Factors influencing adherence may include, but are not limited to1:
- Low language literacy
- Unstable living conditions
- Lack of knowledge regarding available assistance/assistance programs
- Poor relationship with provider
- Lack of positive reinforcement or knowledge
- Lack of continuity of care
- Poor communication
- Asymptomatic disease
- Severity of symptoms
- Complex medication regimen
- Lack of immediate benefit
- Actual or perceived unpleasant side effects
- Lifestyle changes
- Physical or behavioral factors
- Expectations or attitude
- Perceived benefit
- Confidence and motivation
- Alcohol or substance abuse
- Lack of family/social support