Patient compliance with NAFLD: what can we do to improve it? A review

The problem of adherence to doctor's recommendations remains relevant at the present time. Moreover, in the last decade, this problem has become the object of scientific and practical research not only in medicine, but also in clinical psychology. The problem of compliance acquires a special ro...

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Main Authors: Vadim A. Akhmedov, Maria A. Livzan
Format: Article
Language:Russian
Published: ZAO "Consilium Medicum" 2025-01-01
Series:Consilium Medicum
Subjects:
Online Access:https://consilium.orscience.ru/2075-1753/article/viewFile/680999/202689
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author Vadim A. Akhmedov
Maria A. Livzan
author_facet Vadim A. Akhmedov
Maria A. Livzan
author_sort Vadim A. Akhmedov
collection DOAJ
description The problem of adherence to doctor's recommendations remains relevant at the present time. Moreover, in the last decade, this problem has become the object of scientific and practical research not only in medicine, but also in clinical psychology. The problem of compliance acquires a special role in such a multidisciplinary problem as non-alcoholic fatty liver disease (NAFLD). The development of a management strategy for this group of patients requires careful patient compliance with recommendations not only for prescribed medication, but also for long-term dieting and regular physical activity. The presented review article provides evidence that the low compliance of patients with NAFLD is a serious problem that requires a comprehensive solution. Unfortunately, for the most part, the use of traditional methods to increase compliance is often ineffective. Currently, innovative, patient-oriented approaches based on the principles of behavioral psychology and modern technologies, including telemedicine, the use of comics for patients of different ages, online bulletin boards, psychological testing, and simplification of treatment regimens are used to increase compliance of patients with NAFLD to diet, exercise, and medication. The use of the technologies described in the article can significantly affect compliance by changing the approach of doctors to communication and interaction with the patient, even within the framework of a standard appointment, so that the patient becomes an ally in treatment with a clear understanding of why he follows each suggested recommendation.
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spelling doaj-art-972f46d099d44ca5bd307c33e17243252025-08-20T03:44:28ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702025-01-0127528629510.26442/20751753.2025.5.2032644967Patient compliance with NAFLD: what can we do to improve it? A reviewVadim A. Akhmedov0Maria A. Livzan1https://orcid.org/0000-0002-6581-7017Omsk State Medical UniversityOmsk State Medical UniversityThe problem of adherence to doctor's recommendations remains relevant at the present time. Moreover, in the last decade, this problem has become the object of scientific and practical research not only in medicine, but also in clinical psychology. The problem of compliance acquires a special role in such a multidisciplinary problem as non-alcoholic fatty liver disease (NAFLD). The development of a management strategy for this group of patients requires careful patient compliance with recommendations not only for prescribed medication, but also for long-term dieting and regular physical activity. The presented review article provides evidence that the low compliance of patients with NAFLD is a serious problem that requires a comprehensive solution. Unfortunately, for the most part, the use of traditional methods to increase compliance is often ineffective. Currently, innovative, patient-oriented approaches based on the principles of behavioral psychology and modern technologies, including telemedicine, the use of comics for patients of different ages, online bulletin boards, psychological testing, and simplification of treatment regimens are used to increase compliance of patients with NAFLD to diet, exercise, and medication. The use of the technologies described in the article can significantly affect compliance by changing the approach of doctors to communication and interaction with the patient, even within the framework of a standard appointment, so that the patient becomes an ally in treatment with a clear understanding of why he follows each suggested recommendation.https://consilium.orscience.ru/2075-1753/article/viewFile/680999/202689non-alcoholic fatty liver diseasecomplianceadherencedietrecommendationstreatment
spellingShingle Vadim A. Akhmedov
Maria A. Livzan
Patient compliance with NAFLD: what can we do to improve it? A review
Consilium Medicum
non-alcoholic fatty liver disease
compliance
adherence
diet
recommendations
treatment
title Patient compliance with NAFLD: what can we do to improve it? A review
title_full Patient compliance with NAFLD: what can we do to improve it? A review
title_fullStr Patient compliance with NAFLD: what can we do to improve it? A review
title_full_unstemmed Patient compliance with NAFLD: what can we do to improve it? A review
title_short Patient compliance with NAFLD: what can we do to improve it? A review
title_sort patient compliance with nafld what can we do to improve it a review
topic non-alcoholic fatty liver disease
compliance
adherence
diet
recommendations
treatment
url https://consilium.orscience.ru/2075-1753/article/viewFile/680999/202689
work_keys_str_mv AT vadimaakhmedov patientcompliancewithnafldwhatcanwedotoimproveitareview
AT mariaalivzan patientcompliancewithnafldwhatcanwedotoimproveitareview