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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Consilium Medicum</journal-id><journal-title-group><journal-title xml:lang="en">Consilium Medicum</journal-title><trans-title-group xml:lang="ru"><trans-title>Consilium Medicum</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>Consilium Medicum</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-1753</issn><issn publication-format="electronic">2542-2170</issn><publisher><publisher-name xml:lang="en">Consilium Medicum</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">680999</article-id><article-id pub-id-type="doi">10.26442/20751753.2025.5.203264</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Patient compliance with NAFLD: what can we do to improve it? A review</article-title><trans-title-group xml:lang="ru"><trans-title>Комплаентность пациента с НАЖБП: что мы можем сделать для ее улучшения?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Akhmedov</surname><given-names>Vadim A.</given-names></name><name xml:lang="ru"><surname>Ахмедов</surname><given-names>Вадим Адильевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>D. Sci. (Med.), Prof.</p></bio><bio xml:lang="ru"><p>д-р мед. наук, проф., зав. каф. медицинской реабилитации дополнительного профессионального образования</p></bio><email>v_akhmedov@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6581-7017</contrib-id><name-alternatives><name xml:lang="en"><surname>Livzan</surname><given-names>Maria A.</given-names></name><name xml:lang="ru"><surname>Ливзан</surname><given-names>Мария Анатольевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>D. Sci. (Med.), Prof., Corr. Memb. RAMS</p></bio><bio xml:lang="ru"><p>чл.-кор. РАМН, д-р мед. наук, проф., ректор, зав. каф. факультетской терапии, гастроэнтерологии</p></bio><email>mlivzan@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Omsk State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Омский государственный медицинский университет» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-05-15" publication-format="electronic"><day>15</day><month>05</month><year>2025</year></pub-date><volume>27</volume><issue>5</issue><issue-title xml:lang="en">Gastroenterology</issue-title><issue-title xml:lang="ru">Гастроэнтерология</issue-title><fpage>286</fpage><lpage>295</lpage><history><date date-type="received" iso-8601-date="2025-05-29"><day>29</day><month>05</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-05-30"><day>30</day><month>05</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://consilium.orscience.ru/2075-1753/article/view/680999">https://consilium.orscience.ru/2075-1753/article/view/680999</self-uri><abstract xml:lang="en"><p>The problem of adherence to doctor's recommendations remains relevant at the present time. Moreover, in the last decade, this problem has become the object of scientific and practical research not only in medicine, but also in clinical psychology. The problem of compliance acquires a special role in such a multidisciplinary problem as non-alcoholic fatty liver disease (NAFLD). The development of a management strategy for this group of patients requires careful patient compliance with recommendations not only for prescribed medication, but also for long-term dieting and regular physical activity. The presented review article provides evidence that the low compliance of patients with NAFLD is a serious problem that requires a comprehensive solution. Unfortunately, for the most part, the use of traditional methods to increase compliance is often ineffective. Currently, innovative, patient-oriented approaches based on the principles of behavioral psychology and modern technologies, including telemedicine, the use of comics for patients of different ages, online bulletin boards, psychological testing, and simplification of treatment regimens are used to increase compliance of patients with NAFLD to diet, exercise, and medication. The use of the technologies described in the article can significantly affect compliance by changing the approach of doctors to communication and interaction with the patient, even within the framework of a standard appointment, so that the patient becomes an ally in treatment with a clear understanding of why he follows each suggested recommendation.</p></abstract><trans-abstract xml:lang="ru"><p>Проблема приверженности пациента рекомендациям врача остается актуальной в настоящее время. Более того, в последнее десятилетие данная проблема стала объектом научно-практических исследований не только в медицине, но и в клинической психологии. Особую роль проблема комплаентности приобретает при такой мультидисциплинарной проблеме, как неалкогольная жировая болезнь печени (НАЖБП). Стратегия ведения рассматриваемой группы пациентов требует тщательного соблюдения ими рекомендаций по назначенному медикаментозному лечению, а также диеты и регулярной физической активности. В обзорной статье приводятся данные о том, что низкая комплаентность пациентов с НАЖБП – серьезная проблема, требующая комплексного решения. Применение традиционных методов повышения комплаентности зачастую не эффективно. Для повышения приверженности лечению пациентов с НАЖБП используют инновационные, пациент-ориентированные подходы, основанные на принципах поведенческой психологии и технологиях, таких как телемедицина, комиксы для пациентов разных возрастов, онлайн-доски объявлений, психологическое тестирование, упрощение схем лечения. Применение описанных в статье технологий может оказать существенное влияние на комплаентность, изменив подход врачей к коммуникации и взаимодействию с пациентом, причем даже в рамках стандартного приема, превращая пациента в союзника на длительном пути лечения НАЖБП с четким осознанием цели, ради которой он соблюдает каждую предложенную рекомендацию.</p></trans-abstract><kwd-group xml:lang="en"><kwd>non-alcoholic fatty liver disease</kwd><kwd>compliance</kwd><kwd>adherence</kwd><kwd>diet</kwd><kwd>recommendations</kwd><kwd>treatment</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>неалкогольная жировая болезнь печени</kwd><kwd>компланентность</kwd><kwd>приверженность</kwd><kwd>диета</kwd><kwd>рекомендации</kwd><kwd>лечение</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Aronson JK. Compliance, concordance, adherence. Brit J Clinical Pharma. 2007;63(4):383-8. 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