Treatment Adherence in Chronic Pain
Abstract
It is widely accepted that treatment adherence is a complex problem, and rates of nonadherence in chronic pain are around 50% or more. Nonadherence is important, not only because it may decrease treatment effectiveness but because it is dangerous and a potential confound in assessing treatment effectiveness, both in research and clinical service, and it is wasteful. Unfortunately, available interventions to promote better adherence appear limited. This chapter introduces the current models of adherence in the context of chronic pain and selectively summarizes related evidence. It also introduces the Psychological Flexibility Model, a newer organizing framework underpinning Acceptance and Commitment Therapy (ACT), and examines the potential applicability of ACT in this challenging context.
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A broad range of behavioural and psychological variables such as mood, illness and treatment beliefs, and motivation are associated with adherence.
“A broad range of behavioural and psychological variables such as mood, illness and treatment beliefs, and motivation are associated with adherence [13–15].”
Psychological flexibility is a broad treatment target comprising a range of emotional and motivational factors that may contribute to non-adherence.
“First, psychological flexibility is a broad treatment target comprising a range of emotional and motivational factors that may contribute to non-adherence.”
ACT may be a suitable approach in this setting.
“ACT may be a suitable approach in this setting for two main reasons [13, 27–30].”
Cited by
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Smith, S. G., Ellison, R., Hall, L., Clark, J., Hartley, S., Mason, E., Metherell, J., Olivier, C., Napp, V., Naik, J., et al. (2022) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-00985-6 · Cited by 17 · see citing works
Self-citation
- Authors
- Harrison, A. M., Graham, C., & McCracken, L. M.
- Venue
- Oxford Medicine Online
- Publisher
- Oxford University Press
- Published
- 2017-04
- OpenAlex
- W4243030375
- Cited by
- 0
- References
- 0
- FWCI
- 0.00
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Oxford University Press eBooks (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- medication adherence, chronic pain, non-compliance, acceptance and commitment therapy, treatment effectiveness, adherence interventions
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