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In summary, these general interventions have not been
targeted to patient adherence patterns or to patient-reported reasons for poor adherence.
They have been global strategies that have been put in place regardless of the nature of
the patient's problems, but looking at poor adherence as a single kind of phenomenon. They
have unfortunately, all of them - whether dietary exercises or pharmaco-therapy - used
outcome measures that we would not consider particularly reliable or accurate. They have
used self-report measures and have used very few randomized controlled studies. |