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Interdisciplinary Perspectives on Patient Adherence to Therapy: Findings from a Qualitative Study
Paula González-García1,2,3, Lourdes Fernández-Seguín1,2,4, Elena Escamilla-Martínez5
1Physiotherapy Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain.
Healthcare (Basel, Switzerland)
|July 28, 2026
Summary
Therapeutic adherence is complex, influenced by patient factors and health systems. Non-physician healthcare professionals use diverse strategies, highlighting the need for interdisciplinary approaches and resilience training to improve patient adherence.
Area of Science:
- Health Professions Education
- Patient Adherence Research
- Qualitative Health Research
Background:
- Therapeutic adherence is crucial for chronic disease management but under-researched from non-physician perspectives.
- Physiotherapists, podiatrists, psychologists, and nurses' views on adherence are largely underrepresented in current literature.
- Existing research predominantly focuses on pharmacological adherence and physician/pharmacist viewpoints.
Purpose of the Study:
- To explore non-physician healthcare professionals' perceptions of factors influencing therapeutic adherence.
- To identify strategies employed by these professionals to support patient adherence.
- To understand how patient resilience is addressed in clinical practice for adherence.
Main Methods:
- Exploratory qualitative study utilizing semi-structured interviews.
- 32 healthcare professionals (8 per discipline: physiotherapy, podiatry, psychology, nursing) were interviewed.
- Data analysis employed reflexive thematic analysis with a hybrid deductive-inductive approach.
Main Results:
- Key patient factors influencing adherence include motivation, health literacy, illness beliefs, and socioeconomic status.
- Health system barriers such as limited consultation time and fragmented care significantly impact adherence.
- Discipline-specific strategies and the mediating role of patient resilience in overcoming adversity were identified.
Conclusions:
- Therapeutic adherence is multifactorial and influenced by professional discipline.
- Coordinated interdisciplinary approaches leveraging complementary strategies are valuable.
- Resilience-informed interventions and profession-specific adherence training are promising for enhancing clinical practice and education.
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