Table 1

WHO’s five dimensions affecting adherence to long-term therapy*

Social and economic relatedCharacteristics related to the patient’s economic and social position (eg, poverty, illiteracy, education level)
Healthcare team and system relatedAspects of the system and group of individuals providing condition-related care for the individual (eg, patient–provider relationship, medication distribution)
Therapy relatedFactors related to the treatment protocol (eg, medical regimen, treatment length)
Patient relatedResources, knowledge, attitudes, beliefs, perceptions, and expectations of the patient (eg, self-efficacy), forgetfulness, psychosocial stressors
Condition relatedParticular illness-related demands faced by the patient (eg, severity of symptoms, level of disability, rate of disease progression)
  • *Table adapted from content from WHO33 framework on adherence.