Empowering patients: Better Health Outcomes through Adherence

March 2017


In a previous blog we introduced the concept of the 4-state Necessity beliefs and Concerns Framework (NCF)™ map as a way of “visualising” patients’ likelihood to adhere to their treatment. Using the same NCF, this time we are focusing on patient’s treatment-related empowerment as a driver for adherence, i.e., does a patient being empowered affect their motivation to adhere to medication to manage their long-term conditions, as shown through their location in the NCF.

Recently, Patient Centricity has become a mantra in Health – from policy makers to industry and patient’s associations to healthcare stakeholders, all claim that empowering patients to take more control on their treatment leads to better health outcomes. Makes sense, now let’s show one way empowerment creates a direct route to improved health outcomes through better adherence.

Our recent studies based on patient’s self-reported empowerment, using the Treatment-related Empowerment Scale (TES)™ and their Necessity beliefs and Concerns,were measured using the Beliefs about Medication Questionnaire (BMQ)™. This showed there is an important correlation between these concepts; superior empowerment of patients with long-term conditions helps them have an Accepting attitude towards their medications.

Interestingly this approach can be a building block to provide a valuable estimate of how much increasing empowerment increases adherence. By way of example, the below table provides an estimated average adherence to treatment for patients with Type 2 Diabetes Mellitus according to their “location” on the 4-state NCF map following assessment of their perceptions of their medication.

Using the above data and large dataset correlating TES™ and BMQ™, we can infer an almost 9% to 10% increase in adherence to treatment in the more highly empowered patients compared to those poorly empowered.

Want to know more? Give us a call. We’ll be delighted to help you.

1 Mann, D., Ponieman, D., Leventhal, H., & Halm, E. (2009). Predictors of adherence to diabetes medications: the role of disease and medication beliefs. Journal of Behavioral Medicine, 32(3), 278-284.