Compliance

Definition

Compliance (more commonly now 'adherence') is the degree to which a patient follows a prescribed treatment plan, including medications, lifestyle modifications, and follow-up appointments. Modern language favors 'adherence' to reflect collaborative patient-provider decision-making.

Common Barriers to Adherence

• Complex regimens (polypharmacy)
• Side effects and cost
• Health literacy and language barriers
• Cultural beliefs
• Depression, cognitive impairment
• Asymptomatic conditions (hypertension)

Strategies to Improve Adherence

Simplify regimens (once-daily dosing), use pill organizers/reminders, teach 'teach-back', collaborate on goals, address cost (generics, patient assistance programs), and involve family. Motivational interviewing is effective for behavior change.

NCLEX Relevance

Medication adherence questions frequently test hypertension, diabetes, TB, and HIV scenarios. The correct answer usually involves assessment of barriers or collaborative education, not scolding the patient.