Adherence to prophylactic asthma medication: Habit strength and cognitions
Adherence to prophylactic asthma medication: Habit strength and cognitions
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DOI：
10.1016/j.hrtlng.2010.02.003
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发表时间：
2011-01-01
期刊：
影响因子：
2.8
通讯作者：
Vollink, Trijntje
中科院分区：
文献类型：
--
作者：
Bolman, Catherine;Arwert, Titia G.;Vollink, Trijntje
目的：通过态度、社会影响和自我效能（ASE）模型加上习惯强度的概念来解释对预防性哮喘药物（PAM，吸入性皮质类固醇）的依从性，并研究习惯是否调节或介导ASE因素与依从性之间的关系。 方法：对139名成人哮喘患者进行了邮寄调查。进行多元回归分析，以自我报告的依从性作为结果，ASE 因素和习惯作为自变量。还进行了简单的斜率分析和引导中介分析。 结果：患有更严重的哮喘、习惯性服用 PAM 以及很少意识到服用 PAM 的负面后果与更好的依从性相关。自我效能通过习惯间接影响依从性。社会规范和依从性之间的关系受到习惯的调节：在习惯较弱的情况下，患者环境中对服用 PAM 的支持性规范与 PAM 呈正相关。坚持；结论：增加依从性的干预措施应该通过刺激患者在类似情况下频繁执行该行为、提高自我效能和提供环境线索（例如提醒装置和药丸整理器）来促进习惯的形成。此外，应消除使用 PAM 的缺点。
OBJECTIVE: To explain adherence to prophylactic asthma medication (PAM, inhaled corticosteroids) by the attitude, social influence, and self-efficacy (ASE) model added with the concept of habit strength and to study whether habit moderates or mediates relationships between ASE factors and adherence.METHODS: A mail-out survey was conducted among 139 asthmatic adults. Multiple regression analysis was conducted, with self-reported adherence as the outcome and ASE factors and habit as the independent variables. Simple slope analyses and bootstrapping mediation analyses were also conducted.RESULTS: Having more severe asthma, taking PAM habitually, and perceiving few negative consequences of taking PAM were associated with better adherence. Self-efficacy influenced adherence indirectly through habit. The relationship between social norms and adherence was moderated by habit: In the case of weak habits, a supportive norm in a patient's environment toward taking PAM was positively related to PAM. adherence; in the case of strong habits, a supportive norm led to less adherence.CONCLUSION: Interventions to increase adherence should enhance the formation of habits by stimulating patients to perform the behavior frequently in similar situations by increasing self-efficacy and providing environmental cues, such as reminder devices and pill organizers. In addition, the disadvantages of PAM use should be negated.