Patient Education for Long Term Adherence

The success of patients with chronic disorders in effective management is reflected in the poor adherence rates reported for various regimen components, including medication taking, exercise, dietary regimen, among others. A major function of nursing is the education of patients on care management. Research shows that this education primarily focuses on knowledge, with less attention given to the development of behaviors which would support continuation of treatments over time. Conceptualizing adherence to treatment as a habit building process has shown promise in supporting adherence. While there is the need for ongoing research, there is a body of evidence to support the development of adherence through habit building. Models of habit building exist to inform the nurse educator. It is recommended that the education of the nurse include the process of developing habits and habit strength to inform the education of patients on regimen management.