Skip to main content
. 2021 Oct 4;56(Suppl 1):990–1005. doi: 10.1111/1475-6773.13857

TABLE 2.

Vocabulary of engagement‐related terms and definitions

Term Context Definition
Adherence Individual The extent to which a person's behavior—taking medication, following a diet and/or executing lifestyle changes, corresponds with recommendations from a health care provider. 1 , 14
Activation Individual Understanding one's role in the care process and having the knowledge, skill, and confidence to manage one's health and health care. 15
Compliance Individual Voluntary cooperation of the patient in following a prescribed regimen. 16 , 17
Empowerment Individual “A process through which people gain greater control over decisions and actions affecting their health” (per the World Health Organization) 18 ; a person's increased desire, ability, and confidence to participate in their own care. 19
Engagement Individual, dyadic, organizational, and policy As defined by the Agency for Healthcare Research and Quality: “A set of behaviors by patients, family members, and health professionals and a set of organizational policies and procedures that foster both the inclusion of patients and family members as active members of the health care team and collaborative partnerships with providers and provider organizations.” 13
Involvement and participation Individual, dyadic, organizational, and policy Inclusion of persons receiving care in decisions about their care. 1
Co‐production of health Individual, dyadic, organizational, and policy The concept that patients and professionals necessarily co‐create health and health outcomes; a democratizing conceptualization of health care that views it as a service co‐created by patients (users) and professionals as two sets of experts, rather than as a manufactured good produced by professionals and consumed by patients. 20

Source: Terms and categorization of context are adapted from Menichetti 1 and Higgins. 21