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Article
July 8, 1988

Facilitating Treatment Adherence: A Practitioner's Guidebook

Author Affiliations

University of Chicago Visiting Scientist, Addiction Research Center Baltimore

University of Chicago Visiting Scientist, Addiction Research Center Baltimore

JAMA. 1988;260(2):273. doi:10.1001/jama.1988.03410020139051
Abstract

The authors of Facilitating Treatment Adherence are medical psychologists who have worked for more than 20 years with a variety of clinical populations who manifest medical, psychological, and behavioral problems such as chronic pain, diabetes, smoking, and psychotic disorders. The purpose of their book is to review the important issue of treatment adherence, describe adherence enhancement procedures, and exhibit the integration of adherence procedures and impediments to their use.

The authors clarify the terminology, or jargon, of the adherence literature and point out the difference between adherence and compliance—a distinction more semantic than real. The first part of the book is rich with information regarding the problem of patients not following treatment directions, not taking medication, and not changing unhealthy behaviors or life-styles. They focus on factors that affect treatment adherence, such as patients' beliefs, the complexity of a treatment regimen, and the severity of symptoms. The second part of

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