Talent of the practitioner is irrelevant if the person receiving support (or the person responsible for delivering support) does not follow through with the plan. This is true in applied behavior analysis (ABA), medicine, and allied health-care services. The cost of nonadherence and related nonoptimized interventions is a major contributor to the overall cost of health care, estimated at $290–528 billion annually in the United States (New England Healthcare Institute, 2009; Watanabe, McInnis, & Hirsch, 2018). Although a topic of research in medicine for over 60 years, no gold standard for the enhancement of adherence has been demonstrated in any single population, disease condition, or therapeutic approach (Nieuwlaat et al., 2014; Rudd, 1979). Given the broad applicability of behavior analysis as a framework for understanding human behavior, and the need to recognize and address the problem of nonadherence in ABA (Allen & Warzak, 2000) we propose a systematic behavioral model for adherence and the development of strategies to enhance follow-through with individualized support plans.

如果获得支持的人员（或负责提供支持的人员）不遵守计划，则从业人员的才华无关紧要。在应用行为分析（ABA），医学和相关的医疗保健服务中都是如此。不坚持和相关的，未优化的干预措施的成本是卫生保健总体成本的主要贡献者，在美国，估计为每年290-528亿美元（新英格兰医疗保健研究所，2009； Watanabe，McInnis和Hirsch，2018）。尽管60多年来一直是医学研究的主题，但在任何单一人群，疾病状况或治疗方法中均未见任何用于提高依从性的金标准（Nieuwlaat等人，2014； Rudd，1979）。鉴于行为分析作为理解人类行为的框架具有广泛的适用性，