The phrase "actual adherence" is correct and usable in written English.
It can be used when discussing the genuine or real commitment to a rule, guideline, or principle.
Example: "The actual adherence to the safety protocols was evident during the inspection."
Alternatives: "true compliance" or "genuine commitment".
However, actual adherence rates are often far lower; most studies show that 40% to 60% of patients are <90% adherent.
Worry about potential heart disease was associated with actual adherence to guidelines, whereas worry about a potential cancer diagnosis was not.
Although adherence to published guidelines for the management of severe sepsis patients is known to lower mortality, actual adherence to these recommendations is low.
This study examined among recently diagnosed breast and prostate cancer survivors (N = 678) associations between worry about a future diagnosis of heart disease or cancer and hypothetical and actual adherence to exercise and dietary guidelines.
Prior studies have evaluated variability of care via surveys administered to physicians and providers at referring facilities [15, 16], but there has been little exploration into actual adherence of referring providers to pediatric DKA guidelines.
The lack of consistency in perceived and actual adherence to global security standards extends beyond airport security.
Adherence was calculated by using pharmacy refill dates, and we have no measure of actual patient adherence to the prescriptions they filled.
This meta-analysis compared self-reported and two methods which are more objective measures of ITN use to explore whether self-reports overestimate actual ITN adherence.
However, this measure has been found to be a useful proxy for actual medication adherence.
52 Fourth, ART prescribing only represents the receipt of one prescription over 18 months and may not reflect actual medication adherence.
Actual guideline adherence was assessed with quality indicators, defined as 'measurable elements of practice performance for which there is evidence or consensus that they can assess the quality of the care provided' [ 10].
