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Motivational foci and asthma medication tactics directed towards a functional day
University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.ORCID iD: 0000-0001-5493-8334
Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
Department of Psychology, University of Gothenburg.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.ORCID iD: 0000-0001-7804-0342
2011 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 11, p. 809-Article in journal (Refereed) Published
Abstract [en]

Background:

There appears to be an obvious gap between a medical and patient adherence perspective.

Deviating from a medication prescription could be regarded as fairly irrational, but with respect to patients' goals and/or concerns it could be seen as understandable. Thus, the aim was to elucidate adherence reasoning in relation to asthma medication.

Methods:

This was a qualitative study; data collection and analysis procedures were conducted according to Grounded Theory methodology. Eighteen persons, aged 22 with asthma and regular asthma medication treatment, were interviewed.

Results:

The emerged theoretical model illustrated that adherence to asthma medication was motivated by three foci, all directed towards a desired outcome in terms of a functional day as desired by the patient. Apromotive focus was associated with the ambition to achieve a positive asthma outcome by being adherent either to the received prescription or to a self-adjusted dosage. A preventive focuswas intended to ensure avoidance of a negative asthma outcome either by sticking to the prescription or by preventively overusing the medication. A permissive focus was associated with unstructured adherence behaviour in which medication intake was primarily triggered by asthma symptoms.

Conclusions:

As all participants had consciously adopted functioning medication tactics that directed them

towards the desired goal of a functional day. In an effort to bridge the gap between a patient- and a medical adherence perspective, patients need support in defining their desired functionality and guidance in developing a person-based medication tactic.

Place, publisher, year, edition, pages
London: BioMed Central, 2011. Vol. 11, p. 809-
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-3944DOI: 10.1186/1471-2458-11-809OAI: oai:DiVA.org:hv-3944DiVA, id: diva2:471258
Available from: 2012-01-02 Created: 2012-01-02 Last updated: 2017-12-08Bibliographically approved
In thesis
1. Personality and adherence to medication treatment
Open this publication in new window or tab >>Personality and adherence to medication treatment
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Striving for improved adherence to medication treatment is of vital concern, as low adherence is a major obstacle in treating many prevalent chronic diseases. Several factors have been identified that seem to influence adherence behaviour, but limited research exists on the significance of personality for adherence to medication treatment. According to the Five-Factor Model (FFM), personality can be described in terms of five broad personality traits: Neuroticism, Extraversion, and Openness to experience, Agreeableness, and Conscientiousness. Reports on health-related quality of life (HRQL), asthma control and selfefficacy may also be influenced by personality. Therefore, the overall aim of the present research project was to explore the significance of personality traits in relation to adherence to medication treatment and asthma control, health-related quality of life and self-efficacy. 

Place, publisher, year, edition, pages
Göteborg: Institute of Medicine at Sahlgrenska Academy, University of Gothenburg, 2011. p. 65
Keywords
Five-factor model, personality traits, medication adherence, chronic disease
National Category
Medical and Health Sciences
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-3846 (URN)ISBN 978-91-628-8321-8 (ISBN)
Public defence
2011-09-16, 13:00 (English)
Opponent
Supervisors
Available from: 2012-01-02 Created: 2011-11-15 Last updated: 2012-01-02Bibliographically approved

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