Adherence to treatment among chronically ill ambulatory patients

Agnieszka Bojanowska , Mateusz Zatorski , Jolanta Gazdowska , Magdalena Durlik

Abstract

According to Information-Motivation-Behavioural Skills model (IMB), accurate Information, strong Motivation and adequate Behavioural skills are prerequisites of treatment adherence. This model has been verified among chronically ills patients, usually suffering from one particular disorder. No studies report how the model fits data from a more diverse group. The aim of the study was to analyze adherence and its barriers in a group of three hundred patients suffering from various, common chronic disorders. They filled out IMB and Adherence Questionnaire. Information and Motivation correlated moderately (.35). Behavioural Skills was the strongest predictor of adherence (.24). An additional relationship was found: Information and Motivation interacted and the role of either of these dimensions vanished if the indices of the other were high enough. The relationships between IMB dimensions and adherence were confirmed in a varied clinical sample. Behavioural skills must be considered when working with non-adherent patients, as they are the strongest predictor of adherence. Other interventions may be limited to either Information or Motivation only if there is a chance of raising one of them to extreme levels. This may be useful with special cases, when increasing both is problematic.
Author Agnieszka Bojanowska (Wydział Zamiejscowy w Poznaniu)
Agnieszka Bojanowska,,
- Wydział Zamiejscowy w Poznaniu
, Mateusz Zatorski (Wydział Zamiejscowy w Poznaniu)
Mateusz Zatorski,,
- Wydział Zamiejscowy w Poznaniu
, Jolanta Gazdowska
Jolanta Gazdowska,,
-
, Magdalena Durlik
Magdalena Durlik,,
-
Journal seriesPolish Psychological Bulletin, ISSN 0079-2993, e-ISSN 1641-7844, (B 15 pkt)
Issue year2017
Vol3
No48
Pages380-387
Publication size in sheets0.5
Keywords in Englishadherence; chronic illness; Information-Motivation-Behavioural Skills model; treatment
ASJC Classification3200 General Psychology
DOIDOI:10.1515/ppb-2017-0044
URL https://www.degruyter.com/view/j/ppb.2017.48.issue-3/ppb-2017-0044/ppb-2017-0044.xml
Languageen angielski
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Bojanowska A._Adherence_ośw..pdf 26.54 KB
Score (nominal)15
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 0.232
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