Compliance and the Health Belief Model: A challenge for the liaison psychiatrist

Ross, D. J.; Guggenheim, Frederick G.

doi:10.1016/0163-8343(83)90041-5

Cited by 12 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These beliefs shape a patient's perception of the risks and benefits of treatment and, within the context of external constraints, determine the degree of adherence to treatment. 25 In turn, patient perception and treatment adherence have been shown to be influenced by treatment efficacy. In a 6-week study of acutely ill, nonadherent patients with schizophrenia, patient perception of medication benefit improved significantly within 1 week of beginning treatment and was associated with improvement in both psychopathology and treatment adherence.…”

Section: Discussionmentioning

confidence: 99%

The Temporal Relationship Between Symptom Change and Treatment Discontinuation in a Pooled Analysis of 4 Schizophrenia Trials

Kinon

Ascher-Svanum

Adams

et al. 2008

Journal of Clinical Psychopharmacology

View full text Add to dashboard Cite

Treatment discontinuation is common in antipsychotic trials for the treatment of schizophrenia and is often associated with symptom worsening. This study assessed the timing and the magnitude of symptom change associated with treatment discontinuation for any cause, and whether improvement in specific symptom domains was predictive of treatment persistence. This post hoc analysis used pooled data from 1627 patients with schizophrenia spectrum disorders who were enrolled in 4 randomized, double-blind antipsychotic comparator trials of 24 to 28 weeks duration. Mean change in the Positive and Negative Syndrome Scale (PANSS) total scores during the last available visit interval were compared for patients who did and did not complete the trial. Improvements in positive, negative, and depression subscores of the PANSS were used to predict trial persistence. A total of 866 patients (53%) discontinued treatment of any cause during the studies. Patients who discontinued treatment early (weeks 0-4) had no significant improvement in mean PANSS total score during the last visit interval, whereas those who discontinued beyond week 4 had significant worsening of mean PANSS total score in the final visit interval. Improvements in either PANSS positive or depression subscores, but not in the PANSS negative subscore, were strongly predictive of study completion. These findings suggest that early failure to establish treatment response and later symptom worsening are associated with treatment discontinuation for any cause. Early improvement in positive or depressive/anxiety symptoms is especially predictive of treatment persistence.

show abstract

Section: Discussionmentioning

confidence: 99%

The Temporal Relationship Between Symptom Change and Treatment Discontinuation in a Pooled Analysis of 4 Schizophrenia Trials

Kinon

Ascher-Svanum

Adams

et al. 2008

Journal of Clinical Psychopharmacology

View full text Add to dashboard Cite

show abstract

“…(2) a belief that the impact of this disease will affect him/her biologically and/or psychosocially; (3) a belief that the potential benefits of the treatment outweigh the risks of the disease and its treatment; (4) an ability to surmount barriers to treatment (Ross & Guggenheim 1983). The TM suggests that six stages of changes are involved in health behaviour: pre-contemplation, contemplation, preparation, action, maintenance and termination (Prochaska & Velicer 1997).…”

Section: Discussionmentioning

confidence: 99%

Interviews and assessments of returning non‐compliant periodontal maintenance patients

Fardal

2006

J Clinic Periodontology

View full text Add to dashboard Cite

show abstract

“…According to the HBM theory, a change in belief takes place before a change in behavior. Previous studies showed that the HBM improved behaviors to treatment procedures in psychiatric, hypertensive, heart disease, and asthma patients 14,[22][23][24] . Here we showed that the older population also complied to the exercise program as shown by their improvements in postural balance and quadriceps strength.…”

Section: Discussionmentioning

confidence: 99%

Fall Prevention by Otago Exercise Program based on Health Belief Model in Community-Dwelling Older Persons

2020

IJPOT

View full text Add to dashboard Cite

Health belief model (HBM) has been widely used to communicate with older persons in order to change their behaviors. This group of people have a higher risk of fall due to poor postural balance and inappropriate fall-related behaviors. Home-exercise programs like Otago exercise program (OEP) can ameliorate postural balance, but most of the older persons do not well comply with the program. This mixed methods research study was aimed to investigate effects of a 12-week HBM-based OEP (HBM-OEP) on postural balance (Berg balance scale, BBS) and quadriceps torque in 72 healthy community-dwelling older persons (control group, n = 36 and HBM-OEP group, n = 36). Levels of fall-related HBM domains (knowledge, perception, and behaviors) were also recorded at baseline and 12-week post-intervention. Results showed that the BBS increased from 51.3±0.4 to 53.2±0.3 (p < 0.05). The quadriceps torque between baseline and post-intervention were not significantly different (181.7±12.2 vs 188.2±9.9 Nm). In contrast, the quadriceps torque in the HBM-OEP group significantly increased from 176.8±10.6 to 220.0±9.2 Nm (p < 0.05). Both quadriceps torque and BBS were positively correlated with the levels of knowledge, perception, and behavior scores. In conclusion, the 12-week HBM-based OEP was effective to improve postural balance and the levels fallrelated health beliefs.

show abstract

Compliance and the Health Belief Model: A challenge for the liaison psychiatrist

Cited by 12 publications

References 23 publications

The Temporal Relationship Between Symptom Change and Treatment Discontinuation in a Pooled Analysis of 4 Schizophrenia Trials

The Temporal Relationship Between Symptom Change and Treatment Discontinuation in a Pooled Analysis of 4 Schizophrenia Trials

Interviews and assessments of returning non‐compliant periodontal maintenance patients

Fall Prevention by Otago Exercise Program based on Health Belief Model in Community-Dwelling Older Persons

Contact Info

Product

Resources

About