Document Type: Original Article
Department of Health Sciences, Mid Sweden University, Östersund, Sweden
Sahlgrenska Academy at the University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden
Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
Background: Adherence to treatment is a process that begins with alertness about the disease and has
to end with staying in treatment. It is a concern to all health care disciplines. The aim of this study was
to explore the experience of adherence to treatment patients with chronic diseases.
Methods: This qualitative study was conducted during a period of 6 months in Golestan province in
Iran in 2017. In-depth semi-structured interviews were done with a purposive sample of 15 patients
with chronic disease (i.e. Chronic renal failure (CRF), Hypertension (HTN), Multiple sclerosis (MS)
and Diabetes). Data were analyzed using qualitative content analysis in MAXQDA Software.
Results: The analysis of the data in this study led to the development of ten subthemes and four
themes emerged as follows: motivation, cohesion, commitment and empowerment which are necessary
components for adherence to treatment in patients. “Moving from alertness to persistence” emerged
as the main theme.
Conclusion: The findings of the study offer helpful insights into the concept of adherence to treatment
and its components for health care providers, which can be used to develop the best possible care plan
and may help health care providers to support the patients to have an active role for following treatment
rather than just doing it.