title: When information is insufficient: inspiring patients for medication adherence and the role of social support networking.
abstract: BACKGROUND
  A report presented by the RAND Corporation for the Agency for Healthcare Research and Quality recommends that patient self-management programs should include supportive coaching, and the World Health Organization has suggested that the enhancement of patient motivation and behavioral skills is crucial to increasing patient care adherence. The US healthcare reform legislation also provides incentives for evidence-based activities (eg, coaching) that promote healthy behaviors.
  
  
  OBJECTIVE
  To review the current research on evidence-based coaching methods and their impact on medication adherence, as well as offer practical applications for such coaching interventions.
  
  
  CONCLUSIONS
  The authors review the role of medication adherence in reducing the burden of chronic diseases, using the definitions of coaching and Network Coaching as a starting point for interventions that can enhance providers' skills in motivating patients to improve their treatment adherence. Practical examples are included throughout the article to illustrate the benefits of these coaching methods for patients and providers. The mnemonic COPE is used to assist providers in the recall of 4 significant coaching and Network Coaching concepts-connectedness and collaboration, open-ended questions, positive attitude, and encourage support. Following COPE can reinforce physicians and pharmacists in their attempt to improve patient medication adherence.
  
  
  CONCLUSIONS
  The article presents healthcare providers, including physicians and pharmacists, with a rationale for developing evidence-based coaching skills and offers suggestions for the application of key coaching concepts.
authors.affiliation: President & CEO, Gardener Health Systems and Principal & Co-Owner, Paritas Health, Kansas City, MO; Vice President of Clinical Coaching Services, Health Integrated, Tampa, FL; and Clinical Assistant Professor, University of Missouri-Kansas City School of Medicine.
authors.forename: Maureen
authors.initials: M
authors.lastname: Hennessey
authors.affiliation: Principal, Heryer Consulting, and Medical Director, Gardener Health Systems, Kansas City, MO.
authors.forename: John W
authors.initials: JW
authors.lastname: Heryer