to treatment plans for chronic diseases is a significant issue, affecting about half of individuals and limiting treatment effectiveness. Understanding and improving adherence across all ages and conditions requires further research and better measurement tools.

Area of Science:

  • Medical adherence research
  • Chronic disease management
  • Patient compliance studies

Background:

  • Nonadherence to treatment regimens is a widespread challenge for patients managing chronic disorders.
  • Approximately 50% of patients with chronic diseases struggle with adherence, hindering optimal clinical benefits.
  • Adherence issues are consistent across various diseases, treatment types, and age demographics.

Purpose of the Study:

  • To review the current knowledge on adherence to chronic disease regimens throughout the lifespan.
  • To identify commonalities in adherence problems across different diseases, regimens, and age groups.
  • To examine interventions aimed at improving patient adherence.

Main Methods:

  • Comprehensive review of existing literature on treatment adherence in chronic diseases.

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  • Inclusion of randomized, controlled studies on educational, behavioral, cognitive, and affective interventions.
  • Analysis of adherence across pharmacological therapies, therapeutic diets, and exercise regimens.

    • Main Results:

    • Adherence challenges are notably similar across diverse chronic conditions, treatment modalities, and patient age groups.
    • Commonly prescribed regimens, including medications, diets, and exercise, are frequently subjects of nonadherence.
    • Various interventions have been studied to enhance patient adherence to prescribed treatments.

    Conclusions:

    • Further research is essential to deepen the understanding of adherence and develop effective improvement strategies.
    • Development of novel analytical and measurement techniques is crucial for advancing adherence research.
    • Improving adherence is key to maximizing clinical benefits for patients with chronic diseases.