Adherence to medication in adults with Cystic Fibrosis: An investigation using objective adherence data and the Theoretical Domains Framework

ARDEN, Madelynne, DRABBLE, Sarah, O'CATHAIN, Alicia, HUTCHINGS, Marlene and WILDMAN, Martin (2019). Adherence to medication in adults with Cystic Fibrosis: An investigation using objective adherence data and the Theoretical Domains Framework. British journal of health psychology, 24 (2), 357-380.

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Official URL: https://onlinelibrary.wiley.com/doi/full/10.1111/b...
Open Access URL: https://onlinelibrary.wiley.com/doi/epdf/10.1111/b... (Published)
Link to published version:: https://doi.org/10.1111/bjhp.12357
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    Abstract

    Objectives Adherence to nebulizer treatment in adults with Cystic Fibrosis (CF) is poor, and interventions are needed. This research aimed to identify the factors affecting nebulizer adherence using the Theoretical Domains Framework (TDF) and to compare these for participants with different levels of adherence. Design Data‐prompted interviews using the TDF. Methods Eighteen semi‐structured interviews were conducted with adults with CF during which objectively measured adherence data were discussed. Framework analysis was used to code the data into TDF domains, and inductive qualitative content analysis was used to code different beliefs and experiences. Aspects of the TDF that differed between participants with different adherence levels were explored. Results Factors influencing adherence to treatment included all 14 domains of the TDF, 10 of which appeared to vary by adherence level: Skills; Memory and decision‐making; and Behavioural regulation; Environmental context and resources; Social influences; Beliefs about consequences; Beliefs about capability; Reinforcement; Social role and identify; Intentions; Optimism; and Emotions. Conclusions This study is the first to use objectively measured adherence data in a data‐prompted interview using the TDF framework to systematically assess the full range of factors potentially influencing adherence. The results highlighted that interventions need to consider issues of capability, opportunity, and motivation. Interventions that challenge dysfunctional beliefs about adherence and which support the development of routines or habits and problem‐solving may be particularly useful for adults with CF.

    Item Type: Article
    Uncontrolled Keywords: 1701 Psychology; 1117 Public Health And Health Services; 1608 Sociology; Clinical Psychology
    Identification Number: https://doi.org/10.1111/bjhp.12357
    Page Range: 357-380
    SWORD Depositor: Symplectic Elements
    Depositing User: Symplectic Elements
    Date Deposited: 04 Mar 2019 17:17
    Last Modified: 18 Mar 2021 05:26
    URI: http://shura.shu.ac.uk/id/eprint/24168

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