Project EASE: a study to test a psychosocial model of epilepsy medication management
Project EASE: a study to test a psychosocial model of epilepsy medication management
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DOI：
10.1016/j.yebeh.2004.08.011
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发表时间：
2004-12-01
影响因子：
2.6
通讯作者：
Yeager, K
中科院分区：
文献类型：
--
作者：
DiIorio, C;Shafer, PO;Yeager, K
本研究的目的是测试癫痫患者药物自我管理的心理社会模型。该模型主要基于社会认知理论，包括个人（自我效能、结果期望、目标、耻辱和抑郁症状）、社会（社会支持）和提供者（患者满意度和控制欲）变量。该研究的参与者在佐治亚州亚特兰大和马萨诸塞州波士顿的研究中心注册，并完成了基于计算机的评估，其中包括对上述研究变量的测量。 317 名参与者的平均年龄为 43.3 岁；大约 50% 是女性，81% 是白人。自我效能和患者满意度是药物管理差异最大的原因。社会支持与自我效能相关；对自我效能和抑郁症状的耻辱；以及对结果期望和抑郁症状的自我效能感。研究结果强调，服药行为受到心理社会变量之间一系列复杂相互作用的影响。 (C) 2004 Elsevier Inc. 保留所有权利。
The purpose of this study was to test a psychosocial model of medication self-management among people with epilepsy. This model was based primarily on social cognitive theory and included personal (self-efficacy, outcome expectations, goals, stigma, and depressive symptoms), social (social support), and provider (patient satisfaction and desire for control) variables. Participants for the study were enrolled at research sites in Atlanta, Georgia, and Boston, Massachusetts and completed computer-based assessments that included measures of the study variables listed above. The mean age of the 317 participants was 43.3 years; about 50% were female, and 81% white. Self-efficacy and patient satisfaction explained the most variance in medication management. Social support was related to self-efficacy; stigma to self-efficacy and depressive symptoms; and self-efficacy to outcome expectations and depressive symptoms. Findings reinforce that medication-taking behavior is affected by a complex set of interactions among psychosocial variables. (C) 2004 Elsevier Inc. All rights reserved.