title: Lessons from east Arnhem land. Improving adherence to chronic disease treatments.
abstract: BACKGROUND
  It is generally accepted that adherence or compliance to medical therapy can be poor in indigenous Australian communities.
  
  
  OBJECTIVE
  This paper describes approaches and techniques to improve adherence that have been gleaned from four and a half years of clinical experience in the remote district of East Arnhem Land.
  
  
  CONCLUSIONS
  First, the importance of gaining trust and credibility with a community is discussed. Approaches to gain that trust are then described. It is critical to overcome the considerable language and world view barriers that exist to good communication. The use of anatomical models and high quality illustrations combined with the development of 'key language concept' in the indigenous language have achieved some success in this area.
authors.affiliation: Gapuwiyak Health Centre, Northern Territory. STEPHENBRYCE@bigpond.com.au
authors.forename: Stephen
authors.initials: S
authors.lastname: Bryce
mesh_terms: D001315:Australia; D002908:Chronic Disease; D003144:Communication Barriers; D006293:Health Promotion; D006303:Health Services, Indigenous; D006801:Humans; D010349:Patient Compliance; D010817:Physician-Patient Relations