Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative study
Background Antenatal adherence to aspirin prophylaxis is key to reducing the occurrence of a major pregnancy complication: pre-eclampsia (PE). Up to 75% of pregnant women at increased risk of pre-eclampsia do not take aspirin as prescribed. Little research has been done to understand the psychologic...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-01-01
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| Series: | Health Psychology and Behavioral Medicine |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21642850.2021.1951273 |
| _version_ | 1818332475146895360 |
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| author | Raya Vinogradov Vikki Joanne Smith Stephen Courtenay Robson Vera Araujo-Soares |
| author_facet | Raya Vinogradov Vikki Joanne Smith Stephen Courtenay Robson Vera Araujo-Soares |
| author_sort | Raya Vinogradov |
| collection | DOAJ |
| description | Background Antenatal adherence to aspirin prophylaxis is key to reducing the occurrence of a major pregnancy complication: pre-eclampsia (PE). Up to 75% of pregnant women at increased risk of pre-eclampsia do not take aspirin as prescribed. Little research has been done to understand the psychological determinants of aspirin adherence in pregnancy. This qualitative study aimed to explore barriers and facilitators to aspirin adherence in women at increased risk of PE using version 2 of Theoretical Domains Framework (TDF). Methods Fourteen women from the North-East of England who declared various levels of non-adherence to aspirin (0–5 of 7 prescribed tablets/week) were interviewed 4–18 months after delivery, using the TDF as a guide. Semi-structured interviews were digitally recorded and transcribed verbatim. A thematic framework analysis was used. Results Women exhibited both intentional and unintentional non-adherence and faced multiple barriers at a personal and environmental level. They struggled to initiate, implement and persist in taking medication as prescribed. Women expressed inadequate knowledge about PE and aspirin; they struggled to identify as ‘medication takers’ and relate to the risk factors for PE as identified by the midwife. Significant barriers within the health-care environment were identified; women had difficulties obtaining medication and perceived conflict amongst health care professionals regarding medication safety. Conclusion A combination of inadequate knowledge, lack of identification with the risk factors and beliefs about consequences of taking medication were interlinked with other domains, such as environmental context and resonate with the Necessity-Concerns Framework. |
| first_indexed | 2024-12-13T13:36:20Z |
| format | Article |
| id | doaj.art-f874a2a70859406ead40468b4b89119c |
| institution | Directory Open Access Journal |
| issn | 2164-2850 |
| language | English |
| last_indexed | 2024-12-13T13:36:20Z |
| publishDate | 2021-01-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Health Psychology and Behavioral Medicine |
| spelling | doaj.art-f874a2a70859406ead40468b4b89119c2022-12-21T23:43:49ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502021-01-019168170010.1080/21642850.2021.19512731951273Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative studyRaya Vinogradov0Vikki Joanne Smith1Stephen Courtenay Robson2Vera Araujo-Soares3The Newcastle upon Tyne Hospitals NHS Foundation TrustNorthumbria UniversityThe Newcastle upon Tyne Hospitals NHS Foundation TrustUniversity of TwenteBackground Antenatal adherence to aspirin prophylaxis is key to reducing the occurrence of a major pregnancy complication: pre-eclampsia (PE). Up to 75% of pregnant women at increased risk of pre-eclampsia do not take aspirin as prescribed. Little research has been done to understand the psychological determinants of aspirin adherence in pregnancy. This qualitative study aimed to explore barriers and facilitators to aspirin adherence in women at increased risk of PE using version 2 of Theoretical Domains Framework (TDF). Methods Fourteen women from the North-East of England who declared various levels of non-adherence to aspirin (0–5 of 7 prescribed tablets/week) were interviewed 4–18 months after delivery, using the TDF as a guide. Semi-structured interviews were digitally recorded and transcribed verbatim. A thematic framework analysis was used. Results Women exhibited both intentional and unintentional non-adherence and faced multiple barriers at a personal and environmental level. They struggled to initiate, implement and persist in taking medication as prescribed. Women expressed inadequate knowledge about PE and aspirin; they struggled to identify as ‘medication takers’ and relate to the risk factors for PE as identified by the midwife. Significant barriers within the health-care environment were identified; women had difficulties obtaining medication and perceived conflict amongst health care professionals regarding medication safety. Conclusion A combination of inadequate knowledge, lack of identification with the risk factors and beliefs about consequences of taking medication were interlinked with other domains, such as environmental context and resonate with the Necessity-Concerns Framework.http://dx.doi.org/10.1080/21642850.2021.1951273adherenceaspirinpregnancypre-eclampsia preventiontheoretical domains framework |
| spellingShingle | Raya Vinogradov Vikki Joanne Smith Stephen Courtenay Robson Vera Araujo-Soares Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative study Health Psychology and Behavioral Medicine adherence aspirin pregnancy pre-eclampsia prevention theoretical domains framework |
| title | Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative study |
| title_full | Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative study |
| title_fullStr | Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative study |
| title_full_unstemmed | Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative study |
| title_short | Aspirin non-adherence in pregnant women at risk of preeclampsia (ANA): a qualitative study |
| title_sort | aspirin non adherence in pregnant women at risk of preeclampsia ana a qualitative study |
| topic | adherence aspirin pregnancy pre-eclampsia prevention theoretical domains framework |
| url | http://dx.doi.org/10.1080/21642850.2021.1951273 |
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