Gastroenterology

Understanding the challenge of adherence in pancreatic exocrine insufficiency

Pancreatic exocrine insufficiency poses a significant burden on the lives of those affected Adherence to medications is challenging due to regimens that require precise dose and timing Collaboration between healthcare provider and patient is important to reinforce adherence as a positive behavior Pancreatic exocrine insufficiency is associated with several conditions Pancreatic exocrine insufficiency (PEI) is…

Gastroenterology

Patient Support Programs: personalized digital adherence support

Patient support programs (PSPs) are designed to help patients with their conditions, including adherence They incorporate digital elements, including mobile health technologies Effective PSPs are personalized to individual patients, based on behavioral science techniques What are PSPs? Patient Support Programs are specifically designed to help patients in understanding their condition and taking medications directly. They…

Gastroenterology

Tools for the assessment of adherence

Combining measures and survey tools with objective measures can help to characterize patient health behaviors, with the potential to increase adherence Quantitative methods can be used to characterize health behavior Measures and survey tools are useful mechanisms to gain an understanding of health behavior, thereby providing effective support to patients in managing their own conditions.…

Gastroenterology

Behavioral approaches to changing adherence

Commonly used behavioral change techniques may not always be effective in changing behavior Utilizing techniques such as motivational interviewing may be useful in changing patient adherence behavior Commonly used behavior-change strategies Commonly used behavioral change techniques may not always be the most effective methods of changing behavior.1 For example, presenting threatening information may not have…

Gastroenterology

The COM-B framework and its use in explaining non-adherence

For patients with pancreatic exocrine insufficiency, there are a variety of reasons why they may not adhere to treatment. Some of these are modifiable. There is therefore a need for a comprehensive framework that assesses and understands adherence. COM-B is a framework that encompasses Capability, Opportunity and Motivation, allowing a precise understanding of the relationship…

Gastroenterology

The role of beliefs in non-adherence

The beliefs of patients have a strong influence over their likelihood of adherence to medications Belief-based models have been successfully applied to a variety of health behaviors, including adherence Patients’ own beliefs about their treatment and their own ability to be adherent are important factors, but are not fixed: educational interventions and encouragement may lead…

Gastroenterology