摘要: © Cambridge University Press 2007. Introduction Non-adherence is perceived to be a significant problem in all aspects of healthcare from taking medication attending counselling sessions. Thousands research papers have been published on the topic last few decades yet non-adherence remains key challenge modern healthcare. The main focus and reviews has adherence prescribed for long-term medical conditions. This hardly surprising. In affluent countries, most resources are devoted management chronic diseases such as coronary heart disease, diabetes asthma. Here, good outcomes depend much self-management by patient care and, these conditions, hinges appropriate use medicines. However many patients fail achieve this. Estimates incidence range widely 2–98%, partly because differences way defined measured across studies. Most estimates that 30–50% illness not taken directed (Meichenbaum & Turk, 1987; Myers Midence, 1998; World Health Organization, 2003). If prescription was appropriate, then this level concern those providing, receiving or funding it only entails waste but also missed opportunity therapeutic benefit (DiMatteo et al., 2002). Unfortunately, effective interventions remain elusive (Haynes