Exploring Medication Adherence Amongst Australian Adults Using an Extended Theory of Planned Behaviour

Liddelow, Caitlin; Mullan, Barbara; Novoradovskaya, Elizaveta

doi:10.1007/s12529-020-09862-z

Cited by 18 publications

(18 citation statements)

References 93 publications

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“…Current findings on the initiation of behavior are inconsistent with some previous studies and the theoretical hypothesis ( Duan et al, 2018 ; Zhang et al, 2019b ; Liddelow et al, 2020 ; Rhodes et al, 2021 ). Specifically, task self-efficacy, outcome expectations, risk perception, and attitude behavior did not significantly predict intention.…”

Section: Discussioncontrasting

confidence: 92%

“…The results of the integrated model showed that perceived behavioral control are determinants of behavioral intention and ULFE-IH. This is similar to the previous TPB studies on other health behaviors ( Strong et al, 2018 ; Liddelow et al, 2020 ). Therefore, we propose the following recommendations to enhance perceived behavioral control: Healthcare providers should (1) provide training to patients regarding breast cancer and functional exercises for the upper extremities, and (2) provide patients with access to appropriate resources and improve their ability to handle problems.…”

Section: Discussionsupporting

confidence: 91%

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Theoretical Explanation of Upper Limb Functional Exercise and Its Maintenance in Postoperative Patients With Breast Cancer

et al. 2022

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Background: Upper limb functional exercise (ULFE) has a positive effect on promoting the rehabilitation of upper limb function. However, little is known, about what drives postoperative patients to engage in and even maintain the advised exercises. This study integrated the health action process approach (HAPA) and the theory of planned behavior theory (TPB) to investigate the psychosocial determinants on the initiation and maintenance of ULFE in breast cancer patients. In addition, this study also tests key hypotheses relating to reasoned and implicit pathways to ULFE and its maintenance among postoperative patients with breast cancer.Methods: Purposive sampling was used to recruit patients from two breast cancer wards in a provincial hospital in Jiangsu, China. Patients (N = 430) completed self-reported questionnaire about constructs from integrated theories concerning ULFE at an initial time point (T1): task self-efficacy, positive outcome expectations, negative outcome expectations, risk perception, attitude behavior, subjective norm, perceived behavioral control, behavioral intention, and ULFE-in hospital (ULFE-IH). Three months later (T2), patients self-reported: maintenance self-efficacy, action planning, coping planning, recovery self-efficacy, and ULFE-maintenance (ULFE-M).Results: The model has a good fit (GoF = 0.48). For behavioral intention of ULFE, subjective norm (β = 0.35) and perceived behavioral control (β = 0.61) were positively directly related to behavioral intention. Regarding the initiation of ULFE, perceived behavioral control (β = 0.47) and behavioral intention (β = 0.42) had a direct positive relation to ULFE-IH. In the maintenance of ULFE, action planning (β = 0.30), coping planning (β = 0.21), maintenance self-efficacy (β = 0.32), and recovery self-efficacy (β = 0.09) all had significant positive relation on ULFE-M. In addition, maintenance self-efficacy had a significant positive association on action planning (β = 0.80), coping planning (β = 0.74), and recovery self-efficacy (β = 0.67). Coping planning was significantly predicted by behavioral intention (β = 0.07). Additionally, behavioral intention is a mediator of subjective norm (β = 0.14) and perceived behavioral control (β = 0.25) to ULFE-IH. Action planning, coping planning, and recovery self-efficacy are mediators of maintaining self-efficacy to ULFE-M (β = 0.46).Conclusions: This study presents the first attempt to integrate the health behavior model in ULFE in postoperative patients with breast cancer. The study has shown that the HAPA-TPB integrated model has good applicability and effectiveness to explain and predict ULFE initiation and maintenance. Future work can be considered to develop appropriate intervention strategies based on this integrated behavioral theory.

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Section: Discussioncontrasting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

Theoretical Explanation of Upper Limb Functional Exercise and Its Maintenance in Postoperative Patients With Breast Cancer

et al. 2022

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“…This provides opportunities for future research to test temporal self-regulation theory quantitatively, but with the addition of these variables to explore whether they can predict additional variance in medication adherence beyond that of the theory. Such extensions to theories are common in the literature [15].…”

Section: Non Temporal Self-regulation Theory Variablesmentioning

confidence: 99%

“…In attempting to understand medication adherence, these quantitative studies have identified the role of important mechanisms such as self-efficacy, perceived barriers, perceived susceptibility, necessity beliefs, and concerns about medication [13]. Many of the theories have also been extended in attempts to negate weak relationships between variables (i.e., intention and behaviour in the theory of planned behaviour) [15] or to explore the influence of non-psychosocial variables in medication adherence (i.e., side effects) [16]. However, whilst these variables may be important for predicting adherence to various types of medications, it is not known which variables are more or less influential in predicting adherence to regimens of varying complexities.…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Application of Temporal Self-Regulation Theory to Understand Adherence to Simple and Complex Medication Regimens

et al. 2020

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Medication adherence is a global health concern, and variables of temporal self-regulation theory (TST) have been shown to be important in improving adherence. This qualitative study aims to explore how TST can help explain medication adherence in people’s daily lives, and whether there are differences in the adherence to simple and complex medication regimens. Twenty-nine participants from Australia engaged in semi-structured interviews based on TST (intention, behavioural prepotency, self-regulation), and other variables important to adherence. Interviews were analysed using thematic analysis. Six themes were identified (Routines, External Supports, Cost, Sense of Agency, Adverse Outcomes, and Weighing Up Pros and Cons), with partial support for TST (specifically intention, past behaviour, cues and planning). Four themes not related to TST were also identified. Individuals with more complex medication regimens spoke of the importance of routines, planning, and knowledge-seeking, whereas those with simpler regimens spoke of the importance of visual cues. TST may be useful for identifying some variables important in medication adherence, however, additional factors were also identified. For simple regimens, future research should focus on the manipulation of visual cues. For complex regimens, health professionals should consider supporting the use of medication management apps to assist in planning and ensuring a consistent routine.

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“…According to PBC, intentions will be stronger when individuals and their reference groups positively evaluate a given behavior and realize that nothing can prevent them from engaging in that behavior [ 18 ]. TPB has wide applications, in cases such as willingness to use healthier travel modes [ 19 ], drinking behavior [ 20 ], and drug adherence [ 21 ], but few studies have explored what influences these three factors. As depicted in Figure 1 , BA, SN, and PBC are closely related to BI, but fewer studies have analyzed the front-end effects of these three core variables.…”

Section: Theoretical Foundationmentioning

confidence: 99%

Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior

Jia

Feng

et al. 2022

IJERPH

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In China, the primary health care institutions (PHCIs) have difficulty winning the trust of residents because of the shortage of medical personnel and the low level of skills. The government has advocated encouraging qualified doctors to work in PHCIs, but no obvious results are achieved. Based on the theory of planned behavior (TPB), this paper explores the factors affecting medical personnel seeking employment in PHCIs and then putting forward measures to improve the human resources construction of PHCIs. A three-stage survey was conducted to obtain the factors and a structural equation modeling (SEM) was applied to examine the relationship of the factors. We found that the factors affecting medical personnel to work in PHCIs include the specific conditions and work contents of PHCIs, as well as the family life and regional factors. Besides, there is a significant correlation and indirectness between these factors. Therefore, targeted measures can be proposed to improve the intention of medical personnel seeking employment in PHCIs. This study provides theoretical support for encouraging medical personnel to work in PHCIs and improving the primary health care system.

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Exploring Medication Adherence Amongst Australian Adults Using an Extended Theory of Planned Behaviour

Cited by 18 publications

References 93 publications

Theoretical Explanation of Upper Limb Functional Exercise and Its Maintenance in Postoperative Patients With Breast Cancer

Theoretical Explanation of Upper Limb Functional Exercise and Its Maintenance in Postoperative Patients With Breast Cancer

A Qualitative Application of Temporal Self-Regulation Theory to Understand Adherence to Simple and Complex Medication Regimens

Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior

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