Adherence to Treatment in Patients with Chronic Diseases: From Alertness to Persistence.
Ella Danielson, Christina Melin-Johansson, Mahnaz Modanloo
PMID 31641674WHAT IT FOUND
Patients with chronic disease described treatment adherence as a journey from alertness to persistence.
Feeling heard, sharing decisions, trusting providers, and gaining self-care confidence helped them keep going.
Key findings
01Patients described adherence as a process moving from alertness to persistence, involving motivation, cohesion, commitment, and empowerment.
02Patients said cohesion with providers, including care plans based on their needs, helped them take advice.
03Patients linked continued treatment to confidence in self-care, adaptability, and social support.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The findings come from patients' experiences, not from measured adherence or outcomes. Participants were from a limited regional hospital setting, so the themes may not transfer to other settings. The study did not include health care providers' perspectives, so it describes only the patients' side of the relationship. The study did not test whether any approach improved adherence.
The easy way to misread this
Do not read these themes as proof that a specific adherence intervention works. The study reports patients' experiences and cannot show that these factors cause better adherence.