Communication perspectives that emerged in the 1970s encouraged health care providers to try to
improve their skills in communicating with their patients.This led to emphasis being placed on the
importance of developing rapport, educating patients, employing good communication skills and stressing
the desirability of a more equal relationship between patient and health professional. Although this
approach has been shown to influence satisfaction with medical care, convincing data about its positive
effects on compliance are scarce (56). Adopting a warm and kind style of interaction with a patient is
necessary, but is insufficient in itself to effect changes in the adherence behaviours of patients