Regimen adherence problems are common in individuals with diabetes, making glycemic control difficult to attain. Because the risk of complications of diabetes can be reduced by proper adherence, patient nonadherence to treatment recommendations is often frustrating for diabetes health care professionals. This article reviews the scope of the adherence problem and the factors underlying it. The author discusses the concepts of compliance and adherence and offers recommendations for improving adherence by adopting a more collaborative model of care emphasizing patient autonomy and choice.
Alan M. Delamater, PhD, ABPP, is director of clinical psychology in the Department of Pediatrics and a professor of pediatrics and psychology at the University of Miami School of Medicine in Florida. He is an associate editor of Clinical Diabetes.
- American Diabetes Association