Interventions for Adherence Improvement in the Primary Prevention of Cardiovascular Diseases: Expert Consensus Statement

Sang Hyun Ihm, Kwang Il Kim, Kyung Jin Lee, Jong Won Won, Jin Oh Na, Seung Woon Rha, Hack Lyoung Kim, Sang Hyun Kim, Jinho Shin

Research output: Contribution to journalReview articlepeer-review

7 Citations (Scopus)


In primary prevention for cardiovascular diseases, there are significant barriers to adherence including freedom from symptoms, long latency for therapeutic benefits, life-long duration of treatment, and need for combined lifestyle changes. However, to implement more systematic approaches, the focus on adherence improvement needs to be shifted away from patient factors to the effects of the treatment team and healthcare system. In addition to conventional educational approaches, more patient-oriented approaches such as patient-centered clinical communication skills, counseling using motivational strategies, decision-making by patient empowerment, and a multi-disciplinary team approach should be developed and implemented. Patients should be involved in a program of self-monitoring, self-management, and active counseling. Because most effective interventions on adherence improvement demand greater resources, the health care system and educational or training system of physicians and healthcare staff need to be supported for systematic improvement.

Original languageEnglish
Article numbere10
JournalKorean Circulation Journal
Publication statusPublished - 2022 Jan 1

Bibliographical note

Publisher Copyright:
© 2022 Korean Society of Circulation. All rights reserved.


  • Cardiovascular diseases
  • Lifestyle factors
  • Motivational interviewing
  • Primary prevention
  • Treatment adherence and compliance

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine


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