Table 3

Summary of practical things we can do in order to prevent non-adherence

Medication adherence
Practical thing we can doExamples/descriptions
Education/information should include information about
  • Drugs

  • Disease process

  • Physical exercise

  • Joint protection

  • Pain control

  • Coping strategies

  • Lifestyle changes

Education/information can be delivered
  • Verbally (face to face or by telephone)

  • Written (leaflets or text messages)

  • Visualised in charts

CueingFor example: pairing medication taking with an established behaviour such as brushing teeth
MonitoringFor example: using a calendar to track medication taking
Positive reinforcementFor example: praising and rewarding with tokens that are exchanged for special privileges
Possibility to express questions and doubtsPatients should have the possibility to express questions and doubts
Review of plans/strategiesPhysician and other health professionals should review the plans/strategies and give feedback/answers
Individualised/tailored treatmentIndividualised/tailored treatment according to patient preferences and goals
Exercise adherence
Practical thing we can doExamples/descriptions
More consults/timeOvercome the constraint of consultation time
Use psychosocial factors relevant for the motivational approach as proxy efficacyProxy efficacy refers to patients’ confidence in their therapists’ ability to function effectively on their behalf
Education/information should include information about
  • Physical exercises

  • Endurance activities (walking, swimming, bicycling)

  • Advice on energy conservation

  • Joint protection

Discuss problemsDiscuss problems regarding exercise adherence and offer solutions
Encourage patients to take responsibilityFor example: to plan their treatment regimens, discuss intentions and help recasting unrealistic plans
Individualised/tailored treatmentIndividualised physical activity advice and tailored graded exercise programme according to the preferences and goals of the patient.
Train in proper execution of physical exercisesPhotos displaying these exercises and explanatory written information