{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T23:08:09Z","timestamp":1778540889521,"version":"3.51.4"},"reference-count":92,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T00:00:00Z","timestamp":1677024000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","award":["UIDB\/05704\/2020"],"award-info":[{"award-number":["UIDB\/05704\/2020"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","award":["UIDP\/05704\/2020"],"award-info":[{"award-number":["UIDP\/05704\/2020"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","award":["CEECINST\/00051\/2018"],"award-info":[{"award-number":["CEECINST\/00051\/2018"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["UIDB\/05704\/2020"],"award-info":[{"award-number":["UIDB\/05704\/2020"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["UIDP\/05704\/2020"],"award-info":[{"award-number":["UIDP\/05704\/2020"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["CEECINST\/00051\/2018"],"award-info":[{"award-number":["CEECINST\/00051\/2018"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Patient therapeutic adherence lies at the core of mental health care. Health Care professionals and organizations play a major role in promoting adherence among people with mental disorders. However, defining therapeutic adherence remains complex. We used Rodgers\u2019 evolutionary concept analysis to explore the concept of therapeutic adherence in the context of mental health. We conducted a systematic literature search on Medline\/PubMed and CINAHL for works published between January 2012 and December 2022. The concept analysis showed that major attributes of therapeutic adherence include patient, microsystem and meso\/exosystem-level factors. Antecedents are those related to patients, such as their background, beliefs and attitudes, and acceptance of mental illness\u2013and those related to patient-HCP therapeutic engagement. Lastly, three different consequences of the concept emerged: an improvement in clinical and social outcomes, commitment to treatment, and the quality of healthcare delivery. We discuss an operational definition that emerged from the concept analysis approach. However, considering the concept has undergone evolutionary changes, further research related to patient adherence experiences in an ecological stance is needed.<\/jats:p>","DOI":"10.3390\/ijerph20053869","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T02:57:38Z","timestamp":1677034658000},"page":"3869","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","sequence":"first","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), University of \u00c9vora, 7000-801 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5058-525X","authenticated-orcid":false,"given":"Daniel","family":"Carvalho","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"Hospital Center of Leiria\u2013Hospital de Santo Andr\u00e9, R. de Santo Andr\u00e9, 2410-197 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2900-3972","authenticated-orcid":false,"given":"Olga","family":"Valentim","sequence":"additional","affiliation":[{"name":"Group Innovation & Development in Nursing (NursID), Center for Health Technology and Services Research (CINTESIS@RISE), 4200-450 Porto, Portugal"},{"name":"Nursing School of Lisbon (ESEL), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"},{"name":"Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5076-0612","authenticated-orcid":false,"given":"L\u00eddia","family":"Moutinho","sequence":"additional","affiliation":[{"name":"Group Innovation & Development in Nursing (NursID), Center for Health Technology and Services Research (CINTESIS@RISE), 4200-450 Porto, Portugal"},{"name":"Nursing School of Lisbon (ESEL), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"},{"name":"Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"}]},{"given":"T\u00e2nia","family":"Morgado","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Group Innovation & Development in Nursing (NursID), Center for Health Technology and Services Research (CINTESIS@RISE), 4200-450 Porto, Portugal"},{"name":"Pediatric Hospital, Coimbra Hospital and University Centre, R. Dr. Afonso Rom\u00e3o, 3000-602 Coimbra, Portugal"},{"name":"The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3713-3352","authenticated-orcid":false,"given":"Catarina","family":"Tom\u00e1s","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"Group Innovation & Development in Nursing (NursID), Center for Health Technology and Services Research (CINTESIS@RISE), 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4459-4950","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Gomes","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Hospital Center of Leiria\u2013Hospital de Santo Andr\u00e9, R. de Santo Andr\u00e9, 2410-197 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-773X","authenticated-orcid":false,"given":"Ana","family":"Querido","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"Group Innovation & Development in Nursing (NursID), Center for Health Technology and Services Research (CINTESIS@RISE), 4200-450 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,22]]},"reference":[{"key":"ref_1","unstructured":"Institute of Health Metrics and Evaluation (2022, December 22). 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