Treatment adherence : the contribution of different mechanisms
Treatment adherence : the contribution of different mechanisms
The primary objective of the current programme of research was to determine the effects of cognitive variables (self-efficacy and outcome expectations) and other factors (affective state and aversive feedback) on adherence.
First, a laboratory based simulation study was used, as this enabled isolation of the influence that aversive feedback (simulating the effect of pain) had on adherence. Self-efficacy, outcome expectations and affective state were assessed at baseline and after early experience of the simulation. Adherence behaviour was recorded by the computer programme throughout the simulation. In a follow-up study, a longitudinal field study measured self-efficacy, outcome expectations, affective state and pain at baseline and after early experience of physiotherapy. Adherence was assessed 8 weeks after starting treatment. In both studies, self-efficacy, outcome expectations, affective state and aversive feedback served as the independent variables, and various aspects of adherence behaviour formed the dependent variables.
More positive cognitions predicted how long participants persisted with the simulated physiotherapy task and real world physiotherapy. Presence of aversive feedback in the laboratory study resulted in slower than instructed responding. Increased pain in the field study was also associated with poorer adherence during sessions. Simulated and perceived recovery, in the laboratory and field studies respectively, was related to both cognitions and aversive feedback.
The conclusions were that both cognitions and aversive feedback were important to adherence behaviour. In addition, it was evident that different factors were important to different aspects of adherence behaviour.
University of Southampton
Tijou, Imogen
3896fed3-2014-4073-a8dd-90aacc888ea6
2007
Tijou, Imogen
3896fed3-2014-4073-a8dd-90aacc888ea6
Tijou, Imogen
(2007)
Treatment adherence : the contribution of different mechanisms.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
The primary objective of the current programme of research was to determine the effects of cognitive variables (self-efficacy and outcome expectations) and other factors (affective state and aversive feedback) on adherence.
First, a laboratory based simulation study was used, as this enabled isolation of the influence that aversive feedback (simulating the effect of pain) had on adherence. Self-efficacy, outcome expectations and affective state were assessed at baseline and after early experience of the simulation. Adherence behaviour was recorded by the computer programme throughout the simulation. In a follow-up study, a longitudinal field study measured self-efficacy, outcome expectations, affective state and pain at baseline and after early experience of physiotherapy. Adherence was assessed 8 weeks after starting treatment. In both studies, self-efficacy, outcome expectations, affective state and aversive feedback served as the independent variables, and various aspects of adherence behaviour formed the dependent variables.
More positive cognitions predicted how long participants persisted with the simulated physiotherapy task and real world physiotherapy. Presence of aversive feedback in the laboratory study resulted in slower than instructed responding. Increased pain in the field study was also associated with poorer adherence during sessions. Simulated and perceived recovery, in the laboratory and field studies respectively, was related to both cognitions and aversive feedback.
The conclusions were that both cognitions and aversive feedback were important to adherence behaviour. In addition, it was evident that different factors were important to different aspects of adherence behaviour.
Text
1069868.pdf
- Version of Record
More information
Published date: 2007
Identifiers
Local EPrints ID: 466234
URI: http://eprints.soton.ac.uk/id/eprint/466234
PURE UUID: c18fa11a-2573-4dcd-b987-3afabca28691
Catalogue record
Date deposited: 05 Jul 2022 04:53
Last modified: 16 Mar 2024 20:35
Export record
Contributors
Author:
Imogen Tijou
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics