1. There are many reasons why patients may not follow their providers’ treatment recommendations. These include inconvenience or forgetfulness, cost, side effects, misunderstanding, or simply wanting to take a “break” from medicines (drug holiday).
  2. It is useful to regularly assess patient adherence to treatment recommendations.
  3. Assessment in a nonjudgmental manner allows for honest disclosure of non-adherence.
  4. Specific questions about the medication regimen facilitate the discovery of any misunderstanding or errors in following the treatment plan.
  5. Partnering with patients to actively brainstorm solutions for medication adherence issues creates buy-in to a workable plan and enhances the likelihood of patient adherence.

Below are videos of specific provider communication approaches to assess adherence issues and partner with each of the patients to overcome them.

Meetmrjackson

Meet Mr. Jackson

Mr. Jackson is a 50 year old African-American man. He has had hypertension for 7 years and it has never been well controlled. He takes losartan and hydrochlorothiazide (HCTZ). He believes his high blood pressure is caused mainly by stress. He takes medications for a couple of days, and then takes a break (maybe 3 times a week). He uses other strategies to reduce his BP such as taking garlic pills, cutting down on salt, and taking it easy. He also complains that the medication is too expensive (he already has too many bills)   To view more videos for this patient, click on the images under 'more videos' on the right. To go back and view videos for other patients, click on the 'patients' tab above.
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jackson

Assessment Skills: Mr. Jackson

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reddr2

Partnering Skills: Mr. Jackson

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Jacksonresults

Results: Mr. Jackson

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meet mrs lewis

Meet Mrs. Lewis

Mrs. Lewis is a 65 year old African-American woman on multiple medications for hypertension, osteoarthritis, gastroesophageal reflux disease, and diabetes mellitus. Her regular medications include lisinopril, hydrochlorothiazide (HCTZ), ranitidine, and glyburide. She also takes over the counter medications for her arthritis (acetaminophen and topical capsaicin cream). She feels she takes too many pills and forgets often. To view more videos for this patient, click on the images under 'more videos' on the right. To go back and view videos for other patients, click on the 'patients' tab above.
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whitecoat2

Assessment Skills: Mrs. Lewis

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lewis

Partnering Skills: Mrs. Lewis

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LewisResults

Results: Mrs. Lewis

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meetmsbass

Meet Ms. Bass

Ms. Bass is a 48 year old white woman with hypertension and asthma. Medications include hydrochlorothiazide (HCTZ), triamcinolone inhaler, and albuterol inhaler as needed. She has stopped taking her medication (HCTZ) because of increased urination. She does not think that her high blood pressure is high enough to warrant daily medications. Ms. Bass has heard that high blood pressure is a “silent killer” but doesn’t really know exactly what that means as she can usually tell when blood pressure is high – she just doesn’t feel good. To view more videos for this patient, click on the images under 'more videos' on the right. To go back and view videos for other patients, click on the 'patients' tab above.
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msbass

Assessment Skills: Ms. Bass

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Verify Regimen

Partnering Skills: Ms. Bass

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bassresults

Results: Ms. Bass

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