Medication Adherence Beliefs

What has medication not been linked to?

Personality and Lifestyle behaviors

Weakly/unreliably linked to → gender, income, and education

Is medication adhere a choice or just forgetting?

Most make a choice about taking meds → Reflective Factors

Adherence can change

Someone can be adherent on one med and non on another

Differential Diagnosis of Non-Adherence?

Unintentional → Forgetting, shift work, confusion, work restrictions etc

Intentional / Reflective → Mistrust, fear of side effects, cost, mental illness, etc

Dimensions of Medication Adherence?

Healthcare or System factors

Patient Related Factors

Therapy related factors

Condition Related Factors

Social and Economic Factors

AE Scoring Practice?

Quickly assess a patient’s risk of non-adherence

List/guide

higher score → higher risk of non-adherence

DRAW Actions for Med Adherence?

Simplify regimen

Organize meds and refills

Understand, educate, and motivate

Reduce cost

Address Cognitive Issues

Follow Up

LEARN in Med adherence?

Listen

Explain → Evidence based perspective

Acknowledge → Similarities/differences in perspectives

Recommend treatment

Negotiate treatment → Make adjustments based on patient involvement