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Welcome to the Adherence Estimator - eHealth Initiative Estimator Kit...Welcome to the Adherence...

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Proceed to the survey Welcome to the Adherence Estimator ® This survey resource can help you identify patients who may be at risk for medication nonadherence. The Adherence Estimator has been validated for oral medications prescribed for certain chronic, asymptomatic conditions (eg, high cholesterol, diabetes). The Adherence Estimator has not been validated for symptomatic conditions (eg, asthma). For symptomatic conditions, even medications that should be taken continuously may be prescribed or taken on an as-needed basis.
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Page 1: Welcome to the Adherence Estimator - eHealth Initiative Estimator Kit...Welcome to the Adherence Estimator® This survey resource can help you identify patients who may be at risk

Proceed to the survey

Welcome to the Adherence Estimator®

This survey resource can help you identify patients who may be at risk for medication nonadherence. The Adherence Estimator has been validated for oral medications prescribed for certain chronic, asymptomatic

conditions (eg, high cholesterol, diabetes). The Adherence Estimator has not been validated for symptomatic conditions (eg, asthma). For symptomatic

conditions, even medications that should be taken continuously may be prescribed or taken on an as-needed basis.

Page 2: Welcome to the Adherence Estimator - eHealth Initiative Estimator Kit...Welcome to the Adherence Estimator® This survey resource can help you identify patients who may be at risk

The Adherence Estimator®

New Prescription SurveyYour doctor would like to know your thoughts and opinions about your new medicine. Please answer the following questions. There are no right or wrong answers.

Medication:

For each question, please touch the box that best describes how you feel about the medicine noted above.

I am convinced of the importance of my prescription medicine.

I worry that my prescription medicine will do more harm than good to me.

I feel financially burdened by my out-of-pocket expenses for my prescription medicine.

1

2

3

Agree completely

Agree mostly

Agree somewhat

Disagree somewhat

Disagree mostly

Disagree completely

Agree completely

Agree mostly

Agree somewhat

Disagree somewhat

Disagree mostly

Disagree completely

Agree completely

Agree mostly

Agree somewhat

Disagree somewhat

Disagree mostly

Disagree completely

subMIT

Page 3: Welcome to the Adherence Estimator - eHealth Initiative Estimator Kit...Welcome to the Adherence Estimator® This survey resource can help you identify patients who may be at risk

Thank You!Your health care professional will discuss your answers with you.

For the Health Care Professional

Page 4: Welcome to the Adherence Estimator - eHealth Initiative Estimator Kit...Welcome to the Adherence Estimator® This survey resource can help you identify patients who may be at risk

The Adherence Estimator®

Interpretation Guide

Agree completely

Agree completely

High

Medium Low Low

Medium Low

Agree mostly

Agree mostly

Agree somewhat

Agree somewhat

Disagree somewhat

Disagree somewhat

Disagree mostly

Disagree mostly

Disagree completely

Disagree completely

Total number of points

0

2–7

8–36

Low likelihood for nonadherence(>75% probability for adherence)

Medium likelihood for nonadherence(32%–75% probability for adherence)

High likelihood for nonadherence(<32% probability for adherence)

Patient’s concern that prescription medication will do more harm than good.

Patient’s belief that prescription medication is not affordable.

Concern

Cost$

Agree completely

Medium High

Agree mostly

Agree somewhat

Disagree somewhat

Disagree mostly

Disagree completely

Patient’s belief that prescription medication is necessary. Commitment!

?

If a patient falls into the medium or high categories, you can use the appropriate Response Card to help support your discussion.

Low

Copyright © 2016 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved.Adherence Estimator® is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA. Copyright © 2008 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved.

Adherence Estimator Kit: Interactive PDF English

NOND-1149757-0000 02/16


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