Nuts and Bolts of Patient Adherence

1.5 Continuing Education Credit Hours


This module will identify major barriers and issues to adherence with self-management of chronic disease. Participants will learn about the differences between compliance, adherence, and therapeutic alliance. To understand how to help increase a patient's adherence, one must first learn how to identify and measure non-adherence and know the extent and consequences of non-adherence in health care. Individual factors influencing patient adherence, as well as the societal, economic, provider, and health systems barriers and strategies to promote adherence will be addressed.


  1. Describe interventions for patients, healthcare providers and healthcare systems in promoting patient adherence.
  2. Identify methods of measuring adherence and non-adherence.
  3. Identify the issues of non-adherence and interventions to improve adherence with appointment keeping, taking medication, and preventive services.
  4. Describe the impact of patient non-adherence on the individual, society and cost of health care.
  5. Discuss the 5 dimensions of adherence according to the World Health Organization.
  6. Describe differences between compliance, adherence, concordance, and therapeutic alliance.

Online Module

When completing the on-line module you will be presented with learning objectives, brief cases, questions for reflection (not scored), and interactive lessons with hyperlinks to engage you along the way. Once you complete the lessons, you will be presented with the Module Evaluation and then the Post Test (which requires a score of 70%), followed by the opportunity to print your Continuing Education Certificate. Modules remain available for your future reference once you have completed them.