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Adherence to treatment in adolescents with cystic fibrosis: the role of illness perceptions and treatment beliefs


Bucks, RS and Hawkins, K and Skinner, TC and Horn, S and Seddon, P and Horne, R, Adherence to treatment in adolescents with cystic fibrosis: the role of illness perceptions and treatment beliefs, Journal of Pediatric Psychology, 34, (8) pp. 893-902 . ISSN 0146-8693 (2009) [Refereed Article]

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Copyright Statement

Copyright 2009 Oxford University Press.

DOI: doi:10.1093/jpepsy/jsn135


Objectives This study was conducted to explore the relationships between illness perceptions, emotional representations, treatment beliefs and reported adherence in adolescents with cystic fibrosis (CF).

Methods Thirty-eight adolescents completed questionnaires assessing their perceptions of CF, beliefs about prescribed treatments and reported adherence to chest physiotherapy, enzyme supplements, and antibiotics.

Results Reported non-adherence to chest physiotherapy was associated with the way in which patients judged their personal need for treatment relative to their concerns about potential adverse effects. Patients reported strong doubts about the necessity of chest physiotherapy. Reported non-adherence to antibiotics was related to doubts about the necessity of antibiotics, believing that CF is not amenable to treatment control. Despite these beliefs about treatment, participants perceived CF as a chronic condition.

Conclusions The findings provide preliminary support for the self-regulatory model, using the necessity-concerns framework to operationalize treatment beliefs, in explaining adherence to treatment in adolescents with CF.

Item Details

Item Type:Refereed Article
Keywords:cystic fibrosis, adherence, illness representations
Research Division:Biomedical and Clinical Sciences
Research Group:Paediatrics
Research Field:Paediatrics not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Skinner, TC (Professor Timothy Skinner)
ID Code:74143
Year Published:2009
Web of Science® Times Cited:92
Deposited By:Research Division
Deposited On:2011-11-14
Last Modified:2012-11-23
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