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Improving Adherence and Promoting Behavioral Change

  • Marisa Perez-Reisler
Chapter

Abstract

Treatment adherence consists of behaviors employed to follow recommendations by healthcare professionals with the goal of appropriate management or primary prevention of a disease state. Medication compliance is most commonly associated with treatment adherence. Other examples include lifestyle and behavior changes, such as following specific diet or exercise recommendations, complying with referrals to specialists and adhering to primary preventive practices like vaccinations. Identification of adherence problems is essential for medical providers as part of ongoing medical treatment and planning. Nonadherence can lead to significant medical repercussions and high medical costs (Brody 2017). Multiple factors contribute to treatment nonadherence. Among these factors are forgetfulness, cost, medication side effects, health-belief models, illness response and severity, as well as a myriad of intersecting psychosocial and healthcare system factors. Addressing these issues is a critical component to improving adherence.

Keywords

Treatment adherence and compliance Health behavior Patient acceptance of healthcare Patient compliance Medication adherence Pediatrics 

References

  1. Bender, B. G. (2002). Overcoming barriers to nonadherence in asthma treatment. The Journal of Allergy and Clinical Immunology, 109, S554–S559.CrossRefPubMedGoogle Scholar
  2. Bender, B. G., & Bender, S. E. (2005). Patient-identified barriers to asthma treatment adherence: Responses to interviews, focus groups, and questionnaires. Immunology and Allergy Clinics of North America, 25(1), 107–130.CrossRefPubMedGoogle Scholar
  3. Berg, C. A., et al. (2008). Role of parental monitoring in understanding the benefits of parental acceptance on adolescent adherence and metabolic control of type 1 diabetes. Diabetes Care, 31(4), 678–683.  https://doi.org/10.2337/dc07-1678.CrossRefPubMedGoogle Scholar
  4. Bhatia, S., et al. (2017). Comparison of self-report and electronic monitoring of 6MP intake in childhood ALL: A children’s oncology group study. Blood, 129(14), 1919–1926.  https://doi.org/10.1182/blood-2016-07-726893.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Blair, I. V., Steiner, J. F., Hanratty, R., et al. (2014). An investigation of associations between clinicians’ ethnic or racial bias and hypertension treatment, medication adherence and blood pressure control. Journal of General Internal Medicine, 29(7), 987–995.  https://doi.org/10.1007/s11606-014-2795-z.
  6. Brody. (2017). The cost of not taking your medicine. NY Times. https://nyti.ms/2psUF6a. Accessed 17 Apr 2017.Google Scholar
  7. Campbell, J., & Cardona, L. (2007). The consultation and liaison processes to pediatrics. In A. Martin & F. Volkmar (Eds.), Lewis’s child and adolescent psychiatry: A comprehensive textbook (4th ed., pp. 912–920). Philadelphia: Lippinkott Williams & Wilkins.Google Scholar
  8. Chapman, E. N., Kaatz, A., & Carnes, M. (2013). Physicians and implicit bias: How doctors may unwittingly perpetuate health care disparities. Journal of General Internal Medicine, 28, 1504.  https://doi.org/10.1007/s11606-013-2441-1.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Claxton, A. J., Cramer, J., & Pierce, C. (2001). A systematic review of the association between dose regimens and medication compliance. Clinical Therapeutics, 23, 1296–1310.CrossRefPubMedGoogle Scholar
  10. Cutler, D. M., & Everett, W. (2010). Thinking outside the pillbox – medication adherence as a priority for healthcare reform. NEJM, 362(17), 1553–1555.CrossRefPubMedGoogle Scholar
  11. DiMatteo, M. R. (2004). Social support and patient adherence to medical treatment: A meta-analysis. Health Psychology, 23(2), 207–218.  https://doi.org/10.1037/0278-6133.23.2.207.CrossRefPubMedGoogle Scholar
  12. DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101–2107.  https://doi.org/10.1001/archinte.160.14.2101.CrossRefPubMedGoogle Scholar
  13. Ellis, D. A., et al. (2005). Use of multisystemic therapy to improve regimen adherence among adolescents with type 1 diabetes in chronic poor metabolic control a randomized controlled trial. Diabetes Care, 28(7), 1604–1610.  https://doi.org/10.2337/diacare.28.7.1604.CrossRefPubMedGoogle Scholar
  14. FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: A systematic review. BMC Medical Ethics, 18, 19.  https://doi.org/10.1186/s12910-017-0179-8.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Fitzmaurice, S. (2017, February 2). Study: Children, parents over-report leukemia treatment adherence American Society of Hematology. Accessed on 1 Dec 2017 from http://www.hematology.org/Newsroom/Press-Releases/2017/7045.aspxGoogle Scholar
  16. Hood, K. K., et al. (2010). Interventions with adherence-promoting components in pediatric type 1 diabetes meta-analysis of their impact on glycemic control. Diabetes Care, 33(7), 1658–1664.  https://doi.org/10.2337/dc09-2268.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Iuga, A., & McGuire, M. (2014). Adherence and health care costs. Risk Manag Healthc Policy, 7, 35–44.  https://doi.org/10.2147/RMHP.S19801.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Kahana, S., Drotar, D., & Frazier, T. (2008). Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions. Pediatr Psychol, 33(6), 590–611.  https://doi.org/10.1093/jpepsy/jsm128.CrossRefGoogle Scholar
  19. LaGreca, A. M., & Bearman, K. J. (2003). Adherence to pediatric treatment regimens. In M. C. Roberts (Ed.), Handbook of pediatric psychology (3rd ed., pp. 119–140). New York: Guilford Press.Google Scholar
  20. LaGreca, A. M., & Mackey, E. R. (2009). Type I diabetes mellitus. In Donahue & Woodward (Eds.), Behavioral approaches to chronic illness in adolescents: An integrative approach (pp. 85–100). New York: Springer.  https://doi.org/10.1007/978-0-387-87687-0.CrossRefGoogle Scholar
  21. Lemanek, K. L., Kamps, J., & Chung, N. B. (2001). Empirically supported treatments in pediatric psychology: Regimen adherence. Journal of Pediatric Psychology, 26(5), 253–275.  https://doi.org/10.1093/jpepsy/26.5.253.CrossRefPubMedGoogle Scholar
  22. Logan, D., et al. (2003). The illness management survey: Identifying adolescents’ perceptions of barriers to adherence. Journal of Pediatric Psychology, 28(6), 383–392.  https://doi.org/10.1093/jpepsy/jsg028.CrossRefPubMedGoogle Scholar
  23. Lustman, P. J., & Clouse, R. E. (2005). Depression in diabetic patients: The relationship between mood and glycemic control. Journal of Diabetes and its Complications, 19(2), 113–122.PubMedGoogle Scholar
  24. McGrady, M. E., & Hommel, K. A. (2013). Medication adherence and health care utilization in pediatric chronic illness: A systematic review. Pediatrics, 132(4), 730–740.  https://doi.org/10.1542/peds.2013-1451.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Osterberg, L., & Blaschke, T. (2005). Adherence to medication. The New England Journal of Medicine, 353, 487–497.  https://doi.org/10.1056/NEJMra050100.CrossRefPubMedGoogle Scholar
  26. Petrie, K. J., Perry, K., Broadbent, E., & Weinman, J. (2012). A text message programme designed to modify patients’ illness and treatment beliefs improves self-reported adherence to asthma preventer medication. British Journal of Health Psychology, 17, 74–84.  https://doi.org/10.1111/j.2044-8287.2011.02033.x.CrossRefPubMedGoogle Scholar
  27. Rianthavorn, P., Ettenger, R. B., Malekzadeh, M., Marik, J. L., & Struber, M. (2004). Noncompliance with immonsuppressive medications in pediatric and adolescent patients receiving solid-organ transplants. Transplantation, 77, 778–782.Google Scholar
  28. Rohan, J. M. (2015). Predicting health resilience in pediatric type 1 diabetes: A test of the resilience model framework. Journal of Pediatric Psychology, 40(9), 956–967.  https://doi.org/10.1093/jpepsy/jsv061.CrossRefPubMedPubMedCentralGoogle Scholar
  29. Sabaté, E. (Ed.). (2003). Adherence to long-term therapies: Evidence for action. Geneva: World Health Organization.Google Scholar
  30. Sommerfield, A. J., Deary, I. J., & Frier, B. M. (2004). Acute hyperglycemia alters mood state and impairs cognitive performance in people with type 2 diabetes. Diabetes Care, 27(10), 2335–2340.  https://doi.org/10.2337/diacare.27.10.2335.CrossRefPubMedGoogle Scholar
  31. Taddeo, D., Egedy, M., & Frappier, Y. J. (2008). Adherence to treatment in adolescents. Paediatrics & Child Health, 13(1), 19–24.CrossRefGoogle Scholar
  32. Warner, & Hauer. (2009). Unique considerations when using treating adolescents with chronic illness. In Donahue & Woodward (Eds.), Behavioral approaches to chronic illness in adolescents: An integrative approach (pp. 15–81). New York: Springer.  https://doi.org/10.1007/978-0-387-87687-0.CrossRefGoogle Scholar
  33. Whittemore, R., Jaser, S., & Jia, G. (2010). A conceptual model of childhood adaptation to type 1 diabetes. Nursing Outlook, 58(5), 242–251.CrossRefPubMedPubMedCentralGoogle Scholar
  34. Wilson, et al. (2009). Shared treatment decision making improves adherence and outcomes in poorly controlled asthma. American Journal of Respiratory and Critical Care Medicine, 181, 566.  https://doi.org/10.1164/rccm.200906-0907OC.CrossRefPubMedPubMedCentralGoogle Scholar
  35. Wu, Y. P., & Hommel, K. A. (2014). Using technology to assess and promote adherence to medical regimens in pediatric chronic illness. The Journal of Pediatrics, 164(4), 922–927.CrossRefPubMedGoogle Scholar
  36. Wu, Y. P., & Roberts, M. C. (2008). A meta-analysis of interventions to increase adherence to medication regimens for pediatric otitis media and streptococcal pharyngitis. Journal of Pediatric Psychology, 33(7), 789–796.  https://doi.org/10.1093/jpepsy/jsn009.CrossRefPubMedGoogle Scholar
  37. Wysocki, et al. (2008). Randomized, controlled trial of behavioral family systems therapy for diabetes: Maintenance and generalization of effects on parent-adolescent communication. Behavior Therapy, 39(1), 33–46.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of Hawai‘i John A. Burns School of MedicineHonoluluUSA

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