Threshold — Center for Behavior Consultants

Adherence Coaching

Patient Education Focus

Care plans only work when patients can live with them. AdM Coaching is Threshold Inc.'s behavior-based adherence coaching: applied behavior coaching that helps patients understand, follow, and stick with their care plans — improving follow-through and supporting better outcomes.

Nurse coaching a patient through their care plan
Healthcare coach explaining a care plan to a patient

Why patient education matters

Patients rarely ignore their care plans on purpose. Most struggle because the plan doesn't fit their daily life, they don't understand it fully, or nothing in their environment reinforces follow-through. Behavior-based patient education addresses all three: it teaches clearly, adapts to real routines, and builds the habits and motivation that keep patients engaged. That is how thoughtful education and behavior change build trust, improve follow-through, and support better outcomes — and fewer unplanned readmissions.

The Threshold AdM coaching method

AdM Coaches follow a practical, repeatable cycle. Every step looks at discharge plans from the patient's perspective — lasting adherence is built by identifying consequences and creating new habits. Discharge instructions alone do not change behaviors.

Assess patients on admission

Adherence starts with understanding, not lecturing. Coaches assess what the patient knows, what their daily environment makes easy or hard, and which barriers are actually driving non-adherence.

Step 1

Build a plan that fits the patient's life

Care plans work best when they fit patients' lives. The coach and patient shape the plan into specific, doable behaviors that fit the patient's routine, resources, and motivations.

Step 2

Coach in the moment

Coaches practice new health behaviors with patients, give immediate and specific feedback, and celebrate small wins — building confidence and trust with every session.

Step 3

Reinforce and follow through

Lasting change comes from consequences, not one-time instruction. Coaches design recognition, tracking, and follow-up that reinforce the behaviors patients need to keep — turning short-term effort into long-term habit.

Step 4

The ADM process at a glance

The Adherence Management (ADM) process is the framework behind every AdM coaching relationship. It maps how a coach moves a patient from admission to lasting habit — the same applied behavior sequence our consultants teach nurses and care teams.

Diagram of the Adherence Management (ADM) process, showing each stage from patient admission through lasting adherence
The Adherence Management (ADM) process

Build adherence that lasts

Threshold Inc.'s Adherence Management Coach Consultants teach an evidence-based, applied behavioral approach to health and wellness — regardless of the diagnosis. Start a conversation with your care team or patients in the Orlando area about Adherence Management Coaching.

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