The impact of patient adherence on health outcomes for patients with chronic disease in the medical outcomes study

Ron D. Hays, Richard L Kravitz, Rebecca M. Mazel, Cathy Donald Sherbourne, M. Robin DiMatteo, William H. Rogers, Sheldon Greenfield

Research output: Contribution to journalArticle

128 Scopus citations

Abstract

The association between adherence to medical recommendations and health outcomes (physical, role, and social functioning, energy/fatigue, pain, emotional well-being, general health perceptions, diastolic blood pressure, and glycohemoglobin) was examined in a 4-year longitudinal, observational study of 2125 adult patients with chronic medical conditions (hypertension, diabetes, recent myocardial infarction, congestive heart failure) and/or depression. Change score models were evaluated, controlling for disease and comorbidity. Patient adherence was associated minimally with improvement in health outcomes in this study. Only 11 of 132 comparisons showed statistically significant positive effects of adherence on health outcomes. We conclude that

Original languageEnglish (US)
Pages (from-to)347-360
Number of pages14
JournalJournal of Behavioral Medicine
Volume17
Issue number4
DOIs
StatePublished - Aug 1994

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychology(all)

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