Welcome to The Library

At Adherence, we believe that when you can measure adherence, you can manage it. That simple but powerful idea is the foundation of The Library; our curated, ever-evolving suite of condition-specific and behavior-focused tools built upon the validated Morisky Medication Adherence Scale (MMAS) framework.

The Library is more than a repository. It’s a launchpad. Originally anchored in the clinical rigor of the MMAS-4 and MMAS-8. These are validated tools for measuring medication adherence in chronic conditions like diabetes and hypertension. The Library now opens the door to a broader landscape of behaviors and health journeys. Whether you’re exploring adherence in smoking cessation, mental health, diet, exercise, or caregiving, these tools offer structured assessments designed to reflect real-world behavior, not just intention.

What makes The Library so powerful is its adaptability. Each tool is designed to reflect the specific behavioral and emotional dynamics of a particular condition or population. They’re exploratory by design, offering researchers and implementation teams a starting point for hypothesis generation, adaptation, and ultimately, validation. From early-stage pilots to global health initiatives, The Library provides a framework that is scientifically sound yet flexible enough to meet the complexity of human behavior.

And because we understand that behavior isn’t bound by borders or language, every tool comes with clear guidance for culturally sensitive translation and psychometric validation. We’ve worked to ensure that the tools can be used across diverse populations without sacrificing accuracy or relevance.

The Library is also built to evolve alongside innovation. It integrates with ZOË, our AI-powered, voice-delivered MMAS experience that removes the barriers of smartphones, apps, or screen time. For those seeking a higher-level view, The Library connects with ATLAS, our geospatial adherence mapping platform that visualizes community-level trends and identifies hotspots of behavioral risk.

This ecosystem makes The Library not just a set of tools, but a living system—one that helps researchers, clinicians, and public health leaders measure what matters most: consistency, intention, follow-through, and the voice of the patient. Whether you're launching a digital intervention, running a local pilot, or building the next global adherence study, The Library is here to make behavior visible and measurable.

The MMAS Library is open for academic, non-commercial use under appropriate licensing. We encourage pilot studies, validation efforts, and cross-disciplinary exploration. If you are a researcher, student, or health system innovator, we invite you to explore, adapt, and contribute.

Together, we can redefine what it means to listen to the patient.

Contact us to learn more or request a Letter of Permission.