- OXFORD LIBRARY OF PSYCHOLOGY
- Oxford Library of Psychology
- About the Editors
- From Communication to Healthy Behavior and Adherence
- Barriers and Keys to Treatment Adherence and Health Behavior Change
- Health Literacy and Information Exchange in Medical Settings
- The Role of Nonverbal Communication in Medical Interactions: Empirical Results, Theoretical Bases, and Methodological Issues
- The Art of Medical Information Exchange
- Partnering with and Involving Patients
- Training for Effective Communication in Healthcare Settings
- Beyond the Dyad: Communication in Triadic (and more) Medical Encounters
- Systemwide Communication
- Health Beliefs and Health Outcomes
- Perceived Risk and its Relationship to Health-Related Decisions and Behavior
- Readiness to Change and the Transtheoretical Model as Applied to Addictive Disorders: A Balanced Appraisal
- Social Comparison and Persuasion Processes in Health Communications
- The Role of Culture in Promoting Effective Clinical Communication, Behavior Change, and Treatment Adherence
- Commitment to Change: An Examination of the Maintenance of Health-Behavior Changes
- Social Networks, Social Support, and Health-Related Behavior
- Technology and Implications for Patient Adherence
- Social and Environmental Barriers to Adherence and Healthy Behavior
- Improving Team Communication for Better Health Behavior
- The Importance of Effective Measurement for Fostering Change
- Pediatric Adherence and Health Behavior Change
- Issues in Adolescent Adherence and Health-Behavior Change
- Issues in Aging, Adherence, and Health-Behavior Change
- Adherence and Health Behavior Change in the Context of Mental Health Challenges
- Managing Complex Regimens: The Psychological Context of Family Management of Pediatric Diabetes
- Health Communication: Implications for Reform and Public Policy
Abstract and Keywords
This essay examines issues relevant to the accurate assessment of patient adherence to recommendations for health behavior change and/or the management of medical conditions, including long-term chronic diseases. Both conceptual and methodological issues are discussed. The importance of accurate assessment in both clinical practice and research is examined, as well as the consequences of conceptual and measurement biases. The role of assessments of current adherence in predicting future behavior is examined, as is the essential distinction between assessing adherence as a behavior and assessing the predictors and consequences of adherence. The potential challenges of various approaches to assessing adherence accurately are examined, focusing particularly on self-report; measurement scales for adherence are presented; and innovative techniques are discussed for assessing adherence using technologically based formats. Effective communication is emphasized as the most important and salient element relevant to adherence assessment, linking patient adherence assessment with effective communication in the clinical setting.
M. Robin DiMatteo is Distinguished Professor of Psychology and UCR Distinguished Teaching Professor at the University of California, Riverside.
Tricia A. Miller is a graduate student at the University of California, Riverside.
Leslie R. Martin is professor and chair of the Department of Psychology at La Sierra; she is also a research psychologist at the University of California, Riverside.
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