TY - JOUR
T1 - Adherence to treatment in adolescents with cystic fibrosis
T2 - The role of illness perceptions and treatment beliefs
AU - Bucks, Romola S.
AU - Hawkins, Katharine
AU - Skinner, T. C.
AU - Horn, Sandra
AU - Seddon, Paul
AU - Horne, Rob
PY - 2009/9/1
Y1 - 2009/9/1
N2 - ObjectivesThis study was conducted to explore the relationships between illness perceptions, emotional representations, treatment beliefs and reported adherence in adolescents with cystic fibrosis (CF). MethodsThirty-eight adolescents completed questionnaires assessing their perceptions of CF, beliefs about prescribed treatments and reported adherence to chest physiotherapy, enzyme supplements, and antibiotics. ResultsReported non-adherence to chest physiotherapy was associated with the way in which patients judged their personal need for treatment relative to their concerns about potential adverse effects. Patients reported strong doubts about the necessity of chest physiotherapy. Reported non-adherence to antibiotics was related to doubts about the necessity of antibiotics, believing that CF is not amenable to treatment control. Despite these beliefs about treatment, participants perceived CF as a chronic condition. ConclusionsThe findings provide preliminary support for the self-regulatory model, using the necessity-concerns framework to operationalize treatment beliefs, in explaining adherence to treatment in adolescents with CF.
AB - ObjectivesThis study was conducted to explore the relationships between illness perceptions, emotional representations, treatment beliefs and reported adherence in adolescents with cystic fibrosis (CF). MethodsThirty-eight adolescents completed questionnaires assessing their perceptions of CF, beliefs about prescribed treatments and reported adherence to chest physiotherapy, enzyme supplements, and antibiotics. ResultsReported non-adherence to chest physiotherapy was associated with the way in which patients judged their personal need for treatment relative to their concerns about potential adverse effects. Patients reported strong doubts about the necessity of chest physiotherapy. Reported non-adherence to antibiotics was related to doubts about the necessity of antibiotics, believing that CF is not amenable to treatment control. Despite these beliefs about treatment, participants perceived CF as a chronic condition. ConclusionsThe findings provide preliminary support for the self-regulatory model, using the necessity-concerns framework to operationalize treatment beliefs, in explaining adherence to treatment in adolescents with CF.
KW - Adherence
KW - Cystic fibrosis
KW - Illness representations
UR - http://www.scopus.com/inward/record.url?scp=69249211045&partnerID=8YFLogxK
U2 - 10.1093/jpepsy/jsn135
DO - 10.1093/jpepsy/jsn135
M3 - Journal article
C2 - 19196850
AN - SCOPUS:69249211045
SN - 0146-8693
VL - 34
SP - 893
EP - 902
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 8
ER -