Interventions to improve adherence

  • Integration into daily habits/schedule
    • Recommend placing the medication on the bathroom counter next to his toothbrush
  • Pill organizers & dispensers
  • Simplified treatment regimen
  • Automated reminders (eg, smartphone applications)
  • Frequent telephone contacts & interprofessional (eg, nurse, pharmacist) follow-up
  • Motivational interviewing
  • Consolidated refill schedule

Adolescents

  • Lack of support, stigmatization (especially amongst adolescents, e.g., due to peer attitudes toward the illness and/or its treatment)
    • Peer-facilitated behavioral interventions to convey knowledge about the illness and social acceptance for its treatment
      • Encourage patients with chronic illnesses to seek support from peers with the same chronic illness, e.g., through:
        • Community health projects
        • Local and online support groups
    • Encourage patients with chronic illnesses to familiarize their peers with their illness and its treatment.