PE- PREDICITIVE EMERGENCE

Predictive Emergence (PE) is the core conceptual metric of Adherence Cartography, designed to transform multidimensional behavioral data into a forward-looking, actionable indicator of adherence potential. It synthesizes information across complementary behavioral domains to help clinicians, researchers, and health systems anticipate adherence patterns.

Behavioral Dimensions:

• BASE™ – Represents the stability of adherence routines and consistency of behavior.
   
• MVMT™ – Captures recent, observable adherence actions.
   
• STRATA™ – Reflects the social, relational, and resource context supporting adherence.
   

These domains interact within a structured, three-dimensional framework, creating a holistic view of a patient’s behavioral ecosystem.

• Integration of Domains: PE conceptually combines the three behavioral dimensions to provide a unified, interpretable measure of adherence potential.
   
• Intentional Considerations: The framework accounts for deliberate deviations in adherence, distinguishing between conscious choices and structural or situational limitations.
   
• Forward-Looking Metric: PE serves as a predictive indicator, estimating the likelihood that a patient’s adherence will continue under typical, real-world conditions.
   

• Predictive Insights: Identifies patients whose adherence may appear stable superficially but is vulnerable under stress or change.
   
• Tailored Interventions: Supports targeted clinical interventions by highlighting specific behavioral or contextual vulnerabilities.
   
• Population-Level Analysis: Enables health systems to stratify patients by behavioral risk and map adherence potential across cohorts.
   
• Research Utility: Facilitates longitudinal studies, trial stratification, and modeling of real-world outcomes based on integrated behavioral assessment.
   

1. Data Collection: Capture the patient’s behavioral and contextual scores.
    
2. Behavioral Mapping: Place the patient within a conceptual framework visualizing routine stability, recent behavior, and environmental support.
    
3. Predictive Assessment: Generate a forward-looking indicator of adherence potential.
    
4. Actionable Guidance: Inform interventions, coaching intensity, and monitoring priorities based on predicted behavioral fragility.
    

The Value of Predictive Emergence

PE is more than a single score — it represents a synthesis of behavioral stability, lived adherence, and environmental support. By integrating these dimensions into a concise, actionable indicator, PE empowers clinicians and systems to proactively manage adherence, improving outcomes before lapses occur.

Intellectual Property Notice:
PE and the Adherence Cartography framework are proprietary intellectual property of Philip Morisky. Unauthorized use, reproduction, or distribution is prohibited.