Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes
Background Poor adherence to medical regimens is a serious problem that interferes with heart failure (HF) patients’ disease management and contributes to poor clinical outcomes. Few prospective studies have examined the psychosocial predictors of adherence over time in HF patients. Purpose Thi...
| Main Authors: | , |
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| Other Authors: | |
| Format: | Journal Article |
| Language: | English |
| Published: |
2020
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| Online Access: | https://hdl.handle.net/10356/143707 |
| _version_ | 1811697453095714816 |
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| author | Shen, Biing-Jiun Maeda, Uta |
| author2 | School of Social Sciences |
| author_facet | School of Social Sciences Shen, Biing-Jiun Maeda, Uta |
| author_sort | Shen, Biing-Jiun |
| collection | NTU |
| description | Background
Poor adherence to medical regimens is a serious problem that interferes with heart failure (HF) patients’ disease management and contributes to poor clinical outcomes. Few prospective studies have examined the psychosocial predictors of adherence over time in HF patients.
Purpose
This study examined the influences of depression, self-efficacy, social support, and their changes on self-reported medical adherence over 6 months in HF patients.
Methods
Participants were 252 HF outpatients, among whom 168 completed follow-up assessments. Hierarchical multiple regression analyses were conducted to examine whether psychosocial variables and their changes prospectively predicted adherence at 6 months, after adjusting for baseline adherence, age, gender, ethnicity, marital status, education, HF severity, medical comorbidity, and mental health treatment.
Results
Baseline self-efficacy (β = .22, p < .05), increase in self-efficacy (β = .34, p < .001), and decrease in depression (β = –.15, p = .05) predicted improved adherence over 6 months, but social support did not. In the combined model that included all significant psychosocial predictors from previous analyses, baseline self-efficacy (β = .37, p = .001) and its increase (β = .35, p < .001) emerged as independent predictors of improved adherence at 6 months.
Conclusions
Promoting self-efficacy and reducing depressive symptoms may be promising targets of behavioral interventions to facilitate long-term disease management in HF patients. |
| first_indexed | 2024-10-01T07:55:30Z |
| format | Journal Article |
| id | ntu-10356/143707 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T07:55:30Z |
| publishDate | 2020 |
| record_format | dspace |
| spelling | ntu-10356/1437072020-09-18T01:00:52Z Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes Shen, Biing-Jiun Maeda, Uta School of Social Sciences Social sciences::Psychology Medical Adherence Self-efficacy Background Poor adherence to medical regimens is a serious problem that interferes with heart failure (HF) patients’ disease management and contributes to poor clinical outcomes. Few prospective studies have examined the psychosocial predictors of adherence over time in HF patients. Purpose This study examined the influences of depression, self-efficacy, social support, and their changes on self-reported medical adherence over 6 months in HF patients. Methods Participants were 252 HF outpatients, among whom 168 completed follow-up assessments. Hierarchical multiple regression analyses were conducted to examine whether psychosocial variables and their changes prospectively predicted adherence at 6 months, after adjusting for baseline adherence, age, gender, ethnicity, marital status, education, HF severity, medical comorbidity, and mental health treatment. Results Baseline self-efficacy (β = .22, p < .05), increase in self-efficacy (β = .34, p < .001), and decrease in depression (β = –.15, p = .05) predicted improved adherence over 6 months, but social support did not. In the combined model that included all significant psychosocial predictors from previous analyses, baseline self-efficacy (β = .37, p = .001) and its increase (β = .35, p < .001) emerged as independent predictors of improved adherence at 6 months. Conclusions Promoting self-efficacy and reducing depressive symptoms may be promising targets of behavioral interventions to facilitate long-term disease management in HF patients. 2020-09-18T00:59:12Z 2020-09-18T00:59:12Z 2018 Journal Article Shen, B.-J., & Maeda, U. (2018). Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes. Annals of Behavioral Medicine, 52(7), 613–619. doi:10.1093/abm/kay003 1532-4796 https://hdl.handle.net/10356/143707 10.1093/abm/kay003 7 52 613 619 en Annals of Behavioral Medicine © 2018 Society of Behavioural Medicine. All rights reserved. |
| spellingShingle | Social sciences::Psychology Medical Adherence Self-efficacy Shen, Biing-Jiun Maeda, Uta Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes |
| title | Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes |
| title_full | Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes |
| title_fullStr | Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes |
| title_full_unstemmed | Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes |
| title_short | Psychosocial predictors of self-reported medical adherence in patients with heart failure over 6 months : an examination of the influences of depression, self-efficacy, social support, and their changes |
| title_sort | psychosocial predictors of self reported medical adherence in patients with heart failure over 6 months an examination of the influences of depression self efficacy social support and their changes |
| topic | Social sciences::Psychology Medical Adherence Self-efficacy |
| url | https://hdl.handle.net/10356/143707 |
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