title: [Modifying habits and treatment adherence, essential for controlling the chronic disease].
abstract: Therapeutic adherence is defined as the extent to which a person's behavior (taking medications, following a diet and changes in lifestyle) coincides with health recommendations (WHO, 2004). We can deduce that is a multiple, complex and changing phenomenon, that there can be total or partial adherence to a treatment, and depending on timing and circumstances. Lack of adherence is a worrying problem; due to its great magnitude and complexity (over two hundred factors) it is responsible for the increased morbid-mortality, complications, hospital admissions, health costs, and dissatisfaction of the user and health professionals. In this paper we develop effective interventions in changing habits and improving adherence: cognitive (education and improved communication), behavior and motivation. Interventions areas include pharmacological treatments, habits and life style, as well as social and family support. The most effective model emphasizes self-care and self-responsibility of the user to manage their disease and increase adherence.
authors.affiliation: Centro de Salud de Figaredo, Asturias, España. Electronic address: mpisanoglez@gmail.com.
authors.forename: Marta M
authors.initials: MM
authors.lastname: Pisano González
authors.affiliation: Centro de Salud de Salas, Asturias, España.
authors.forename: Ana
authors.initials: A
authors.lastname: González Pisano
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D006184:Habits; D006801:Humans; D008019:Life Style; D010349:Patient Compliance
keywords: Autocuidado; Chronic disease; Cumplimiento terapéutico; Enfermedad crónica; Enfermería de atención primaria; Primary Care Nurses; Self-care; Therapeutic compliance