MEDICATION ADHERENCE
ASSESSMENT
Medication nonadherence is a serious problem that not only affects the patient but also the health care
system. Therefore, it’s important to help your patients understand that poor medication adherence can lead to:
• Unnecessary disease progression and complications, • Waste of medication.
even death. • Increased use of expensive or specialized medical
• Reduced functional abilities and quality of life. resources, such as nursing homes or hospital admissions.
• Additional medical costs and doctor visits.
Use these abbreviated questions from Simplified Medication Adherence Questionnaire (SMAQ)1,2 to take a quick assessment
of a patient’s adherence to their current treatment plan.
1. Do you ever forget to take your medication? 6. Over the past 3 months, how many days did you not
take any medication at all?
c No
c Yes If so, how often?
7. Do you ever have difficulty affording your medication?
2. When you’re feeling better, do you ever stop taking c No
your medications? c Yes If so, how often?
c No
c Yes If so, how often?
8. Are there any other reasons preventing you from
taking your medication as prescribed?
3. Does the medication ever make you feel worse? c No
c No c Yes If so, what are they?
c Yes If so, do you stop taking it?
4. Did you skip taking your medication during the last
seven days?
If a patient is found nonadherent to treatment,
c No
it’s important to work together with their
c Yes If so, how often?
pharmacy to create an intervention plan.
The plan should include customized guidance strategies,
such as medication-focused counseling, motivational
5. Have you ever forgotten to take your medication interviewing and customized services, such as pillboxes,
during the weekend? medication cards, calendars, coordinated refills and
c No better follow-up.
c Yes
Knobel et al. Validation of a simplified medication adherence questionnaire in a large cohort of
1
HIV-infected patients: the GEEMA Study. AIDS 2002, 16:605-613. © Copyright 2023 American Heart Association, Inc., a 501(c)(3)
Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of
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not-for profit. All rights reserved. American Stroke Association is a registered
medication adherence. Med Care 1986, 24:67-74. trademark of the AHA. Unauthorized use prohibited. WF130350 3/23