Modelling successful self-management in adults with cystic fibrosis: vicarious self-efficacy from videos of 'people like me'.

HUTCHINGS, Marlene, KIRKPATRICK, Susan, ARDEN, Madelynne A., DRABBLE, Sarah J., MAGUIRE, Chin, CANTRILL, Hannah, WHELAN, Pauline, HOO, Zhe H. and WILDMAN, Martin J. (2022). Modelling successful self-management in adults with cystic fibrosis: vicarious self-efficacy from videos of 'people like me'. Cureus, 14 (7): e26511.

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Abstract

Background Self-efficacy is an important determinant of treatment adherence, and peer modelling of success can provide vicarious self-efficacy. A series of patient stories ('talking heads' videos) were developed with people with cystic fibrosis (CF) as part of the CFHealthHub multi-component adherence intervention, aiming to demonstrate success with daily therapy in 'people like me'. Methodology One-to-one semi-structured interviews exploring patients' experiences, barriers and facilitators of nebuliser adherence were audio and video-recorded between October 2015 and August 2016. Interview transcripts were reviewed to identify descriptions of problem-solving and sustained treatment success. Positive stories potentially providing vicarious descriptions of success were selected as video clips. Results In total, 14 adults with CF were recruited from five UK CF centres. Each participant contributed a median of five (interquartile range: 3-6) video clips, and a total of 57 unique clips were uploaded onto the CFHealthHub digital platform. Nine of those clips spanned two categories, hence, there were 66 clips across 16 categories. Conclusions The videos were well received though some adults were concerned that comparisons with peers might create anxiety by highlighting the possibility of future decline or current relative underperformance. It is important to sensitively support choice when providing resources aiming to increase vicarious self-efficacy. Our experience may guide the development of similar videos for people with other long-term conditions.

Item Type:	Article
Uncontrolled Keywords:	cystic fibrosis; self -management; self -efficacy; health behaviour; medication adherence; cystic fibrosis; health behaviour; medication adherence; self-efficacy; self-management; 11 Medical and Health Sciences; 32 Biomedical and clinical sciences; 42 Health sciences
Identification Number:	https://doi.org/10.7759/cureus.26511
SWORD Depositor:	Symplectic Elements
Depositing User:	Symplectic Elements
Date Deposited:	31 Jan 2023 12:28
Last Modified:	31 Jan 2023 12:28
URI:	https://shura.shu.ac.uk/id/eprint/31353

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