Fishbein??s Model of Reasoned Action and Compliance Behavior Of Hypertensive Patients

Miller, Patricia H.; Wikoff, Richard L.; Hiatt, Audrey

doi:10.1097/00006199-199203000-00009

Cited by 51 publications

(29 citation statements)

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“…It appears that cognitive factors are better predictors of adherence than personal characteristics (Mann, Ponieman, Leventhal, & Halm, 2009). It has been shown that patients who believe that the treatment can have some benefits (Foster, Smith, Bosnic-Anticevich, Usherwood, Sawyer, Rand, & Reddel, 2011;Horne & Weinman, 1999), a disease can have serious consequences (DiMatteo, Haskard & Williams, 2007;Stafford, Jackson & Berk, 2008), they are susceptible to a disease (Becker, 1977), they have the ability to carry out the prescribed treatment regimen (Brus, van de Laar, Taal, Rasker & Wiegman, 1999;Dilorio et al, 2009), and those who have a positive attitude toward the treatment (Miller, Wikoff, Hiatt, 1992) and have more knowledge about diseases or health in general (Gellad, Grenard, & Marcum, 2011) adhere more to doctors' prescribed treatment regimens.…”

Section: Cognitive Factorsmentioning

confidence: 99%

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Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Levesque¹,

Li²,

Pahal³

2012

IJPS

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The purpose of this study was to investigate factors related to patients' adherence to prescribed medications and recommended lifestyle changes. Two hundred and ninety-eight adults from a northern Canadian community filled out a questionnaire. Several intriguing findings emerged: (a) Adherence to lifestyle changes and participants' age presented a U-shape relationship; (b) Those who perceived themselves to be in poor health were less likely than those in good health to adhere to lifestyle changes; (c) Barriers such as the severe winter weather, lack of transportation, and cost of medications contributed negatively to adherence; and (d) If doctors provided sufficient information on the benefits and use of the prescribed medications and the proposed lifestyle changes and if patients reported trusting their doctors, they tended to adhere more. Physicians can play an important role in promoting adherence among patients. Community health workers should make efforts in reducing barriers that interfere with patient adherence.

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Section: Cognitive Factorsmentioning

confidence: 99%

“…Miller et al (1992) found that peer-pressure predicts patients' intention to adhere to prescribed treatments, which in turn influences adherence to lifestyle changes. The use of pressure and persuasion strategies by spouses has also been linked to greater adherence (Stephens, Fekete, Franks, Rook, Druley & Greene, 2009).…”

Section: Interpersonal Factorsmentioning

confidence: 99%

Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Levesque¹,

Li²,

Pahal³

2012

IJPS

View full text Add to dashboard Cite

show abstract

“…The predictors of behavioural intentions include attitudes to the behaviour, subjective norms and PBC. Both the TRA and TPB have been useful in predicting various adherence intentions and behaviours including exercise programmes (Norman & Smith, 1995); antimalarial prophylaxis (Abraham et al, 1999); antihypertensive medication (Miller et al, 1992); and blood donation (Amponsah et al, 2000). Levin (1999) investigated whether the TRA or TPB could predict self-report glove use in health care workers.…”

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confidence: 99%

Which cognitive factors predict clinical glove use amongst nurses?

Watson¹,

Myers²

2001

Psychol. Health Med.

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Since the advent of awareness to the human immunodeficiency virus (HIV) in the early 1980s, much attention has been focused on the risks of infection faced by health care personnel in clinical settings. Although professional guidelines have been published in an attempt to limit the risk of exposure to such individuals, it would appear that optimal adherence is inadequate. One hundred and three registered nurses completed a questionnaire including items on actual glove use behaviour, barriers and Theory of Planned Behaviour variables (perceived behavioural control, intention, attitude and subjective norms). Multiple regression analyses revealed that the proposed model was successful in explaining 45% and 61% of the variance in intention and behaviour, respectively. Attitudes, perceived behavioural control and the amount of anticipated contact with blood were significant predictors of intention. Intention and perceived time availability to wear gloves were significant predictors of behaviour. Furthermore, nurses appeared to display a considerable degree of selectivity with respect to glove use based on patients infection status. It is concluded that future interventions should emphasize the importance and efficacy of wearing gloves in all situations where contact with blood could occur, irrespective of the procedure performed or the volume of blood anticipated.

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“…Porém, outros autores (Miller, Wilkoff & Hiatt, 1992) procuraram na Teoria da Acção Racional (TAR) a tentativa de prever e determinar o grau em que pacientes hipertensos recentemente diagnosticados iriam aderir às recomendações relativas à dieta, tabaco, actividade física, fármacos e evitar situações stressantes. Na dieta, stress e exercício físico, os comportamentos de adesão eram directamente influenciados pelas instituições que, por seu lado, eram influenciadas directamente pelas atitudes dos pacientes e pela sua motivação em aderir.…”

Section: Introductionunclassified

“…Relativamente à medicação, Miller et al (1992) constataram que o modelo não apoiava as intenções, enquanto preditores imediatos da toma correcta de medicações, apesar da motivação para aderir que é fortemente influenciada pelas crenças percebidas de outros terem uma influência directa na toma das medicações. Este estudo sugere que a TAR tem, pelo menos, algum valor na predição da adesão a recomendações médicas (Brannon & Feist, 1997a).…”

Section: Introductionunclassified

A adesão terapêutica em contexto de cuidados de saúde primários

Klein

Gonçalves

2005

Psico-USF

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ResumoA questão da adesão aos regimes de tratamento tem sido abordada, nos últimos anos, numa perspectiva biopsicossocial pelos investigadores. Nesse sentido, o presente estudo procura investigar a prevalência de determinados comportamentos de saúde, nomeadamente a adesão terapêutica e em que medida a percepção de saúde influencia este componente. Para isso, construímos e aplicámos o QIAT (Questionário Informativo de Adesão Terapêutica) aos utentes dum centro de saúde (N = 273). Os resultados indicam que, de um modo geral, a não-adesão não se deve ao esquecimento ou a alterações na medicação. Em relação às crenças e atitudes face aos médicos e à Medicina por parte dos utentes, existe a crença de excesso de prescrição medicamentosa, assim como uma confiança exacerbada relativa ao efeito terapêutico dos fármacos e a culpabilização dos doentes por parte dos profissionais de saúde, aquando do insucesso do tratamento. Palavras-Chave: Adesão terapêutica; Medicação; Crenças; Centro de saúde. Therapeutical adherence in primary health care settings AbstractIn the last years the question of adherence to treatment regimes had been addressed by researches regarding a biopsicossocial perspective. Thus, the present study tries to analyze the prevalence of a especially component of health behaviors, namely therapeutic adherence, and at which level health perception influence that component. In order to that we developed and applied the QIAT (Informative Therapeutic Adherence Questionnaire) to a sample of Health Care Center utilizes (N = 273). Overall, the results showed that a negative adherence was not caused by lack of memory or changes at medication level. Further, the utilizes beliefs and attitudes regarding physicians and medicine showed the belief of an excessive medical prescription as also an exacerbated trust concerning therapeutical effects of medication by their physician and as also the physician's blaming of utilizes if treatment failure occurs. Keywords: Therapeutic adherence; Medication; Beliefs; Health care center. IntroduçãoDurante os últimos anos, vários estudos têm demonstrado que o fenómeno da adesão terapêutica se reveste da maior importância no domínio da psicologia da saúde. Efectivamente, a adesão terapêutica pode ser perspectivada como um comportamento relacionado com a saúde/doença, de tal forma que a compreensão dos factores que levam as pessoas a aderir ou não às recomendações médicas enquadra-se, assim, no âmbito da psicologia (Brannon & Feist, 1997a;Horne, 1997), sendo a não-adesão o conceito tradicionalmente empregue para designar a falha em seguir as prescrições médicas.Retira-se desta definição que o conceito de adesão não se circunscreve apenas a desvios no plano de tratamento, mas a comportamentos como faltar às consultas, esquecer-se de tomar a medicação prescrita, tomar medicação a mais, ingeri-la fora do tempo certo, não conhecer o nome dos fármacos a tomar, terminar o tratamento antes do prazo recomendado, entre outros aspectos; mas também com a manutenção de práticas saudáveis recomendad...

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Fishbein??s Model of Reasoned Action and Compliance Behavior Of Hypertensive Patients

Cited by 51 publications

References 0 publications

Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Factors Related to Patients' Adherence to Medication and Lifestyle Change Recommendations: Data from Canada

Which cognitive factors predict clinical glove use amongst nurses?

A adesão terapêutica em contexto de cuidados de saúde primários

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