Health Beliefs, Disease Severity, and Patient Adherence

DiMatteo, M. Robin; Haskard, Kelly B.; Williams, Summer L.

doi:10.1097/mlr.0b013e318032937e

Cited by 388 publications

(314 citation statements)

References 46 publications

Supporting

Mentioning

291

Contrasting

Unclassified

Order By: Relevance

“…perceptions of treatment effectiveness or harm, self-efficacy, readiness to change behavior) which may influence adherence. [38][39][40] Limitations of this study deserve mention. First, we ascertained associations between participant characteristics and attitudes as well as attitudes and adherence behaviors in a cross-sectional manner, limiting our ability to draw causal inferences.…”

Section: Discussionmentioning

confidence: 99%

Perceived Susceptibility to Chronic Kidney Disease among High-risk Patients Seen in Primary Care Practices

et al. 2009

View full text Add to dashboard Cite

BACKGROUND: Patients' views of their risk for the development or progression of chronic kidney disease (CKD) are poorly characterized.OBJECTIVE: To assess perceived risk and concern regarding CKD development or progression among high-risk patients seen in primary care, identify predictors of perceptions, and correlate perceptions with adherence to high blood pressure management. DESIGN AND PARTICIPANTS:Cross-sectional study of 195 patients enrolled in a randomized controlled trial on hypertension management in 40 Maryland primary care practices. MEASUREMENTS:We assessed independent predictors (sociodemographics, health literacy, clinical presence of CKD, co-morbid conditions, and health behaviors) of perceived susceptibility (assessed via questionnaire) and adherence (assessed via Hill-Bone blood pressure adherence scale) in multivariable analyses. MAIN RESULTS:In this hypertensive majority African American (63%) population, many participants had uncontrolled blood pressure (44%) or diabetes (42%). Few (20%) felt "very likely" to develop CKD and one third (33%) were "very concerned" about developing CKD. Participants who were female and had low health literacy had lower perceived susceptibility to CKD compared to males and those with higher health literacy. Race and diabetes were also associated with perceived susceptibility. Greater perceived susceptibility was associated with poorer blood pressure management adherence scores.CONCLUSIONS: Many high-risk patients have low perceived susceptibility to CKD. Poor blood pressure therapy adherence scores among those with greatest perceived susceptibility suggest fatalistic attitudes about CKD. If our findings are confirmed in larger studies, interventions targeting patient perceptions of CKD risk and other attitudes associated with these perceptions could impact adherence to therapies and health outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Perceived Susceptibility to Chronic Kidney Disease among High-risk Patients Seen in Primary Care Practices

et al. 2009

View full text Add to dashboard Cite

show abstract

“…There is some evidence that adherence correlates with a patient's belief in the severity of the disease to be prevented or treated, 23,40,41 thus one would expect all cancer patients to adhere. Patient perceptions about their illness strongly influenced adherence in cancer patients, consequently affecting the patients' motivation, and ultimately, the ability of the oral antineoplastic agents to effectively manage the disease.…”

Section: Beliefs About Treatment and Outcome Expectationmentioning

confidence: 99%

The Challenges of Oral Agents as Antineoplastic Treatments

Given

Spoelstra²,

Grant³

2011

Seminars in Oncology Nursing

View full text Add to dashboard Cite

“…Comorbidities and associated polypharmacy can lead to adverse clinical outcomes, and it may be difficult to assess and measure the difference between outcomes related to polypharmacy and symptoms or adverse events related to the oral agent. [89][90][91] Finally, adherence correlates with patients' beliefs in the severity of the disease to be prevented or treated, [92][93][94] and there are some tools (i.e., BMQ)…”

Section: Patient Characteristics Contributing To Adherence and Implicmentioning

confidence: 99%

Assessment and Measurement of Adherence to Oral Antineoplastic Agents

Spoelstra¹,

Given²

2011

Seminars in Oncology Nursing

View full text Add to dashboard Cite

OBJECTIVES:The increase in oral anticancer medications with complex regimens creates a need to assure patients are taking therapeutic dosages as prescribed. This article reviews the assessment and measurement of adherence to oral antineoplastic agents. DATA SOURCE:Research and journal articles from CINAHL and Pub Med. CONCLUSION:Assessing and measuring adherence to oral antineoplastic should include three dimensions: the percentage of medications taken, the duration, and the timing of taking the medication. IMPLICATIONS FOR PRACTICE:Clinicians need to conduct ongoing assessment and measurement of adherence to oral antineoplastic agents. This includes eliciting patient report of adherence, pill counts, drug diaries, and pharmacy or medical record audits.

show abstract

Health Beliefs, Disease Severity, and Patient Adherence

Cited by 388 publications

References 46 publications

Perceived Susceptibility to Chronic Kidney Disease among High-risk Patients Seen in Primary Care Practices

Perceived Susceptibility to Chronic Kidney Disease among High-risk Patients Seen in Primary Care Practices

The Challenges of Oral Agents as Antineoplastic Treatments

Assessment and Measurement of Adherence to Oral Antineoplastic Agents

Contact Info

Product

Resources

About