p Interventions for Adherence Improvement in the Primary Prevention of Cardiovascular Diseases: Expert Consensus Statementopen access
- Authors
- Ihm, Sang Hyun; Kim, Kwang-Il; Lee, Kyung Jin; Won, Jong Won; Na, Jin Oh; Rha, Seung-Woon; Kim, Hack-Lyoung; Kim, Sang-Hyun; Shin, Jinho
- Issue Date
- 1월-2022
- Publisher
- KOREAN SOC CARDIOLOGY
- Keywords
- Treatment adherence and compliance; Primary prevention; Cardiovascular diseases; Lifestyle factors; Motivational interviewing
- Citation
- KOREAN CIRCULATION JOURNAL, v.52, no.1, pp.1 - 33
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- KOREAN CIRCULATION JOURNAL
- Volume
- 52
- Number
- 1
- Start Page
- 1
- End Page
- 33
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/140857
- DOI
- 10.4070/kcj.2021.0226
- ISSN
- 1738-5520
- Abstract
- In primary prevention for cardiovascular diseases, there are significant barriers to adherence including freedom from symptoms, long latency for therapeutic benefits, life-long duration of treatment, and need for combined lifestyle changes. However, to implement more systematic approaches, the focus on adherence improvement needs to be shifted away from patient factors to the effects of the treatment team and healthcare system. In addition to conventional educational approaches, more patient-oriented approaches such as patient centered clinical communication skills, counseling using motivational strategies, decision making by patient empowerment, and a multi-disciplinary team approach should be developed and implemented. Patients should be involved in a program of self-monitoring, self-management, and active counseling. Because most effective interventions on adherence improvement demand greater resources, the health care system and educational or training system of physicians and healthcare staff need to be supported for systematic improvement.
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Collections - Graduate School > Department of Biomedical Sciences > 1. Journal Articles
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