“…Three of the nine studies were performed in academic settings with the aim of teaching quality improvement principles of CQI to students [2,4,21] . Six studies focused on healthy adults attempting to enhance personal lifestyle improvement such as studying, eating, exercise, work habits, and stress [2,3,4,21,23,44] . In the remaining three studies focusing on chronically ill adults, CSI was utilized to augment kidney transplantation immunosuppression medication adherence [38] , to decrease cardiac risk factors through weight loss [29] , and enhance medication adherence in people with inflammatory bowel disease [25] .…”