The effect of executive function on adherence with a cardiac secondary prevention program and its interaction with an incentive-based intervention

Gaalema, Diann E.; Dube, Sarahjane; Potter, Alexandra; Elliott, Rebecca J.; Mahoney, Katharine; Sigmon, Stacey C.; Higgins, Stephen T.; Ades, Philip A.

doi:10.1016/j.ypmed.2019.105865

Cited by 16 publications

(27 citation statements)

References 50 publications

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“…The present observational findings accord with prior data in type II diabetes and prediabetes, in which patients showing higher rates of delay discounting are less adherent to treatment for diabetes, hypertension, and dyslipidemia (Epstein et al, 2020; Gaalema et al, 2019; Lebeau et al, 2016; Reach et al, 2011). Like prevention of cancer recurrence in HRBC, treatment adherence in diabetes, diabetes-related comorbidities, and prevention of secondary cardiac events is required to achieve a meaningful, but delayed, health benefit.…”

Section: Discussionsupporting

confidence: 90%

Delay discounting and adjuvant endocrine therapy adherence in hormone receptor-positive breast cancer.

Vaughn¹,

Ammermann²,

Lustberg³

et al. 2021

Health Psychology

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Objectives: Oral endocrine therapy improves survival among hormone responsive breast cancer (HRBC) survivors; however, 30-70% of patients are nonadherent. One patient-centered factor that may impact adherence is delay discounting (DD), or the degree to which patients value future outcomes. In prior research, DD is robustly associated with maladaptive health behavior; but no work to our knowledge has examined delay discounting and medication nonadherence in breast cancer patients. Study 1 examined cross-sectional associations between DD and endocrine therapy nonadherence. Study 2 examined whether DD in the HRBC population is amenable to a brief intervention-episodic future thinking (EFT), in which participants preexperience future events. Method: In Study 1, HRBC survivors completed assessments of DD and endocrine therapy adherence (pill count and self-report). In Study 2, participants were randomized to engage in a brief behavioral intervention (EFT) or a control condition, and again completed assessments of DD. Results: Eighty nine female HRBC survivors completed Studies 1 and 2. Controlling for other known risk factors, greater DD was significantly associated with poorer pill-count but not self-report adherence. In Study 2, the EFT intervention significantly reduced DD when compared to control episodic thinking. Conclusions: DD is associated with direct-observation (pill count) measures of endocrine therapy adherence in HRBC survivors, suggesting it is a potential therapeutic target for improving adherence. This target is also amenable to intervention with EFT.

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Section: Discussionsupporting

confidence: 90%

Delay discounting and adjuvant endocrine therapy adherence in hormone receptor-positive breast cancer.

Vaughn¹,

Ammermann²,

Lustberg³

et al. 2021

Health Psychology

View full text Add to dashboard Cite

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“…One strategy might be storytelling to stimulate people to change their attitudes toward public health issues [ 56 ]. Valuable insights may also come from studies showing that emphasizing the immediate, concrete advantages of being adherent can effectively improve exercise adherence in sedentary adults [ 57 ] and reinforce healthy choices in patients prone to impulsivity [ 58 ]. Future solutions may be searched in mhealth strategies that implement innovative technological tools (e.g., smartphone apps) that can efficiently deliver tailored content.…”

Section: Discussionmentioning

confidence: 99%

Impulsivity assessed ten years earlier and sociodemographic factors predict adherence to COVID-19 related behavioral restrictions in old individuals with hypertension

et al. 2022

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Background The COVID-19 pandemic has had clear and dramatic repercussions on health, the economy, and psychosocial well-being. Behavioral measures, such as wearing facemasks and maintaining distance from others, have proven crucial in fighting the contagion’s spread. This study aimed to investigate Type A personality traits and sociodemographic predictors of adherence to governmental measures in a sample of frail individuals. Methods A sample of 105 Italians over age 60 (Mean age = 70 years; 60.6% male) affected by hypertension who participated in a previous longitudinal study were assessed through a telephone structured interview. Sociodemographic information and Type A personality traits were retrieved from the original longitudinal study. Adherence behaviors were investigated through several questions regarding the compliance with home confinement, the use of facemasks and the observance of social distancing. Repeated measures Analyses of Variance (RMANOVA), Reliable Change Index, and binomial logistic regression analysis were performed. Results Only 33.3% of the participants reported adherence to all the governmental COVID-19 measures. Being a woman (OR = 4.84; 95% CI = 1.58, 14.90; p < 0.01), being retired (OR = 4.89; 95% CI = 1.09, 21.86; p < 0.05), and suffering from hypertension for a relatively short time (OR = 4.20; 95% CI = 1.22, 14.44; p < 0.05) positively predicted adherence to the governmental measures. Impulsivity resulted in a stable personality characteristic over the last ten years (p = 0.30). Having high levels of impulsivity (OR = 2.28; 95% CI = 1.13, 4.59; p < 0.05) negatively predicted adherence. Conclusions Our results demonstrate that impulsivity is a stable personality facet that can have a robust negative impact on adherence behaviors to health claims. Overall, results show the importance to tailor communication strategies that consider the role of sociodemographic indicators and impulsivity to achieve a high level of adherence.

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“…15 The health care professionals' interventions aim at complex set of goals that require the use of participants' behavioral and cognitive capabilities. 16 When developing an innovative health care intervention, its acceptability to patients, health care professionals and managers must be evaluated to facilitate future implementation. 17 This evaluation should provide information on beliefs regarding advantages and disadvantages (attitude), along with facilitating factors and barriers (perceived behavioral control).…”

Section: Introductionmentioning

confidence: 99%

Acceptability of a computer-tailored and pedometer-based socio-cognitive intervention in a secondary coronary heart disease prevention program: A qualitative study

et al. 2020

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When developing an innovative intervention, its acceptability to patients, health care professionals and managers must be considered to ensure the implementation into practice. This study aims to identify factors influencing the acceptability of a computer-tailored and pedometer-based socio-cognitive intervention for patients with heart disease. Focus group interviews were conducted in two outlying regions of the province of Quebec (Canada). The Theory of Planned Behavior formed the theoretical basis of the interview guide. Two researchers performed verbatim analysis independently until consensus was achieved. The sample included 44 participants divided into six groups (patients n ¼ 7 þ 8, health care professionals n ¼ 8 þ 8, managers n ¼ 6 þ 7). Health care professionals and managers mentioned benefits concerning partners' opportunity to improve assessment and monitoring. Patients believed the intervention could be useful to improve adherence to physical activity. Additional benefits indicated were self-monitoring behavior and improved health-related outcomes. However, patients expressed concern about the online security, fearing possible data breach. Some clinicians felt the pedometer may not be able to evaluate physical activities other than walking. With regard to behavioral control, a web application and pedometer must be easy to use and compatible with services already in place. Further barriers include level of literacy, cost and the various difficulties associated with wearing a pedometer. Findings suggest that, to improve the acceptability of a computer-tailored and pedometer-based socio-cognitive intervention, users must be assured of a secure website, validated, affordable and easy-to-use pedometers, and an intervention adapted to their level of literacy.

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The effect of executive function on adherence with a cardiac secondary prevention program and its interaction with an incentive-based intervention

Cited by 16 publications

References 50 publications

Delay discounting and adjuvant endocrine therapy adherence in hormone receptor-positive breast cancer.

Delay discounting and adjuvant endocrine therapy adherence in hormone receptor-positive breast cancer.

Impulsivity assessed ten years earlier and sociodemographic factors predict adherence to COVID-19 related behavioral restrictions in old individuals with hypertension

Acceptability of a computer-tailored and pedometer-based socio-cognitive intervention in a secondary coronary heart disease prevention program: A qualitative study

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