Assessment

The management of nonadherence depends on reliable observation and measurement. Because direct observation is rarely possible, various methods of assessment have been proposed, each of which has its own shortcomings (Johnson 1992; Shemesh et al. 2004). Nonadherence, like most behaviors, is dynamic in nature such that a patient may present as nonadherent at one point in time and adherent at another (Johnson 1992). Therefore, any method used to measure adherence must be applied over time.

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