Designing and Testing a Treatment Adherence Model Based on the Roy Adaptation Model in Patients With Heart Failure: Protocol for a Mixed Methods Study

Abstract

Background Adherence to treatment is an important factor to decrease repeated and costly hospitalization owing to heart failure (HF). The explanation and prediction of medication adherence and other lifestyle recommendations in chronic diseases, including HF, are complex. Theories lead to a better understanding of complex situations as well as the process of changing behavior and explain the reasons for the existence of a problem. Objective The aim of this study is to report a protocol for a mixed methods study setting out to investigate the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF in Iran. Methods This mixed methods study consists of an exploratory sequential design to be conducted in 2 phases. The first phase involves identifying the factors associated with treatment adherence in patients with HF through content analysis of the literature and elucidating the perception of participants in the context of Iranian health care where the model of adherence to treatment is designed based on the Roy Adaptation Model. The second phase addresses the interrelationships among variables in the model through a descriptive study using structural equation modeling. Finally, following the summarization and separate interpretation of the qualitative findings and quantitative results, a decision is made about the extent to and ways in which the results of the quantitative stage can be generalized or tested for the qualitative findings. Results Content analysis of the literature in part 1 of the first phase was completed in 2017. Collection and analysis of qualitative data in part 2 of the first phase will be completed soon. The results are expected to be submitted for publication in 2019. Then, the second phase—the quantitative study—will be conducted. Conclusions The results of this study will provide valuable information about the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF, which, to date, have received little attention. The results can be used as a guide for nursing practice and care provision to patients with HF and also to design and implement effective interventions to improve treatment adherence in these patients. International Registered Report Identifier (IRRID) DERR1-10.2196/13317

The effects of nursing of Roy adaptation model on the elderly hypertensive: a randomised control study

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The effect of seamless nursing combined with Roy adaptive psychological nursing on self-efficacy and bad mood of patients after acute abdomen surgery

“…Through the development of seamless nursing combined with Roy adaptive psychological nursing intervention, the patients' bad cognition is changed, and cognitive reconstruction is carried out, so that the patients can consciously get rid of the unstable factors in daily life, and adopt relaxation techniques to effectively deal with all aspects of pressure, and then establish healthy behavior and psychological methods can effectively improve the quality of life of patients. [22] In this study, the health knowledge level, self-care skills, self-care responsibility, and self-concept of the observation group after nursing in this study were higher than those of the control group, while the score of depression and mood disorder was significantly lower than that of the control group, indicating that seamless nursing combined with Roy adaptive psychological nursing can effectively improve self-care ability of patients after acute abdomen surgery. This may be related to the following advantages of Roy adaptation model: after the patient's physiological and psychological adaptation mechanism is strengthened, the scope of adaptation continues to expand, and its ability to tolerate stimuli increases.…”

“…Through the development of seamless nursing combined with Roy adaptive psychological nursing intervention, the patients’ bad cognition is changed, and cognitive reconstruction is carried out, so that the patients can consciously get rid of the unstable factors in daily life, and adopt relaxation techniques to effectively deal with all aspects of pressure, and then establish healthy behavior and psychological methods can effectively improve the quality of life of patients. [ 22 ]…”

Adaptation in Patients Diagnosed with Heart Failure: A Qualitative Study

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