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Determinants of Regimen Adherence in Renal Dialysis

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Handbook of Health Behavior Research II

Abstract

Patient nonadherence with medical regimens is common in the treatment of many chronic diseases (Turk & Meichenbaum, 1991). For the over 165,000 end-stage renal disease patients in the United States, nonadherence is both pervasive and clinically significant. The goals of this chapter are to illustrate both the scope and the implications of nonadherence among ESRD patients, as well as to review the empirical literature aimed at identifying determinants of nonadherence. The chapter will also illustrate the assertion that adherence can be better understood by considering the interaction of patient individual differences with treatment and disease-related factors. Finally, the chapter discusses the implications of these issues for the design and implementation of related interventions.

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Authors and Affiliations

  1. Department of Psychology, University of Iowa, Iowa City, Iowa, 52242, USA

    Alan J. Christensen & Eric G. Benotsch

  2. Department of Psychology, University of Utah, Salt Lake City, Utah, 84112, USA

    Timothy W. Smith

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  1. Alan J. Christensen
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  2. Eric G. Benotsch
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  3. Timothy W. Smith
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Editors and Affiliations

  1. Kent School of Social Work, University of Louisville, Louisville, Kentucky, 40292, USA

    David S. Gochman

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Christensen, A.J., Benotsch, E.G., Smith, T.W. (1997). Determinants of Regimen Adherence in Renal Dialysis. In: Gochman, D.S. (eds) Handbook of Health Behavior Research II. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1760-7_12

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  • DOI: https://doi.org/10.1007/978-1-4899-1760-7_12

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