Rethinking Adherence: A Health Literacy–Informed Model of Medication Self-Management
Open Access
- 4 October 2013
- journal article
- editorial material
- Published by Taylor & Francis Ltd in Journal of Health Communication
- Vol. 18 (sup1), 20-30
- https://doi.org/10.1080/10810730.2013.825672
Abstract
Medication adherence has received a great deal of attention over the past several decades; however, its definition and measurement remain elusive. The authors propose a new definition of medication self-management that is guided by evidence from the field of health literacy. Specifically, a new conceptual model is introduced that deconstructs the tasks associated with taking prescription drugs; including the knowledge, skills and behaviors necessary for patients to correctly take medications and sustain use over time in ambulatory care. This model is then used to review and criticize current adherence measures as well as to offer guidance to future interventions promoting medication self-management, especially among patients with low literacy skills.Keywords
This publication has 54 references indexed in Scilit:
- Primary Medication Non-Adherence: Analysis of 195,930 Electronic PrescriptionsJournal of General Internal Medicine, 2010
- Association Between Health Literacy and HIV Treatment Adherence: Further Evidence from Objectively Measured Medication AdherenceJournal of the International Association of Physicians in AIDS Care, 2008
- Improving Patient Understanding of Prescription Drug Label InstructionsJournal of General Internal Medicine, 2008
- Medication Compliance and Persistence: Terminology and DefinitionsValue in Health, 2008
- Factors associated with medication refill adherence in cardiovascular-related diseasesJournal of General Internal Medicine, 2006
- Low literacy impairs comprehension of prescription drug warning labelsJournal of General Internal Medicine, 2006
- Health literacy, antiretroviral adherence, and HIV-RNA suppressionJournal of General Internal Medicine, 2006
- Adherence to MedicationThe New England Journal of Medicine, 2005
- Literacy and health outcomesJournal of General Internal Medicine, 2004
- Concurrent and Predictive Validity of a Self-reported Measure of Medication AdherenceMedical Care, 1986