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The Morisky Scales consist of two subscales, unintentional and intentional non-adherence, that are coded as four dichotomous (yes/no) variables in the MMAS-4 and seven dichotomous variables with a 5-point Likert scale in the MMAS-8.
Intentional medication non-adherence is an active decision from the patient to take their medication as prescribed. This is a process in which a patient makes a rational decision based on the benefits of medication adherence compared to risks of medication non-adherence. Unintentional medication non-adherence is a passive process in which the patient does not adhere to how the medication is prescribed because they forget, don’t understand, or because of poor health literacy.
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7/2/2025 03:11:59 am
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AuthorMarty Morisky, MS CSP CSHM Archives
September 2026
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