Standard definitions of adherence for infrequent yet repeated health behaviors.


Journal Article

OBJECTIVE: To present common language for defining adherence of infrequent yet repeated health behaviors. METHODS: We illustrate methodological and conceptual issues using human papillomavirus (HPV) vaccination and screening mammography study data as examples. RESULTS: Adherence rates of infrequent, repeated behaviors varied widely depending on how adherence was defined and measured. We advocate use of 3 standard definitions of adherence: initiation of behavior (initiation), adherence to most recent opportunity (on-schedule), and timely adherence across multiple opportunities (maintenance or completion). CONCLUSIONS: The proposed framework has cross-cutting implications for research and practice. Standardizing adherence metrics may facilitate comparisons across studies of health behaviors practiced at infrequent yet repeated intervals.

Full Text

Duke Authors

Cited Authors

  • Gierisch, JM; Reiter, PL; Rimer, BK; Brewer, NT

Published Date

  • November 2010

Published In

Volume / Issue

  • 34 / 6

Start / End Page

  • 669 - 679

PubMed ID

  • 20604693

Pubmed Central ID

  • 20604693

Electronic International Standard Serial Number (EISSN)

  • 1945-7359


  • eng

Conference Location

  • United States