Adherence to treatment has become a key element in making interventions effective. There have been multiple attempts to define adherence (García del Castillo, García del Castillo-López, and López-Sánchez, 2014). From a medical perspective, it can be understood as the extent to what the user implements and takes into account the prescriptions made by the doctor based on the diagnosis (Sabaté, 2003). It is a multidimensional concept that comprises several elements, such as attendance, retention and participation.
Preventive and socio-educative interventions cannot be compared to medical treatments, however, there are possibilities to examine the adherence of a programme and understand it from the point of view of social and educative interventions.
Few studies in the literature report data on adherence, and those are incomplete, focusing only in variables such as the retention of participants (García del Castillo et al., 2014; Gearing et al., 2014), which is one of the three main aspects that comprise adherence.
The lack of participants’ adherence in preventive interventions has implications on their motivation and, mainly, on the results obtained through the intervention. In fact, the lack of adherence can seriously affect the whole programme, its effectiveness and credibility (Aarons, Hurlburt, and Horwitz, 2011; Allen, Linnan, and Emmons , 2012).
There are just a few studies in the literature that recognise the importance of examining the influence of the adherence variable on their interventions, therefore, there is very little or no record whatsoever of its effects in preventive interventions (the impact on preventive measures), which can be considered a weakness.
Guyll, Spoth and Cornish (2012) defend the comprehensive study of adherence due to the innumerable benefits associated with the actual implementation by participants of the intervention guidelines. These authors found that adherence to treatment improves the extent of prevention in health, increases the quality of life, improves motivation and retention of participants, and also has important implications regarding the costs-benefit analysis. Therefore, these and other authors maintain that the analysis of adherence to preventive strategies must be carried out systematically in studies.
Improving adherence is a frequent concern among technical managers and implementers, since lack of participation, abandonment, etc., pose a serious threat to the success of programs (Axford, Lehtonen, Tobin, Kaoukji, and Berry, 2012; Byrnes, Miller, Aalborg, Plasencia, and Keagy, 2010; Gearing et al., 2014; Spoth and Redmond, 2002).
The main objective of this study is to analyse the adherence to the family prevention programme “Programa de Competencia Familiar 11-14- Universal”, which is a six-sessions training programme for families (parents and children) to enhance the family dynamics, social skills and to prevent drug use and abuse in pre-adolescents. More specifically, in this study we analyse the retention level, the attendance level and the quality of the participation of the family members during the sessions and throughout the course, considering the differences found among sex and family profiles.