Utility of the health belief model in examining medication compliance among psychiatric outpatients

Kelly, Gerard R.; Mamon, Joyce A.; Scott, Jack E.

doi:10.1016/0277-9536(87)90367-4

Cited by 136 publications

(84 citation statements)

References 24 publications

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“…In the relative absence of endorsement of biomedical models of illness among patients and family members, care provided by physicians could benefit from inquiring into the patients' and families' ideas about the causes of schizophrenia. This approach could support the development of a mutual understanding that facilitates engagement with treatment and adherence to medication regimes (Kelly et al, 1987).…”

Section: Discussionmentioning

confidence: 99%

“…Beliefs in causal attribution can play a powerful role in individual adaptation to illness, engagement with treatment, and interactions with family members (Kelly et al, 1987, Phillips et al, 2000, Fosu, 1981, Yang et al, 2004. Different types of attribution may also influence stigma and discrimination at multiple levels, from social or institutional to personal.…”

Section: Introductionmentioning

confidence: 99%

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Translating genomic research into care for people with schizophrenia in China

Chan

Austin

Pearson

et al. 2011

Schizophrenia Research

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The implications of increased understanding of the genetic contribution to schizophrenia for patients and their families remain unclear. We carried out a study of Chinese patients' (n = 118) and relatives' (n = 78) views of illness severity, attribution of cause, concern about developing illness, and effect of schizophrenia on family planning. A comparison sample of English-survey respondents was also obtained, using the same series of questions (n = 42 patients, n = 127 relatives). Fewer Chinese patients and family members rated schizophrenia as very severe (33%) than did the predominantly North American respondents (67%, p < 0.0001). The pattern of attribution of cause differed between samples (p < 0.0001), favouring environmental alone in the Chinese sample (52%), with a low frequency of genetics alone (9%). Although comparatively fewer Chinese respondents were very concerned about developing schizophrenia themselves or about the risk of illness in their families (21%), this high level of concern was more common in family members (28%). Finally, Chinese respondents were somewhat less likley to indicate that schizophrenia impacted on family planning decisions (31%) than were English-survey respondents (45%, p = 0.02). The descriptive findings contribute to understanding schizophrenia in China. The comparative findings must be regarded as preliminary, since differences in demographics could influence results. The present findings suggest that understanding patients' and families' attributions of cause of schizophrenia may be important for developing a shared model of illness in order to decrease stigmatization, and improve therapeutic alliances.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Translating genomic research into care for people with schizophrenia in China

Chan

Austin

Pearson

et al. 2011

Schizophrenia Research

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“…Os factores que mais consistentemente têm sido referidos como bons preditores do grau de adesão dos indivíduos dizem respeito às crenças pessoais acerca da doença e da eficácia do tratamento. Segundo Kelly, Mamon e Scott (1987), as crenças e percepções pessoais de saúde são factores influentes do grau em que as pessoas tomam a medicação conforme prescrita. Desta forma, geralmente, quando as pessoas acreditam que a adesão ao tratamento irá produzir benefícios é mais provável que sigam as recomendações médicas.…”

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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“…Specifically, models of health behaviour appear useful for understanding the relationship between beliefs and medication-taking behaviour in chronic illness. 18,[105][106][107] Beliefs form an integral part of an individual's decision-making and are thought to be one of the most central and modifiable factors affecting medication adherence. 16,108,109 Importantly, changing beliefs improves health outcomes.…”

Section: Models Of Health Behaviourmentioning

confidence: 99%

“…17,121,122 While the Health Belief Model was specifically designed to predict preventative health behaviours, it has been applied to many different behaviours, including medication adherence. 17,106,107,115,123,124 The Health Belief Model assumes that health behaviour occurs through a logically ordered thought process, where given the risks, benefits and consequences of different behaviours, individuals will choose a behaviour that will improve or maintain their health. 18 For an individual to modify their current behaviour, they must first perceive that their illness is a "health threat", that they are susceptible to the illness and that becoming ill could have severe physical, social and/or emotional consequences.…”

Section: Health Belief Modelmentioning

confidence: 99%

Exploring the relationship between health beliefs and medication adherence in individuals with asthma

Foot¹,

Caze²,

Gujral³

et al.

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In individuals with asthma, non-adherence to inhaled corticosteroids contributes to increased exacerbations, healthcare utilisation and mortality. Understanding the beliefs an individual holds about their medicines, illness and about the controllability of their health provides a promising way to better understand non-adherence in individuals with chronic conditions. Research to date has focussed on bivariate relationships between a specific set of beliefs and medication adherence. This approach simplifies the complex, multifaceted nature of medication adherence. I suggest that investigating how different beliefs associate with medication adherence in a multivariable model may improve understanding of adherence decisions.The aim of the thesis is to investigate the relationship between beliefs about medicines, illness perceptions and locus of control beliefs with self-reported medication adherence in individuals with asthma.The first part of the thesis was to identify whether beliefs about medicines, elicited through the Beliefs about Medicines Questionnaire (BMQ), were correlated to medication adherence on a population level. The BMQ consists of two scales that seek to elicit an individual's beliefs in the necessity and concerns of taking medication. Necessity beliefs reflect medicines being protective of current and future health and concern beliefs reflect beliefs about the negative effects of medicines. Beliefs about medicines are thought to play a key role in medication-taking, but inconsistent results across different conditions and different measures of adherence makes it difficult to conclude the size of the effect at a population level. A meta-analysis was conducted to identify whether beliefs in the necessity and concerns of medicines, were significantly correlated with medication adherence across different conditions. An electronic search was conducted for manuscripts comparing scores from the BMQ to measures of medication adherence. Studies were pooled using the random-effects model to produce a mean effect size correlation. Studies were stratified for condition, adherence measure, power and study design. Ninety-four papers were included and the overall effect size correlation was 0.17 for necessity and -0.18 for concerns (p<0.0001). Necessity and concerns beliefs were correlated with medication adherence on a population level and across the majority of included conditions. The effect sizes were small with a magnitude comparable to other predictors of adherence. Exploring the role of beliefs outside the Beliefs about Medicines Framework may improve prediction and understanding of medication adherence.A cross-sectional study was conducted to explore the relationship between measures of health beliefs and medication adherence in individuals with asthma. A total of 198 participants using a preventative asthma inhaler for three or more months were recruited from two community pharmacies and via iii online advertisement. Each participant completed a survey of validated questionnaires consisting of:...

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Utility of the health belief model in examining medication compliance among psychiatric outpatients

Cited by 136 publications

References 24 publications

Translating genomic research into care for people with schizophrenia in China

Translating genomic research into care for people with schizophrenia in China

A adesão terapêutica em contexto de cuidados de saúde primários

Exploring the relationship between health beliefs and medication adherence in individuals with asthma

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