Arden, M., Drabble, S.J. orcid.org/0000-0001-7183-6321, O'Cathain, A. et al. (2 more authors) (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). pp. 357-380. ISSN 1359-107X
Abstract
Objectives
Adherence to nebuliser treatment in adults with Cystic Fibrosis (CF) is poor and interventions are needed. This research aimed to identify the factors affecting nebuliser adherence using the Theoretical Domains Framework and to compare these for participants with different levels of adherence.
Design
Data prompted interviews using the theoretical domains framework.
Methods
Eighteen semi-structured interviews were conducted with adults with CF during which objectively measured adherence data was 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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
Keywords: | Adherence to medication; Theoretical Domains Framework; Cystic Fibrosis; Objective adherence; data-prompted interview; Intervention |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 27 Feb 2019 09:28 |
Last Modified: | 18 Nov 2021 14:20 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/bjhp.12357 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:143030 |
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