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Welcome to The Library.


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

The tools within the Library are part of the Behavioral Adherence Series™ and are available for academic and exploratory use. At Adherence Cartography, we believe that if you can measure behavior, you can manage outcomes. This principle is the foundation of The Library: a continuously expanding suite of instruments designed to reveal the hidden dynamics of human adherence.


Early scales offered structure but often captured what people intended to do rather than what they actually did. Optimism, self-presentation, and aspirational responses masked the realities of lived behavior. The Library moves beyond this limitation by centering on concrete, behaviorally anchored responses that faithfully track patterns of action, disruption, and adaptation over time.


Today, The Library is a forward-looking platform for behavioral science. It houses condition-specific instruments across domains including smoking cessation, diet, exercise, mental health, and caregiving. Each tool is developed with psychometric rigor, cultural sensitivity, and adaptability, ensuring that what is measured reflects behavioral truth rather than intention or perception.


Powered by Innovation

The Library’s strength comes from its integration with cutting-edge technology and the Cartographic Behavioral Framework:


  • ZOË™: A voice-powered, AI-delivered adherence interview interface enabling 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.
     
  • BASE™: Captures the foundational architecture of adherence, revealing the structural stability or vulnerability of behavioral routines.
     
  • MVMT™: Measures micro-variability, highlighting day-to-day disruptions, situational triggers, and emotional fluctuations in adherence.
     
  • STRATA™: Integrates behavioral data over time to forecast trajectories, classify adherence phenotypes, and identify points of potential risk before clinical outcomes are affected.
     

This new generation of tools extends structured behavioral measurement into the era of living, predictive adherence science.


A Living Behavioral System

The Library is more than a collection of instruments. It is a living behavioral system that reflects how adherence manifests in the real world. Each tool is adaptable, exploratory, and designed for pilot studies, digital interventions, and global programs. Whether conducting precision health trials, designing remote therapeutic monitoring, or evaluating population-level interventions, The Library provides a flexible architecture to make behavior visible, quantifiable, and actionable.


Because patient behavior extends far beyond clinical settings, all tools include guidance for culturally sensitive translation and international validation. Instruments move fluidly across languages, cultures, and contexts without compromising psychometric integrity, ensuring global applicability.


Join the Research Community

The Library is available for academic and non-commercial use under appropriate permissions. We encourage 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, The Library offers an invitation to explore uncharted behavioral territory and shape the next chapter of adherence science.

EXPLORATORY HYPOTHESIS GENERATING

BAS-8 (pdf)Download
BSA-8 (pdf)Download
Alcohol Cessation BSA-8 (pdf)Download
Appointment Keeping BSA-8 (pdf)Download
Caregiver Geriatric BSA-8 (pdf)Download
Caregiver Pediatric BSA-8 (pdf)Download
Dietary Adherence BSA-8 (pdf)Download
Exercise Regimen BSA-8 (pdf)Download
Mental Health MH-BSA-8 (pdf)Download
Smoking Cessation BSA-8 (pdf)Download

OTHER

ISPOR translation best practices (pdf)Download

 

 

Copyright © 2023 Adherence. All Rights Reserved.
Adherence Cartography™, Behavioral Stability Assessment (BSA™,), Behavioral Adherence Score (BAS™), and Behavioral Stability Index (BSI™) are trademarks of Adherence Cartography.

MMAS®, MMAS-4™, MMAS-8™, Morisky Medication Adherence Scale™, and Morisky Scale™ are registered trademarks or trademarks owned by Dr. Donald E. Morisky.


health tech, digital health, telehealth, healthcare innovation, medical technology, ehealth, health informatics, remote patient monitoring, mhealth, telemedicine, patient engagement, wearable health devices, health app, ai in healthcare, telehealth solutions, virtual care, health tech startups, connected health, population health management, healthcare analytics, personalized medicine 

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Partnering to Expand Adherence in Bhutan’s Health System

Join us in advancing a national movement toward cartographic behavioral science and precision-guided adherence care.

Your support helps bring the BASE™, MVMT™, and STRATA™ frameworks to Bhutan’s health system in partnership with the Ministry of Health. Together, we are building the foundation for a behaviorally intelligent health infrastructure, equipping clinicians and policymakers to map, measure, and strengthen real-world treatment stability.


Your contribution directly advances evidence-based care, empowering Bhutan to lead in the next generation of global adherence innovation.
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