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Researchers develop strategy to improve patient adherence
Date:6/1/2011

tifies three categories to guide providers and patients toward adherence: Information, Motivation and Strategy.

  • Information Many patients are incapable of understanding the health information they receive. Recommendation for clinicians: Communicate information effectively to patients. Build trust and encourage patients to participate in decision-making and to be partners in their own health care. Ask patients to share why and how they will carry out their treatment recommendations. Listen to patients' concerns and give them full attention.

  • Motivation - Patients only follow treatments they believe in. Motivating patients to follow treatment recommendations is important. Recommendation: Help patients to believe in the efficacy of the treatment. Elicit, listen to and discuss any negative attitudes toward treatment. Determine the role of the patient's social system in supporting or contradicting elements of the regimen. Help the patient commit to adherence and to believe that they are capable of doing it. Be aware of and sensitive to patient's cultural beliefs and practices, and view treatment through a cultural lens to make sure that recommendations do not conflict with cultural norms.

  • Strategy Concrete barriers represent a common set of obstacles to adherence, such as the cost of medications, unreliable transportation to make appointments, mental health issues and complex treatment regimens. Patients need a workable strategy to follow treatment recommendations. Recommendation: Help overcome practical barriers that make it difficult for patients to effectively carry out a course of action. Identify individuals who can provide concrete assistance. Identify resources to provide financial aid or discounts. Provide written instructions/reminders. Sign a behavioral contract. Offer links to support groups. Provide electronic reminders or follow-up phone calls.

The IMS Model emphasizes the importance of patient-
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Contact: Bettye Miller
bettye.miller@ucr.edu
951-827-7847
University of California - Riverside
Source:Eurekalert

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