For registration please Click here and complete the EAST Application Form

And send it to Eveline: This email address is being protected from spambots. You need JavaScript enabled to view it.


EAST is a Coaching Communication based training for healthcare professionals.

It focuses on practical skills that increase patient adherence to medication and treatment.

EAST has been accredited by the ICF (International Coaching Federation) as a Continuing Coaching Education program and its participants that are ICF members receive 12.75 CCEUs (Continuing Coaching Education Unites) from the ICF.

It has also been Accredited by the Irish Nursing and Midwifery Board of Ireland with 13 CCE’s.

The IIOP recognizes the accreditation by other bodies such as the ICF (International Coaching Federation) as relevant Pharmacists CPD

Our vision is to bring E.A.S.T. to all health care professionals and offer added value to the practice of Patient Centered Medicine all around the globe

When considering the extent and burden of non-adherence we discover that the statistics are frightening:

  • 33% of all prescriptions are NEVER filled (according to a Canadian Study from 2014 published in Annals of Internal Medicine – 15,000 patients across a range of conditions. Lead author, Robyn Tamblyn, a professor of medicine at Mc Gill University in Montreal).
  • 50% of people that fill their prescriptions, discontinue their treatment within the first 6 months (Choudhry 2011, N Engl J Med; Year 2009, J Manag Care Pharm; Script Your Future press release, November 2, 2011; accessed here:
  • 33%-69% of ALL medication related hospital admissions in USA are due to poor medication adherence (Benner JS, Glynn RJ, Mogun H, Neumann PJ, Weinstein MC, Avorn J. Long-term persistence in use of statin therapy in elderly patients. JAMA 2002; 288:455-461).
  • The yearly cost of poor medication adherence for EU governments stands on - 125 BILLION euro (Medi-Voice Project).
  • Each year, 200,000 Europeans die prematurely due to non-adherence (Medi-Voice Project).


Here some articles and data on this subject:

Pharmacist Communication Shown to Increase Medication Adherence and Reduce Errors

Click to Read

Communication Skills are Essential for Pharmacists & Medication Adherence

Click to Read

Communication and Medication Adherence: The Diabetes Study of Northern California

Click to Read

Physician Communication and Patient Adherence to Treatment: A Meta-analysis

Click to Read

Diabetes Health Coaching Improves Medication Adherence: A Pilot Study

Click to Read

Integrative Health Coaching for Patients with Type 2 Diabetes: A Randomized Clinical Trial

Click to Read

The impact of health coaching on medication adherence in patients with poorly controlled diabetes, hypertension, and/or hyperlipidemia: a randomized controlled trial

Click to Read

Health Coaching to Improve Healthy Lifestyle Behaviors: An Integrative Review

Click to Read

All these articles indicate that the efficiency of treatment is profoundly influenced by the Health Care Professionals engagement at the time of prescribing and administrating treatment.

Therefore, investment in clinical communication skills is critical to raise adherence rates.

 Effective Adherence Skills Training (E.A.S.T.)

Medicine perceives Adherence as the tenacity that patients need to achieve to persevere with a therapeutic regimen.
The success of Adherence depends on four factors:

  • The patient's understanding of the medical treatment and strategy
  • The patient's understanding of the importance of adherence
  • The patient's perception of his/her barriers to adherence
  • The Patient's need to make lifestyle changes in order to accommodate the recommended regimen of treatment

All of the above are a direct result of effective communication between the patient and their healthcare professional.


The EAST Program provides practical communication skills which create effective adherence with patients.

 It addresses the following key concepts:

  1. Understanding Adherence, Compliance and Concordance
  2. Understanding the Process of Change
  3. Creating a Medical Alliance (Re-framing The Healthcare Professional-Patient Relationship)
  4. Working with a Health Vision and setting health goals
  5. Working with patients' resistance
  6. Structuring a clear medical message
  7. Facilitating Medical Literacy

Learning Objectives: at the end of this training participants will be able to:

  1. Support patients in setting health goals and creating a health vision
  2. Distinguish between Behavior Centered Adherence and the Communication Centered Adherence
  3. Create authentic rapport with patients in less than 5 minutes
  4. Identify the 5 thought structures in patients
  5. Apply the “6 step Adherence Model” with patients
  6. Use the key skills to create a "Medical Alliance"

This model improves the quality of the Healthcare Professional – Patient relationship, resulting in increased adherence.
This is a two-day classroom based training, which includes a combination of lectures, audio-visual, demonstrations, discussions and ‘hands on’ practice and feedback aimed to enhance the transfer of knowledge and skill into practice.
Target audience: health care professionals, doctors, nurses, pharmacists, therapists.

MCI developed E.A.S.T. - Effective Adherence Skills Training

after many years of working with Health Care Teams.



ICF Accredited (International Coach Federation): 12.5 CCeu's

NMBI Accredited (Nursing and Midwifery Board of Ireland): 13 CEU's




For registration please Click here and complete the EAST Application Form

And send it to Eveline: This email address is being protected from spambots. You need JavaScript enabled to view it.

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