Advantages to Using Social-Behavioral Models of Medication Adherence in Research and Practice
- 4 December 2017
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of General Internal Medicine
- Vol. 33 (2), 207-215
- https://doi.org/10.1007/s11606-017-4197-5
Abstract
Achieving and sustaining high levels of adherence to medication regimens is essential to improving health outcomes, but continues to be a challenge for a sizable proportion of patients. Decades of research suggests that medication adherence is determined by a complex constellation of factors. Social-behavioral science research has focused on creating frameworks that identify which contextual, personal, social, or drug-related factors appear to most influence adherence. Comprehensive models of adherence propose specific structural relationships between these factors that can be used to plan for, implement, and monitor programs that seek to optimize adherence. The use of social-behavioral models offers multiple advantages in both practice and research environments; however, the breadth and depth of these models can deter many from engaging in this important exercise. To promote the use of social-behavioral frameworks and models of adherence, we provide a brief overview of the advantages in using a social-behavioral lens in adherence work, a sampling of models used in HIV medication adherence research that have high generalizability to other conditions, and practical guidance for grounding adherence promotion strategies in evidence informed by social-behavioral science research.Keywords
This publication has 41 references indexed in Scilit:
- Medication Adherence: WHO Cares?Mayo Clinic Proceedings, 2011
- Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on EfficacyJournal of Medical Internet Research, 2010
- The Individual and Family Self-Management Theory: Background and perspectives on context, process, and outcomesNursing Outlook, 2009
- Toward a theory of motivational interviewing.American Psychologist, 2009
- A Reasoned Action Approach to Health PromotionMedical Decision Making, 2008
- A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS?BMC Public Health, 2007
- Adherence to MedicationThe New England Journal of Medicine, 2005
- Changing AIDS risk behavior: Effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population.Health Psychology, 1996
- Human agency in social cognitive theory.American Psychologist, 1989
- Social Learning Theory and the Health Belief ModelHealth Education Quarterly, 1988