Welcome to The Library.

Adherence-Inspired Tools for the Next Generation of Behavioral Health Research

The exploratory, hypothesis-generating tools within the Library are part of the Behavioral Adherence Series™ and are available for academic use. At Adherence, we believe that if you can measure behavior, you can manage outcomes. That principle is the foundation of The Library: an ever-expanding suite of behavioral assessment instruments.

Early development drew upon the lessons of legacy adherence scales, which offered structure but often asked questions in the present tense, inviting respondents to answer with what they hoped or intended to do rather than what they had actually done. This tendency produced responses colored by optimism and self-presentation, rather than by the realities of lived behavior. The Library moves past that limitation by centering its instruments on concrete, behaviorally anchored responses that more faithfully capture patterns of action, disruption, and adaptation.

Today, The Library is envisioned as a forward-looking platform for adherence innovation. It houses condition-targeted tools designed to reflect the full complexity of behavior across domains such as smoking cessation, diet, exercise, mental health, and caregiving. Each instrument is developed with psychometric rigor, cultural sensitivity, and adaptability in mind, ensuring that what is measured is not an aspirational version of adherence but the behavioral truth as it unfolds over time.

Powered by Innovation
The Library’s strength comes not only from its psychometric foundation but also from its integration with emerging technologies:

ZOË™: Our voice-powered, AI-delivered adherence interview interface that enables real-time, inclusive assessments even in low-access environments.

ATLAS™: A geospatial adherence platform that maps behavioral patterns, identifies hotspots of fragility, and enables precision public health through community-level visualization.

 BSA-8™: A novel behavioral snapshot tool that captures real-time adherence patterns, identifying routine disruptions, situational triggers, and emotion-driven variability. 

BAS-8™: A novel tool for measuring adherence stability, capturing disruptions, triggers, and emotional volatility over time.

BFS™ (Behavioral Fragility Score): A composite index that combines BAS-8™ with the BSA-8™ to classify adherence phenotypes and forecast behavioral risk before it manifests in outcomes.

This new generation of tools builds on the broader tradition of structured behavioral measurement while extending into the next era of adherence science.

A Living Behavioral System
The Library is more than a collection, it is a living behavioral system reflecting how adherence manifests in the real world. Each tool is adaptable, exploratory, and built for pilot studies, digital interventions, and global programs. Whether you are running a precision health trial or designing a remote therapeutic monitoring platform, The Library offers a flexible architecture for making behavior visible, quantifiable, and actionable.

Because patient behavior extends far beyond the clinic, each tool includes guidance for culturally sensitive translation and international validation. This ensures that the instruments can move fluidly across languages, cultures, and contexts without compromising psychometric integrity.

Join the Research Community
The Library is available for academic and non-commercial use under appropriate permissions. We welcome exploratory pilots, derivative tool development, and real-world validation studies.

If you are a researcher, student, health innovator, or behavioral scientist working at the intersection of data, design, and delivery, we invite you to explore The Library and help shape the next chapter of adherence science.