Cited by 199Medication Adherence and CompliancePharmacy and Medical PracticesBehavioral Health and Interventions

Predicting Adherence to Medications Using Health Psychology Theories: A Systematic Review of 20 Years of Empirical Research

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Holmes, Emily A.F., Hughes, Dyfrig A., Morrison, Valerie L.·2014·Value in Health

Abstract

Objectives This review sought to identify the empirical evidence for the application of models from sociocognitive theory, self-regulation theory, and social support theory at predicting patient adherence to medications. Methods A systematic review of the published literature (1990-2010) using MEDLINE, EMBASE, Cochrane Library, CINAHL, and PsychINFO identified studies examining the application of health psychology theory to adherence to medication in adult patients. Two independent reviewers extracted data on medication, indication, study population, adherence measure, theory, model, survey instruments, and results. Heterogeneity in theoretical model specification and empirical investigation precluded a meta-analysis of data. Results Of 1756 unique records, 67 articles were included (sociocognitive = 35, self-regulation = 21, social support = 11). Adherence was most commonly measured by self-report (50 of 67). Synthesis of studies highlighted the significance (P ≤ 0.05) of self-efficacy (17 of 19), perceived barriers (11 of 17), perceived susceptibility (3 of 6), necessity beliefs (8 of 9), and medication concerns (7 of 8). Conclusions The results of this review provide a foundation for the development of theory-led adherence-enhancing interventions that could promote sustainable behavior change in clinical practice.

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Crossref · 10.1016/j.jval.2014.08.2671

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  • A number of theoretical approaches including the Health Belief Model, Social Cognitive Theory, Theory of Reasoned Action, Theory of Planned Behavior, and the Trans-Theoretical Model have been employed to understand medication adherence.

    “A number of theoretical approaches13, 14 including the Health Belief Model, Social Cognitive Theory, Theory of Reasoned Action, Theory of Planned Behavior, and the Trans-Theoretical Model have also been employed.”

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Authors
Holmes, E. A. F., Hughes, D. A., & Morrison, V. L.
Affiliations
Bangor University (GB)
Corresponding author
Holmes, Emily A.F.
Venue
Value in Health
Publisher
Elsevier BV
Published
2014-12
Volume
17
Issue
8
Pages
863-876
ISSN
1098-3015 (ISSN-L)
OpenAlex
W2003862222
Cited by
199
References
103
Citations by year
2026: 6 · 2025: 11 · 2024: 7 · 2023: 16 · 2022: 22 · 2021: 17 · 2020: 31 · 2019: 52 · 2018: 19 · 2017: 9 · 2016: 8 · 2015: 1
FWCI
0.78
Type
journal article
Language
en
Open access
Locations
  • Value in Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
medication adherence, health psychology theory, sociocognitive theory, self-regulation theory, social support theory, self-efficacy, perceived barriers, perceived susceptibility, necessity beliefs, medication concerns, behaviour change interventions, adult patients
MeSH terms
Humans, Models, Psychological, Social Support, Health Behavior, Empirical Research, Medication Adherence

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