Understanding adherence to balance training exercises : employing the Theory of Planned Behaviour as a theoretical guide
Understanding adherence to balance training exercises : employing the Theory of Planned Behaviour as a theoretical guide
Two studies were carried out employing a structured interview format based on the Theory of Planned Behaviour. One study involved asking participants to describe their key beliefs before and after taking part in vestibular rehabilitation (VR). Content analysis revealed over half of the participants were concerned that VR might make their symptoms of dizziness worse. Factors that they believed would increase adherence were ‘encouragement’, ‘routine’ and ‘self motivation’, and perceived barriers included ‘physical illnesses’ and ‘daily schedule’. The second study involved asking participants to rate agreement with key beliefs using a 7-point bipolar scale at base-line and 3-month follow-up. GLM and test retest reliability calculations indicated much greater change in the beliefs of the treatment group than the control group.
To explore social factors influencing decision-making and adherence issues, a qualitative study was carried out employing a semi-structured interview format. Thematic analysis revealed the importance of receiving continuous support from both the practice nurse delivering the treatment and family members.
As part of their treatment programme, all participants were asked to choose and record in their therapy booklet two times that they would carry out the exercises. Therefore the fourth study examined the impact of making a written implementation on adherence to the treatment. The results indicated that the effects of intention and PBC on adherence were mediated partly by planning.
These results indicate that attitudes to a new treatment may change considerably post-treatment, and therefore pre-treatment attitudes may not be powerful predictors of adherence. Patients need to be reassured that the treatment will not make their symptoms intolerable, need support during the early stages of rehabilitation when symptoms may initially worsen, and assistance with making rehabilitation a routine part of their daily schedule.
University of Southampton
Donovan-Hall, Margaret Kate
2007
Donovan-Hall, Margaret Kate
Donovan-Hall, Margaret Kate
(2007)
Understanding adherence to balance training exercises : employing the Theory of Planned Behaviour as a theoretical guide.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
Two studies were carried out employing a structured interview format based on the Theory of Planned Behaviour. One study involved asking participants to describe their key beliefs before and after taking part in vestibular rehabilitation (VR). Content analysis revealed over half of the participants were concerned that VR might make their symptoms of dizziness worse. Factors that they believed would increase adherence were ‘encouragement’, ‘routine’ and ‘self motivation’, and perceived barriers included ‘physical illnesses’ and ‘daily schedule’. The second study involved asking participants to rate agreement with key beliefs using a 7-point bipolar scale at base-line and 3-month follow-up. GLM and test retest reliability calculations indicated much greater change in the beliefs of the treatment group than the control group.
To explore social factors influencing decision-making and adherence issues, a qualitative study was carried out employing a semi-structured interview format. Thematic analysis revealed the importance of receiving continuous support from both the practice nurse delivering the treatment and family members.
As part of their treatment programme, all participants were asked to choose and record in their therapy booklet two times that they would carry out the exercises. Therefore the fourth study examined the impact of making a written implementation on adherence to the treatment. The results indicated that the effects of intention and PBC on adherence were mediated partly by planning.
These results indicate that attitudes to a new treatment may change considerably post-treatment, and therefore pre-treatment attitudes may not be powerful predictors of adherence. Patients need to be reassured that the treatment will not make their symptoms intolerable, need support during the early stages of rehabilitation when symptoms may initially worsen, and assistance with making rehabilitation a routine part of their daily schedule.
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Published date: 2007
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Local EPrints ID: 466533
URI: http://eprints.soton.ac.uk/id/eprint/466533
PURE UUID: 6fa6fcdc-ca4f-47ba-b80e-19e2da7fa427
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Date deposited: 05 Jul 2022 05:40
Last modified: 05 Jul 2022 05:40
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Author:
Margaret Kate Donovan-Hall
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