Nonadherence in Individuals on Hemodialysis: A Discussion of Three Theories to Improve Adherence

Abstract

This paper explores three theories that can guide practice when working to improve the compliance of individuals on hemodialysis. The Theory of Planned Behavior (TPB), the Common-Sense Model (CSM), and Motivational Interviewing (MI) each offer insight into behavioral change and the internal processes of individuals. Each theory seeks to empower the individual and sees client involvement as critical to patient care and improved health-related outcomes. Understanding the tenants of these three theories can guide social work practice beyond education and the dissemination of health-related information in order to improve compliance.