Chapter

Handbook of Behavioral Medicine

pp 83-95

Date:

Adherence to Medical Advice: Processes and Measurement

  • Jacqueline Dunbar-JacobAffiliated withUniversity of Pittsburgh Email author 
  • , Martin P. HouzeAffiliated withCenter for Research and Evaluation, School of Nursing, University of Pittsburgh
  • , Cameron KramerAffiliated withDepartment of Health and Community Systems, School of Nursing, University of Pittsburgh
  • , Faith LuysterAffiliated withDepartment of Psychiatry, University of Pittsburgh
  • , Maura McCallAffiliated withDepartment of Health and Community Systems, School of Nursing, University of Pittsburgh

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Abstract

Much of the research of the past few decades has approached adherence from a global perspective. The multiple processes underlying adherence to medical advice have not been examined for the identification of phase-specific covariates or for the identification of phase-specific interventions. This chapter reviews the multiple processes that underlie adherence including the phases of adoption through continuance, the influence of measurement and analysis strategies, as well as the impact of a global approach on the identification of predictors and interventions. It is recommended that future research examine more specifically each phase in the process of adhering using sensitive measures and analytic approaches appropriate to the measures and the distribution of data.