The effect of visual interventions on illness beliefs and medication adherence for chronic conditions: A scoping review of the literature and mapping to behaviour change techniques (BCTs)

Brown, Stephanie L.; McRae, Daphne N.; Sheils, Elizabeth; McDonnell, Barry J.; Khan, Imran; James, Delyth

doi:10.1016/j.sapharm.2021.11.006

Cited by 9 publications

(18 citation statements)

References 85 publications

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“…This evidence is consistent with the findings from previous randomized controlled trials using different patient samples [ 37 ]. For example, both 3D models and an animation on osteoporosis increased perceived consequences, personal and treatment control, coherence perceptions and treatment motivation, and medication necessity beliefs, and decreased timeline perceptions and medication concerns [ 38 ].…”

Section: Discussionsupporting

confidence: 93%

“…This brief visual animation may improve current T2DM education and, if incorporated within larger illness perception interventions, could reduce intervention delivery time and therefore increase clinical utility. This evidence is consistent with the findings from previous randomized controlled trials using different patient samples [37]. For example, both 3D models and an animation on osteoporosis increased perceived consequences, personal and treatment control, coherence perceptions and treatment motivation, and medication necessity beliefs, and decreased timeline perceptions and medication concerns [38].…”

Section: Principal Findingssupporting

confidence: 89%

“…In health psychology research, visualizations have been shown to be an effective medium to deliver information about illnesses and treatment processes, help explain abstract concepts, and show how treatment processes work inside the body [36]. Other benefits are that visualizations can be brief (eg, 10-15 minutes), improve visual appeal, do not require advanced training to deliver, and can be delivered in all settings (eg, in person or on the web; [33,[37][38][39]). Research has shown that visualizations improve not only perceptions but also health behaviors [37,40].…”

Section: Introductionmentioning

confidence: 99%

“…Other benefits are that visualizations can be brief (eg, 10-15 minutes), improve visual appeal, do not require advanced training to deliver, and can be delivered in all settings (eg, in person or on the web; [33,[37][38][39]). Research has shown that visualizations improve not only perceptions but also health behaviors [37,40]. For example, visual interventions with acute coronary syndrome, osteoporosis, HIV, and oncology patients have been shown to improve understanding and control perceptions in a short timeframe [33,38], increase adherence to antiretroviral therapy [41,42], increase exercise and improve return to normal activities [33], and improve postoperative mobility [43].…”

Section: Introductionmentioning

confidence: 99%

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Utility and Acceptability of a Brief Type 2 Diabetes Visual Animation: Mixed Methods Feasibility Study

Alyami¹,

Serlachius²,

Law³

et al. 2022

JMIR Form Res

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Background Visualizations of illness and treatment processes are promising interventions for changing unhelpful perceptions and improving health outcomes. However, these are yet to be tested in patients with type 2 diabetes mellitus (T2DM). Objective This study assesses the cross-cultural acceptability and potential effectiveness of a brief visual animation of T2DM at changing unhelpful illness and treatment perceptions and self-efficacy among patients and family members in 2 countries, New Zealand and Saudi Arabia. Health care professionals’ views on visualization are also explored. Methods A total of 52 participants (n=39, 75% patients and family members and n=13, 25% health care professionals) were shown a 7-minute T2DM visual animation. Patients and family members completed a questionnaire on illness and treatment perceptions and self-efficacy before and immediately after the intervention and completed semistructured interviews. Health care professionals completed written open-ended questions. Means and 95% CIs are reported to estimate potential effectiveness. Inductive thematic analysis was conducted on qualitative data. Results All participants rated the visual animation as acceptable and engaging. Four main themes were identified: animation-related factors, impact of the animation, animation as an effective format for delivering information, and management-related factors. Effect sizes (ranged from 0.10 to 0.56) suggested potential effectiveness for changing illness and treatment perceptions and self-efficacy among patients and family members. Conclusions Visualizations are acceptable and may improve the perceptions of patients’ with diabetes in a short time frame. This brief visual animation has the potential to improve current T2DM education. A subsequent randomized controlled trial to investigate the effects on illness and treatment perceptions, adherence, glycemic control, and unplanned hospital admission is being prepared.

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Section: Discussionsupporting

confidence: 93%

Section: Principal Findingssupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Utility and Acceptability of a Brief Type 2 Diabetes Visual Animation: Mixed Methods Feasibility Study

Alyami¹,

Serlachius²,

Law³

et al. 2022

JMIR Form Res

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“…However, the available evidence is sparse, and strategies differ signi cantly regarding central aspects, calling for further studies (9,19). Longitudinal studies are also needed since interventions for chronic conditions, including visual elements, often assess the impact on illness beliefs and adherence after short follow-up durations (10).…”

Section: Introductionmentioning

confidence: 99%

From risk communication about asymptomatic atherosclerosis to cognitive and emotional reactions and lifestyle modification

Andersson

Lindvall

Wennberg

et al. 2022

Preprint

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Background Non-adherence to preventive guidelines on cardiovascular disease calls for an interdisciplinary approach acknowledging psychological factors of relevance for risk communication and lifestyle modification. Evidence is building up regarding the advantage of sharing arterial imaging evidence of subclinical atherosclerosis with asymptomatic individuals, but there is limited understanding of how this relates to mechanisms of importance for behavioural change. Longitudinal studies on associations between patients’ reactions and lifestyle modification are missing. The population-based randomized controlled trial VIPVIZA investigates the impact of pictorial information about subclinical atherosclerosis, added to traditional risk factor-based communication. The intervention includes a personalized, colour-coded and age-related risk communication strategy and a motivational conversation, and has been shown to reduce cardiovascular disease risk. In the present study we assessed cognitive and emotional reactions to the intervention, and how these reactions are associated to lifestyle modification. Methods The participants’ evaluation of the risk communication was assessed in the intervention group (n = 1749). Lifestyle modification was assessed with a lifestyle index based on physical activity, diet, smoking and alcohol consumption at baseline and after 3 years. Associations between cognitive and emotional response and lifestyle modification were tested with analyses of covariance in a subset of participants (n = 714–857). Results The intervention increased understanding of personal CVD risk, the possibility to influence the risk, and how to influence the risk. Severity of atherosclerosis was associated with emotional reactions, but emotions of strong negative valance were uncommon. Cognitive response and emotional arousal evoked by the intervention were positively associated with lifestyle modification, whereas negative emotions in isolation were not. High level of cognitive response in combination with high level of emotional arousal was found to be most beneficial for lifestyle modification. Conclusions The results demonstrate the potential of communicating asymptomatic atherosclerosis with a pictorial, colour-coded and age-related strategy, also including a motivational conversation. Furthermore, the results show the importance of CVD risk communication evoking engagement, and that an interaction between cognitive and emotional reactions might be central for sustained lifestyle modification. Our results also indicate that, in an asymptomatic population, atherosclerosis screening may strengthen disease prevention and health promotion. Trial registration: ClinicalTrials.gov identifier: NCT01849575. Registration date 08/05/2013.

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Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication

Morgan,

James

2025

Patient Education and Counseling

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The effect of visual interventions on illness beliefs and medication adherence for chronic conditions: A scoping review of the literature and mapping to behaviour change techniques (BCTs)

Cited by 9 publications

References 85 publications

Utility and Acceptability of a Brief Type 2 Diabetes Visual Animation: Mixed Methods Feasibility Study

Utility and Acceptability of a Brief Type 2 Diabetes Visual Animation: Mixed Methods Feasibility Study

From risk communication about asymptomatic atherosclerosis to cognitive and emotional reactions and lifestyle modification

Embedding an illustrator in the process of co-producing resources to enhance communication and shared decision-making for patients prescribed high-risk medication

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