Take 5: Brief Interventions to Improve Adherence

Learning Objectives

1. Identify two common reasons for nonadherence;
2. Name at least two brief interventions empirically shown to boost adherence;
3. Describe how you can use at least one of the four interventions presented to boost adherence in the
   coming weeks.

Abstract

High quality interventions can be hampered by poor adherence. Fortunately, there are brief (5 minutes or less), easy to implement interventions that can improve adherence. Learn how to use simple questions, imagery, behavioral experiments and written notes to boost adherence. This presentation includes clinical illustrations of the methods taught.

Literature References

1. Conklin, L.R., Strunk, D.R. & Cooper, A.A. Therapist behaviors as predictors of immediate homework
   engagement in cognitive therapy for depression. Cogn Ther Res 42, 16–23 (2018).
   https://doi.org/10.1007/s10608-017-9873-6
2. El-Mallakh P, Findlay J. Strategies to improve medication adherence in patients with schizophrenia: the role of support services. Neuropsychiatr Dis Treat. 2015;11:1077-1090. Published 2015 Apr 16.
   doi:10.2147/NDT.S56107
3. González de León, B., del Pino-Sedeño, T., Serrano-Pérez, P. et al. Effectiveness of interventions to improve medication adherence in adults with depressive disorders: a meta-analysis. BMC Psychiatry 22, 487 (2022).https://doi.org/10.1186/s12888-022-04120-w
4. Jin J, Sklar GE, Min Sen Oh V, Chuen Li S. Factors affecting therapeutic compliance: A review from the
   patient's perspective. Ther Clin Risk Manag. 2008;4(1):269-286. doi:10.2147/tcrm.s1458
5. Kazantzis N, Brownfield NR, Mosely L, Usatoff AS, Flighty AJ. Homework in Cognitive Behavioral Therapy: A Systematic Review of Adherence Assessment in Anxiety and Depression (2011-2016). Psychiatr Clin North Am. 2017 Dec;40(4):625-639. doi: 10.1016/j.psc.2017.08.001. PMID: 29080590.
6. McCabe, R. and Healey, P.G.T. (2018), Miscommunication in Doctor–Patient Communication. Top Cogn Sci, 10: 409-424. https://doi.org/10.1111/tops.12337
7. Padesky (2020). The Clinician’s Guide to CBT Using Mind Over Mood, 2nd Edition. New York: Guilford Press, pp. 38-44.