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Patient Adherence: Present State and Future Directions

机译：病人的依从性：现状和未来方向

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More than 50 years of research on health behavior change has not provided us with easy answers in understanding patient nonadher-ence. Despite the renewed interest in adherence research, we have a long road ahead in translating behavior change principles into practical application. We believe that actionable messages are critical to success. For example, including maps and directions with appointment reminders may boost adherence to appointment-keeping. Furthermore, we assert that when physicians and other health care professionals use their referent power they can be influential in patient adherence. Our own research suggests that higher patient adherence is associated with physicians who create warm personal relationships with their patients, and work with them to address adherence and lifestyle issues. Expanding referent power beyond physicians to patient-affiliated reference groups may be challenging to DM, but it may increase the influence of adherence messages exponentially. We believe that research on the direct influence of referent groups on patient adherence will be an important direction for future research.
机译：超过50年的有关健康行为改变的研究未能为我们提供了解患者不依从性的简单答案。尽管人们对依从性研究重新产生了兴趣，但在将行为改变原理转化为实际应用方面，我们还有很长的路要走。我们认为，可行的信息对于成功至关重要。例如，在地图和路线中包含约会提醒，可能会增强遵守约会的意愿。此外，我们断言，当医师和其他医疗保健专业人员使用其参考能力时，它们可能会对患者的依从性产生影响。我们自己的研究表明，更高的患者依从性与与患者建立亲密个人关系并与他们一起解决依从性和生活方式问题的医生有关。将参考能力扩展到医师以外的患者附属参考群体可能会对DM构成挑战，但它可能成倍增加依从性消息的影响力。我们相信，研究对象群体对患者依从性的直接影响的研究将是未来研究的重要方向。

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