To improve osteoporosis medication adherence, which approach is recommended?

• A. Avoid reminders
• B. Review refill history, pill counts, and involve family or caregivers
• C. Complicate regimens
• D. Rely only on patient memory

Answer: (B)

Monitoring and social support are essential for improving osteoporosis medication adherence. Reviewing refill history helps spot patterns where doses are missed or refills are delayed, signaling when an intervention is needed. Pill counts provide a concrete check on how much medication has actually been taken over a period, giving a clearer picture than memory alone. Involving family members or caregivers creates a supportive network that can offer reminders, assist with obtaining refills, and help monitor dosing, all of which reduce barriers and keep the patient on a steady treatment routine. This approach directly tackles practical and behavioral challenges that often derail adherence. Avoiding reminders, increasing regimen complexity, or relying only on memory tend to worsen consistency because they remove external cues and practical support.