Adherence to Medical Advice

1. Types of non-adherence and reasons why patients don’t adhere –
   Types and extent of non-adherence. Rational non-adherence (e.g. Bulpitt, 1988);customising treatment (e.g. Johnson and Bytheway, 2000).
2. Measuring adherence/non-adherence –
   Subjective: self reports (e.g. Riekart and Droter, 1999). Objective: pill counting (e.g. Chun and Naya, 2000); biochemical tests (e.g. Roth, 1987); repeat prescriptions (e.g. Sherman, 2000).
3. Improving adherence –
   Improve practitioner style (e.g. Ley, 1988), provide information (e.g. Lewin, 1992), behavioural techniques (e.g. Burke et al., 1997).