Health Psychology Approaches to Improving Treatment Adherence Among Patients with Chronic Illnesses

Authors

  • Afika Dirga Keperawatan, STIKes Nani Hasanuddin Makassar
  • Nana Muhktar Keperawatan, STIKes Nani Hasanuddin Makassar
  • Indah Permata Keperawatan, STIKes Nani Hasanuddin Makassar

DOI:

https://doi.org/10.37899/mjdh.v2i1.267

Keywords:

Health Psychology, Treatment Adherence, Chronic Illness

Abstract

Chronic illnesses such as diabetes, hypertension, cardiovascular disease, and chronic kidney disease continue to pose major global health challenges due to persistent treatment nonadherence. Although biomedical interventions have improved, many patients still struggle to follow treatment plans, leading to worsening health conditions, higher healthcare costs, and reduced quality of life. This study examines health psychology approaches to improving treatment adherence among patients with chronic illnesses using a qualitative method to understand their experiences, perceptions, and behavior. Semi-structured interviews were conducted with purposively selected patients, and thematic analysis was used to explore psychological, social, and cultural factors affecting adherence. The results show that adherence is strongly shaped by self-efficacy, coping mechanisms, emotional well-being, and health literacy. Social support from family and community, together with culturally sensitive approaches that respect patient beliefs, also influences adherence. Interventions rooted in health psychology, including counseling, motivational interviewing, and patient-centered education, were effective when tailored to patient needs and aimed at building trust and empowerment. The study emphasizes that treatment adherence is not only a biomedical issue but a complex interaction of cognitive, emotional, social, and cultural elements. Healthcare providers and policymakers are encouraged to adopt biopsychosocial and culturally competent strategies to strengthen adherence and improve long-term outcomes.

References

Amdie, F. Z., Sawhney, M., & Woo, K. (2022). The weakness of will: the role of free will in treatment adherence. Patient preference and adherence, 1131-1139. https://doi.org/10.2147/PPA.S362706

Austin, C. P. (2021). Opportunities and challenges in translational science. Clinical and Translational Science, 14(5), 1629-1647. https://doi.org/10.1111/cts.13055

Bernays, S., Bourne, A., Kippax, S., Aggleton, P., & Parker, R. (2021). Remaking HIV prevention: The promise of TasP, U= U and PrEP. In Remaking HIV prevention in the 21st century: The promise of TasP, U= U and PrEP (pp. 1-18). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-69819-5_1

Bourgeois, A., Horrill, T., Mollison, A., Stringer, E., Lambert, L. K., & Stajduhar, K. (2024). Barriers to cancer treatment for people experiencing socioeconomic disadvantage in high-income countries: a scoping review. BMC Health Services Research, 24(1), 670. https://doi.org/10.1186/s12913-024-11129-2

Butler, M. S., Gigante, V., Sati, H., Paulin, S., Al-Sulaiman, L., Rex, J. H., ... & Beyer, P. (2022). Analysis of the clinical pipeline of treatments for drug-resistant bacterial infections: despite progress, more action is needed. Antimicrobial agents and chemotherapy, 66(3), e01991-21.

Chen, J., Tian, Y., Yin, M., Lin, W., Tuersun, Y., Li, L., ... & He, F. (2023). Relationship between self-efficacy and adherence to self-management and medication among patients with chronic diseases in China: A multicentre cross-sectional study. Journal of psychosomatic research, 164, 111105. https://doi.org/10.1016/j.jpsychores.2022.111105

Coskun, S., & Bagcivan, G. (2021). Associated factors with treatment adherence of patients diagnosed with chronic disease: Relationship with health literacy. Applied Nursing Research, 57, 151368. https://doi.org/10.1016/j.apnr.2020.151368

Frost, H. V., & Fernandez, C. M. (2025). Motivational Interviewing Techniques for Nurses: A comprehensive guide for Engaging Patients in Health Behavior Change.

Hirani, R., Podder, D., Stala, O., Mohebpour, R., Tiwari, R. K., & Etienne, M. (2025). Strategies to Reduce Hospital Length of Stay: Evidence and Challenges. Medicina, 61(5), 922. https://doi.org/10.3390/medicina61050922

Kardas, P. (2024). From non-adherence to adherence: Can innovative solutions resolve a longstanding problem?. European Journal of Internal Medicine, 119, 6-12. https://doi.org/10.1016/j.ejim.2023.10.012

Kelvin-Agwu, M. C., Adelodun, M. O., Igwama, G. T., & Anyanwu, E. C. (2024). Advancements in biomedical device implants: A comprehensive review of current technologies. Int. J. Front. Med. Surg. Res, 6(01), 019-028. https://doi.org/10.53294/ijfmsr.2024.6.1.0037

Kirubakaran, D., Wahid, J. B. A., Karmegam, N., Jeevika, R., Sellapillai, L., Rajkumar, M., & SenthilKumar, K. J. (2025). A comprehensive review on the green synthesis of nanoparticles: advancements in biomedical and environmental applications. Biomedical Materials & Devices, 1-26. https://doi.org/10.1007/s44174-025-00295-4

Liang, X., Zhong, H. J., Ding, H., Yu, B., Ma, X., Liu, X., ... & He, J. (2024). Polyvinyl alcohol (PVA)-based hydrogels: Recent progress in fabrication, properties, and multifunctional applications. Polymers, 16(19), 2755. https://doi.org/10.3390/polym16192755

Mangla, B., Kumar, P., Javed, S., Pathan, T., Ahsan, W., & Aggarwal, G. (2025). Regulating nanomedicines: challenges, opportunities, and the path forward. Nanomedicine, 20(15), 1911-1927. https://doi.org/10.1002/SMMD.20230023

Mema, B., & Huang, L. (2024). Humanism as a Foundation for Understanding and Addressing Non-adherence. In Pediatric Nonadherence: A Solutions Based Approach (pp. 183-192). Cham: Springer International Publishing.

Mody, A., Sohn, A. H., Iwuji, C., Tan, R. K., Venter, F., & Geng, E. H. (2024). HIV epidemiology, prevention, treatment, and implementation strategies for public health. The Lancet, 403(10425), 471-492. https://doi.org/10.1007/978-3-030-69819-5_1

Nguyen, Y. H. T., Dang, T. T., Lam, N. B. H., Le, P. T., Nguyen, P. H., Bull, S., ... & Van Nuil, J. I. (2023). Fragmented understanding: exploring the practice and meaning of informed consent in clinical trials in Ho Chi Minh City, Vietnam. BMC Medical Ethics, 24(1), 3. https://doi.org/10.1186/s12910-023-00884-2

Ogunjobi, T. T., Okafor, A. M. A., Ohuonu, N. I., Nebolisa, N. M., Abimbolu, A. K., Ajayi, R. O., ... & Musa, A. (2024). Navigating the complexity of the human microbiome: implications for biomedical science and disease treatment. Medinformatics. https://doi.org/10.47852/bonviewMEDIN42022988

Oliveira, M., Antunes, W., Mota, S., Madureira-Carvalho, Á., Dinis-Oliveira, R. J., & Dias da Silva, D. (2024). An overview of the recent advances in antimicrobial resistance. Microorganisms, 12(9), 1920. https://doi.org/10.3390/microorganisms12091920

Pedretti, R. F., Hansen, D., Ambrosetti, M., Back, M., Berger, T., Ferreira, M. C., ... & Abreu, A. (2023). How to optimize the adherence to a guideline-directed medical therapy in the secondary prevention of cardiovascular diseases: a clinical consensus statement from the European Association of Preventive Cardiology. European journal of preventive cardiology, 30(2), 149-166. https://doi.org/10.1093/eurjpc/zwac204

Pourhabibi, N., Mohebbi, B., Sadeghi, R., Shakibazadeh, E., Sanjari, M., Tol, A., & Yaseri, M. (2022). Determinants of poor treatment adherence among patients with type 2 diabetes and limited health literacy: a scoping review. Journal of diabetes research, 2022(1), 2980250. https://doi.org/10.1155/2022/2980250

Ramezani, M., & Mohd Ripin, Z. (2023). 4D printing in biomedical engineering: advancements, challenges, and future directions. Journal of functional biomaterials, 14(7), 347. https://doi.org/10.3390/jfb14070347

Sadiq, S., Khan, S., Khan, I., Khan, A., Humayun, M., Wu, P., ... & Bououdina, M. (2024). A critical review on metal-organic frameworks (MOFs) based nanomaterials for biomedical applications: Designing, recent trends, challenges, and prospects. Heliyon, 10(3).

Sah, A. K., Elshaikh, R. H., Shalabi, M. G., Abbas, A. M., Prabhakar, P. K., Babker, A. M., ... & Agarwal, S. (2025). Role of artificial intelligence and personalized medicine in enhancing hiv management and treatment outcomes. Life, 15(5), 745. https://doi.org/10.3390/life15050745

Souza, J. G. S., Nagay, B. E., Martins, R., Bertolini, M., Shibli, J. A., Aparicio, C., ... & Barão, V. A. (2025). Engineered surface strategies to manage dental implant‐related infections. Periodontology 2000. https://doi.org/10.1111/prd.12637

Teymourifar, A. (2025). Structural Inefficiencies in the US Healthcare System. Available at SSRN 5230160.

Toma, D., Anghel, L., Patraș, D., & Ciubară, A. (2025). Hepatitis C Virus: Epidemiological Challenges and Global Strategies for Elimination. Viruses, 17(8), 1069. https://doi.org/10.3390/v17081069

Wang, Y., Guo, J., Cao, X., & Zhao, Y. (2024). Developing conductive hydrogels for biomedical applications. Smart Medicine, 3(1), e20230023.

Yang, X., Huang, K., Yang, D., Zhao, W., & Zhou, X. (2024). Biomedical big data technologies, applications, and challenges for precision medicine: a review. Global Challenges, 8(1), 2300163. https://doi.org/10.1002/gch2.202300163

Yu, B., Jia, P., Huang, Y. L., Zhou, J. M., Xie, T., Yu, J., ... & Yang, S. J. (2022). Self-efficacy as a crucial psychological predictor of treatment adherence among elderly people living with HIV: analyses based on the health belief model. AIDS care, 34(8), 1041-1047. https://doi.org/10.1080/09540121.2021.1938964

Downloads

Published

2025-03-19