Understanding Treatment Adherence With the Health Belief Model in Children With Cystic Fibrosis

Dempster, Nicole R.; Wildman, Beth G.; Masterson, Tracy Loye; Omlor, Gregory J.

doi:10.1177/1090198117736346

Cited by 23 publications

(17 citation statements)

References 52 publications

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“…The rates of parents’ adherence to the NDT and BMPS exercises were similar, although the adherence rates for flexibility exercises was lower. This variability among the types of exercises is consistent with the variability reported among therapeutic modalities of medical treatments for children with chronic illnesses [8,21].…”

Section: Discussionsupporting

confidence: 84%

“…According to evidence from qualitative research [6,7], it is suggested that instead of performing the whole home program, caregivers usually choose those activities that are easiest for them. For example, studies on cystic fibrosis have shown that there are different levels of adherence to different parts of a home therapeutic regime, such as pharmacological treatment, nutritional prescriptions and exercise [8].…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities

Lillo-Navarro

Montilla-Herrador

Escolar-Reina

et al. 2019

JCM

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There is a lack of knowledge with regard to the adherence to different types of exercises prescribed for children with disabilities. The aim was to examine parents’ adherence to prescriptions of different types of home exercises; to identify associated factors related to the parents, the children and the environment, and to assess the relative influence of the behaviour of health professionals. Parents (393) were recruited from 18 early intervention centres. A cross-sectional survey using a self-reported questionnaire was used to examine whether three types of exercises (“flexibility exercises”, “neuromotor development training” and “body mechanics and postural stabilisation”) were prescribed in their home programs; if the child had received exercises according to a prescription; and items related to the parents, child, environment, and health professionals. The adherence rates were different among the types of exercises. Parents with low perception of barriers and high self-efficacy had a higher adherence to neuromotor development training and postural stabilization, whereas parents with a high level of knowledge increased their odds of adherence to flexibility exercises. Health professionals’ behaviour had a distinct influence on the adherence to different exercises. This study suggests the need to specifically consider the types of exercises prescribed in the management of adherence to home programs.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities

Lillo-Navarro

Montilla-Herrador

Escolar-Reina

et al. 2019

JCM

View full text Add to dashboard Cite

show abstract

“…Researchers who examined this issue in 12 African countries reported high frequency of poor adherence among patients with hypertension [ 15 ]. These findings support the understanding that non-adherence is significant public health problem contributing to increased mortality, morbidity, and to excessive health care expenditure while decreasing quality of life for the population [ 16 ].…”

supporting

confidence: 81%

“…In Kampala, Uganda, 17% of stroke survivors reported adherence to their prescribed antihypertensive medications; researchers cite lack of knowledge as the main contributor to the poor adherence [ 19 ]. Despite medication adherence being key area of interest among practitioners and researchers, a gold standard intervention does not exist [ 16 ]. The aim of this study was to understand from participants’ perspectives what factors create challenges and barriers to hypertension treatment adherence and what factors facilitate treatment adherence.…”

mentioning

confidence: 99%

Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives

Najjuma

Brennaman

Nabirye

et al. 2020

Annals of Global Health

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Background: Hypertension is a significant cardiovascular disease (CVD) and driver to CVD disorders in sub-Saharan Africa. It is a major independent risk factor for heart failure, stroke, and kidney failure. Persons living with hypertension attend to many aspects of self-care to manage their condition, including high blood pressure medication adherence to control of blood pressure. Rates of medication non-adherence, and thus uncontrolled hypertension, remain high and contribute to poor health outcomes. Understanding barriers and facilitators to adherence to hypertension therapies can help improve health outcomes. Objective: The aim of the study was to describe the common reasons for adherence and non-adherence to antihypertensive medication from patients’ perspectives. Methods: A qualitative study engaged clients of an out-patient clinic of a regional referral hospital in southwestern Uganda who were living with hypertension as participants. One-on-one in-depth interviews provided the narrative data. The interview transcripts were analyzed using thematic analysis. Findings: Sixteen participants provided the data for the findings. The themes identified as facilitators for adherence to antihypertensive medication were patients’ understanding of prescribed medication, availability of medication for hypertension, family support for patients living with hypertension, and regular review appointments at the hypertensive clinics. Conversely, lack of supply in government dispensaries, use of self-prescribed analgesic medication, and stigma were identified as barriers and challenges of adherence to antihypertensive medication. Conclusions: There is an urgent need for the health ministry to improve availability of high blood pressure medication and for health care providers to deliver individualized patient centered care, and sensitization on danger of self-prescription and measures that reduce stigma. These strategies may improve adherence to high blood pressure medication.

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“…[11] The Health Belief Model (HBM) has been widely used in health behavior research to guide interventions for health behavior change. [13][14][15][16] The HBM has three main components: modifying factors, individual factors and action. [17] Modifying factors include demographic and socio-economic characteristics and knowledge on disease.…”

Section: Introductionmentioning

confidence: 99%

Perceptions and Behavioral Adoptions of the Preventive Strategies from Person-to-Person Transmission of COVID-19 among the Public in China: An Online Cross-Sectional Survey

Xian

Gan

et al. 2020

Preprint

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Background: The strategies adopted to prevent spreading of COVID-19 are quarantine, social distancing and isolation of infected cases. This study investigates perceptions and behavioral adoptions of COVID-19 prevention strategies among the Chinese public and identified factors predicting individual health behavior.Methods: We conducted a cross-sectional online survey between 22 February and 5 March, 2020. We approached to urban residents aged over 18 years through snowball sampling method using the Chinese social media. The Health Belief Model was adopted to guide the analysis. Bivariate and multivariate logistic regressions were used to examine impacts of modifying factors (including demographic and socio-economic characteristics) and individual beliefs on individual health behavior.Results: of 5675 valid questionnaires, 95.8% of the respondents well understood the preventive measures from COVID-19 transmission, while 79.9% of the respondents adopted the behavior advised. 45.7% of the respondents perceived severity of the disease, 75.6% of the respondents perceived benefits of social constraints measures and 62.7% reported anxiety during the epidemic. After adjusting for modifying factors and individual beliefs, those who were female, had better income and good knowledge on preventive measures, perceived benefits on social constraint measures and did not feel anxiety were more likely to adopt behaviors advised.Conclusions: The Chinese public highly accepted and adopted behaviors advised to slow down the COVID-19 epidemic. People with low income or feeling anxiety were less likely to adopt the behavior advised. The policy support should target on the social vulnerable groups. The psychological support should be disseminated through different means, and the consultation should be provided to those who are in need.

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Understanding Treatment Adherence With the Health Belief Model in Children With Cystic Fibrosis

Cited by 23 publications

References 52 publications

Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities

Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities

Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives

Perceptions and Behavioral Adoptions of the Preventive Strategies from Person-to-Person Transmission of COVID-19 among the Public in China: An Online Cross-Sectional Survey

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Understanding Treatment Adherence With the Health Belief Model in Children With Cystic Fibrosis

Cited by 23 publications

References 52 publications

Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities

Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities

Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives

Perceptions&nbsp;and Behavioral Adoptions&nbsp;of the Preventive Strategies from Person-to-Person Transmission of COVID-19 among the Public in China: An Online Cross-Sectional Survey

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Product

Resources

About

Perceptions and Behavioral Adoptions of the Preventive Strategies from Person-to-Person Transmission of COVID-19 among the Public in China: An Online Cross-Sectional Survey