Advancements in healthcare have resulted in many promising medical and behavioral treatments to address a variety of acute and chronic medical conditions through outpatient services. Inherent in many of these approaches is the need for patients to independently monitor and manage these regimens. Historically, this area of patient engagement has been discussed in terms of treatment adherence and nonadherence. We refer to self-management in this chapter because it is more descriptive of what care systems aim to have patients do when clinicians intervene to improve treatment adherence.
- Adherence barriers
- Adherence assessment
- Adherence intervention
- Self-management barriers
- Goal setting
- Self-management intervention
- Primary care resources and supports for chronic self-management (PCRS)
This is a preview of subscription content, access via your institution.
Tax calculation will be finalised at checkout
Purchases are for personal use onlyLearn about institutional subscriptions
Arroll, B., Goodyear-Smith, F., Crengle, S., Gunn, J., Kerse, N., Fishman, T., … Hatcher, S. (2010). Validation of PHQ-2 and PHQ-9 to screen for major depression in the primary care population. Annals of Family Medicine, 8(4), 348–353. https://doi.org/10.1370/afm.1139
Bickel, W. K., & Vuchinich, R. E. (Eds.). (2000). Reframing health behavior change with behavioral economics. Mahwah, NJ: Lawrence Erlbaum Associates.
Brownson, C. A., Miller, D., Crespo, R., Neuner, S., Thompson, J., Wall, J. C., … Glasgow, R. E. (2007). A quality improvement tool to assess self-management support in primary care. The Joint Commission Journal on Quality and Patient Safety, 33, 408–416. https://doi.org/10.1016/S1553-7250(07)33047-X
Christensen, A. J. (2004). Patient adherence to medical treatment regimens: Bridging the gap between behavioral science and biomedicine. New Haven: Yale University Press.
Cully, J. A., & Teten, A. L. (2008). A therapist's guide to brief cogntive behavioral therapy. Houston: Department of Veterans Affairs South Central MIRECC.
DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment. Archives of Internal Medicine, 160, 2101–2107.
Gardner, B., Lally, P., & Wardle, J. (2012). Making health habitual: The psychology of 'habit formation' and general practice. British Journal of General Practice, 62, 664–666. https://doi.org/10.3399/bjgp12X659466
Gellad, W. F., Grenard, J., & McGlynn, E. A. (2009). A review of barriers to medication adherence: A framework for driving policy options. Santa Monica, CA: RAND Corporation.
Greene, J., Hibbard, J. H., Sacks, R., Overton, V., & Parrotta, C. D. (2015). When patient activation levels change, health outcomes and costs change, too. Health Affairs, 34(3), 431–437. https://doi.org/10.1377/hlthaff.2014.0452
Harkin, B., Webb, T. L., Chang, B. P. I., Prestwich, A., Conner, M., Kellar, I., … Sheeran, P. (2016). Does monitoring goal progress promote goal attainment? A meta-analysis of the experimental evidence. Psychological Bulletin, 142, 198–229.
Haskard-Zolnierek, K. B., & DiMatteo, M. R. (2009). Physician communication and patient adherence to treatment: A meta-analysis. Medical Care, 47(8), 826–834. https://doi.org/10.1097/MLR.0b013e31819a5acc
Hegel, M., & Arean, P. (2003). Problem-solving treatment for primary care: A treatment manual for depression. Lebanon, NH: Project IMPACT.
Herek, G. M., Capitanio, J. P., & Widaman, K. F. (2003). Stigma, social risk, and health policy: Public attitudes toward HIV surveillance policies and the social construction of illness. Health Psychology, 22, 533–540.
Hibbard, J. H., & Greene, J. (2013). What the evidence shows about patient activation: Better health outcomes and care experiences; fewer data on costs. Health Affairs, 32(2), 207–214.
IOM. (2003). In K. Adams & J. M. Corrigan Eds (Eds.), Priority areas for national action: Transforming health care quality. Washington, DC: The National Academies Press.
Johnston, N., Bodegard, J., Jerström, S., Åkesson, J., Brorsson, H., Alfredsson, J., … Varenhorst, C. (2016). Effects of interactive patient smartphone support app on drug adherence and lifestyle changes in myocardial infarction patients: A randomized study. American Heart Journal, 178, 85–94.
Kamaradova, D., Latalova, K., Prasko, J., Kubinek, R., Vrbova, K., Mainerova, B., … Tichackova, A. (2016). Connection between self-stigma, adherence to treatment, and discontinuation of medication. Patient Preference and Adherence, 10, 1289–1298.
Korotitsch, W. J., & Nelson-Gray, R. O. (1999). An overview of self-monitoring research in assessment and treatment. Psychological Assessment, 11(4), 415–425.
Latham, G. P. (2003). Goal setting: A five-step approach to behavior change. Organizational Dynamics, 32, 309–318.
Livingston, J. D., & Boyd, J. E. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic reivew and meta-analysis. Social Science and Medicine, 70, 2150–2161.
Locke, E. A., & Latham, G. P. (2002). Building a practically useful theory of goal setting and task motivation: A 35-year odyssey. American Psychologist, 57, 705–717.
Macharia, W. M., Leon, G., Rowe, B. H., Stephenson, B. J., & Haynes, R. B. (1992). An overview of interventions to improve compliance with appointment keeping for medical services. Journal of the American Medical Association, 267, 1813–1817.
Makoul, G. (2001). Essential elements of communication in medical encounters: The Kalamazoo Consensus Statement. Academic Medicine, 76, 390–393.
Manea, L., Gilbody, S., Hewitt, C., North, A., Plummer, F., Richardson, R., … McMillan, D. (2016). Identifying depression with the PHQ-2: A diagnostic meta-analysis. Journal of Affective Disorders, 203, 382–395. https://doi.org/10.1016/j.jad.2016.06.003
Mann, T., De Ridder, D., & Fujita, K. (2013). Self-regulation of health behavior: Social psychological approaches to goal setting and goal striving. Health Psychology, 32, 487–498.
Martin, L. R., Williams, S. L., Haskard, K. B., & DiMatteo, M. R. (2005). The challenge of patient adherence. Therapeutics and Clinical Risk Management, 1(3), 189–199.
Martins, R. K., & McNeil, D. W. (2009). Review of motivational interviewing in promoting health behaviors. Clinical Psychology Review, 29, 283–293.
Marvel, M. K., Epstein, R. M., Flowers, K., & Beckman, H. B. (1999). Soliciting the patient's agenda: Have we improved? Journal of the American Medical Association, 281(3), 283–287. https://doi.org/10.1001/jama.281.3.283
McDonald, H. P., Garg, A. X., & Haynes, R. B. (2002). Interventions to enhance patient adherence to medication prescriptions: Scientific review. Journal of the American Medical Association, 288(22), 2868–2879. https://doi.org/10.1001/jama.288.22.2868
Miller, S. D., Duncan, B. L., Brown, J., Sorrell, R., & Chalk, M. B. (2006). Using formal client feedback to improve retention and outcome: Making ongoing, real-time assessment feasible. Journal of Brief Therapy, 5, 5–22.
Mynors-Wallis, L. (2012). Problem-solving treatment for anxiety and depression: A practical guide. Oxford, UK: Oxford University Press.
Nezu, A. M., Nezu, C. M., & D'Zurilla, T. J. (2013). Problem solving therapy: A treatment manual. New York: Springer.
O’Donohue, W. T., & Levensky, E. R. (Eds.). (2006). Promoting treatment adherence: A practical handbook for health care providers. Thousand Oaks, CA: Sage Publications.
Oxman, T. E., Hegel, M. T., Hull, J. G., & Dietrich, A. J. (2008). Problem-solving treatment and coping styles in primary care for minor depression. Journal of Consulting and Clinical Psychology, 76, 933–943.
Parsons, M. B., Rollyson, J. H., & Reid, D. H. (2012). Evidence-based staff training: A guide for practitioners. Behavior Analysis in Practice, 5, 2–11.
Peterson, E. B., Calhoun, A. W., & Rider, E. A. (2014). The reliability of a modified Kalamazoo consensus statement checklist for assessing the communication skills of multidisciplinary clinicians in the simulated environment. Patient Education and Counseling, 96, 411–418.
Puhl, R. M., & Brownell, K. D. (2010). Confronting and coping with weight stigma: An investigation of overweight and obese adults. Obesity, 14, 1802–1815.
Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: Important considerations for public health. American Journal of Public Health, 100, 1019–1028.
Rhoades, D. R., McFarland, K. F., Finch, W. H., & Johnson, A. O. (2001). Speaking and interruptions during primary care office visits. Family Medicine, 33, 528–532.
Robinson, P. (2005). Adapting empirically supported treatments to the primary care setting: A template for success. In W. T. O’Donohue, M. Byrd, N. A. Cummings, & D. Henderson (Eds.), Behavioral integrative care: Treatments that work in the primary care setting (pp. 53–71). New York: Brunner-Routledge.
Rollnick, S., Miller, W. R., & Butler, C. C. (2008). Motivational interviewing in health care: Helping patients change behavior. New York: The Guilford Press.
Roter, D. L., & Hall, J. A. (1989). Studies of doctor-patient interaction. Annual Review of Public Health, 10, 163–180.
Schaefer, J., Miller, D., Goldstein, M., & Simmons, L. (2009). Partnering in self-management support: A toolekit for clinicians. Cambridge, MA: Institute for Healthcare Improvement. Retrieved from www.IHI.org
Strosahl, K., Robinson, P. J., & Gustavsson, T. (2012). Brief interventions for radical change: Principles & practice of focused acceptance and commitment therapy. Oakland, CA: New Harbinger.
van Eijken, M., Tsang, S., Wensing, M., de Smet, P. A. G. M., & Grol, R. P. T. M. (2003). Interventions to improve medication compliance in older patients living in the community: A systematic review of the literature. Drugs & Aging, 20, 229–240.
Vannoy, S. D., Mauer, B., Kern, J., Girn, K., Ingoglia, C., Campbell, J., … Unützer, J. (2011). A learning collaborative of CMHCs and CHCs to support integration of behavioral health and deneral medical care. Psychiatric Services, 62, 753–758.
Woltmann, E., Grogan-Kaylor, A., Perron, B., Georges, H., Kilbourne, A. M., & Bauer, M. S. (2012). Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: Systematic review and meta-analysis. American Journal of Psychiatry, 169(8), 790–804. https://doi.org/10.1176/appi.ajp.2012.11111616
Editors and Affiliations
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Ostarello, L., Wright, M., Waltz, T.J. (2018). Medical Treatment Adherence. In: Maragakis, A., O'Donohue, W. (eds) Principle-Based Stepped Care and Brief Psychotherapy for Integrated Care Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-70539-2_22
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-70538-5
Online ISBN: 978-3-319-70539-2