biostudies-literatureUnknown6(1)Tugaut BObservia<h4>Background</h4>Long-term treatment adherence is a worldwide concern, with nonadherence resulting from a complex interplay of behaviors and health beliefs. Determining an individual's risk of nonadherence and identifying the drivers of that risk are crucial for the development of successful interventions for improving adherence. Here, we describe the development of a new tool assessing a comprehensive set of characteristics predictive of patients' treatment adherence based on the Social, Psychological, Usage and Rational (SPUR) adherence framework. Concepts from existing self-reporting tools of adherence-related behaviors were identified following a targeted MEDLINE literature review and a subset of these concepts were then selected for inclusion in the new tool. SPUR tool items, simultJournal of patient-reported outcomes61https://www.ebi.ac.uk/biostudies/studies/S-EPMC9170867biostudies-literatureDevelopment of the SPUR tool: a profiling instrument for patient treatment behavior.PMC9170867Tugaut BRebibo Seror HLee AWells JHubert GLaporte MEShah SPiette JDNabec LDolgin KArnould BKayyali RfalseDevelopment of the SPUR tool: a profiling instrument for patient treatment behavior.<h4>Background</h4>Long-term treatment adherence is a worldwide concern, with nonadherence resulting from a complex interplay of behaviors and health beliefs. Determining an individual's risk of nonadherence and identifying the drivers of that risk are crucial for the development of successful interventions for improving adherence. Here, we describe the development of a new tool assessing a comprehensive set of characteristics predictive of patients' treatment adherence based on the Social, Psychological, Usage and Rational (SPUR) adherence framework. Concepts from existing self-reporting tools of adherence-related behaviors were identified following a targeted MEDLINE literature review and a subset of these concepts were then selected for inclusion in the new tool. SPUR tool items, simult2022-01-01T00:00:00Z2022 Jun2025-04-22T06:04:56.431Z2025-04-05T21:36:58.366ZS-EPMC91708673566640510.1186/s41687-022-00470-x