Non-adherence
Non-adherence: A deliberate choice
Speaker: Anna Forsberg
Description: This short lecture by Anna Forsberg presents a case of non-adherence to the immunosuppressive medication after liver transplantation and the patient’s rationale behind his behaviour. Professor Forsberg discusses the reasons for being non-adherent, how transplant professionals can intervene and the fact that the patient’s meaning-making might lead to deliberate non-adherent behaviour.
Suggested resources:
- Lennerling A, Kisch A, Forsberg A. Non-adherence to Immunosuppressants after Lung Transplantation – a Common Risk Behavior. The Open Nursing Journal. 2019; 13: 108-115. Doi: 10.2174/1874434601913010108.
- Reach G, Boubaya M, Brami Y, Lévy V. Disruption in time projection and non-adherence to long-term therapies. Patient Preference and Adherence 2018; 12: 2363-2375.
- Reach G. The mental mechanisms of patient adherence to long-term therapies, mind and care, forward by Pascal Engel, philosophy and medicine. Heidelberg: Springer; 2015:207.
- Horne R, Chapman SCE, Parham R, Freemantle N, Forbes A, Cooper V. Understanding patients’ adherence-related beliefs about medicines prescribed for long-term conditions: A meta-analytic review of the Necessity-Concerns Framework. PLoS One 2013 ;8(12): e80633.
- Lehane E, McCarthy G. Intentional and unintentional medication non-adherence: A comprehensive framework for clinical research practice? A discussion paper. Int J Nurs Stud 2007;44(8):1468-1477.
Slides: