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Related Experiment Videos

Sticky issue of adherence.

S M Sawyer1, R A Aroni

  • 1Royal Children's Hospital, Department of Paediatrics, University of Melbourne and School of Public Health, LaTrobe University, Melbourne, Victoria, Australia. susan.sawyer@rch.org.au

Journal of Paediatrics and Child Health
|January 25, 2003
PubMed
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Medication adherence is crucial for treatment success, yet over half of patients with chronic conditions are non-adherent. Reframing adherence as a shared health professional responsibility improves patient outcomes.

Area of Science:

  • Health behavior research
  • Patient adherence studies
  • Clinical pharmacology

Background:

  • Medication adherence, or compliance, is essential for effective self-administered treatments.
  • Over 50% of individuals with chronic illnesses do not adhere to prescribed medication regimens.
  • Current terminology often frames non-adherence as a patient-specific failing.

Purpose of the Study:

  • To re-evaluate the concept of medication adherence and non-adherence.
  • To shift the perspective of adherence from a patient problem to a shared responsibility.
  • To propose a framework for adherence-promoting strategies.

Main Methods:

  • Literature review and conceptual analysis of adherence terminology.
  • Examination of the dynamic nature of adherence.

Related Experiment Videos

  • Case study using asthma management.

    • Main Results:

    • The language used to describe non-adherence is often judgmental and clinically unhelpful.
    • Conceptualizing adherence as a dynamic, shared problem is more effective.
    • Individually focused strategies can be integrated into a broader adherence-promoting framework.

    Conclusions:

    • Adherence is a complex, dynamic phenomenon requiring a shift in perspective.
    • Health professionals share primary responsibility for improving medication adherence.
    • A population-level framework of adherence-promoting strategies is beneficial.