Measuring and Improving Adherence – Summary

Topic

Study

Details

Evaluation

Application

Ways of measuring

 

1

2

3

4

5

6

 

 

Other ways

Chung and Naya 2000

TrackCap

 

 

 

Sherman et al 2000

Checking with pharmacy

 

 

Improving adherence

 

Information

 

 

 

 

Tailored regimens

 

 

 

 

Patient to ask more questions

 

 

 

Ley et al 1976

Understanding

 

 

 

Belisle et al 1987

Information about the problems faced with hypertension

 

 

 

e.g. McKenny et al 1973

Supervision

 

 

 

Nessman et al 1980

Group sessions

 

 

 

Keplan et al 1993

Old people

 

 

Improving communication

Sarafino 1994

1

2

3

4

5

6

Short term regimens rather than long term (Haynes 1982)

 

 

Kilik and Carlino 1987

Children promise

 

 

 

 

Health worker

Also increases supervision

 

Behavioural Methods

 

1

2

3

4

5

6

7

Patients become involved (Turk & Meichenbaum 1991)

 

Memory (See Diagnosis and Style)

Ley et al 1973

structure

 

 

 

Ley 1988

Errors in patient’s recall

1

2

3

4

5

 

 

Directly Observed Therapy

Volmink et al 2000

Tuberculosis treatment

 

 

Example

Ansah et al 2001

Malaria treatment