that even perfect adherence will not render an ineffective medical regimen effective. Physicians often assume that a patient's problem lies within the patient rather than in the physician's prescription. Sometimes, when a psychologist intervenes and improves a patient's adherence behaviors with no concomitant improvement in the patient's health status, the psychologist may assist the physician in redirecting his or her attention away from the patient's behavior and toward the disease management prescription. This is far easier to accomplish when the psychologist is confident in the reliability of the adherence data he or she has monitored and collected.
This chapter was supported by grants #R01 HD13820 and K04 HDO0686 from the National Institute of Child Health and Human Development.
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