The Roy Adaptation Model

Jennings, Karen M.

doi:10.1097/ans.0000000000000175

Cited by 29 publications

(23 citation statements)

References 45 publications

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“…For this reason, Roy adaptation model can be considered an effective method for patients' adaptation (18). Roy's model of adaptation is one of the most widespread nursing models in coming to terms with diverse illnesses and problems (19,20). The goal of this model is to encourage hope and trust in patients and their caregivers and to strengthen their physiological and cognitive adaptation to chronic diseases (21,22).…”

Section: Introductionmentioning

confidence: 99%

Effect of Roy’s Adaptation Model on the Care Burden of Mothers of Children Under Chemotherapy in Gorgan in 2018: A Quasi-Experimental Study

Hatami

Hojjati

2019

Med Surg Nurs J

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Background: Cancer is one of the common diseases in childhood, the diagnosis of which shocks parents, especially mothers. Meanwhile, parents' adaptation to the disease reduces complications and problems. Objectives: Therefore, this study was aimed at exploring the impact of Roy adaptation model on care burden in mothers of children under chemotherapy. Methods: This quasi-experimental study was performed on 36 mothers of children under chemotherapy who had referred to the oncology ward of Taleghani Hospital, Gorgan, in 2018. Random sampling was carried out for both control and experimental groups. The experimental group received a training program based on Roy adaptation model during seven sessions over a four-week period. Data were collected using the Caregiver's Burden Scale (CBS) devised by Elmstahl. The results were analyzed in SPSS-18 using independent and paired t tests as well as covariance test at the significance level of P < 0.05. Results: The means of care burden before the intervention in the experimental and control groups were respectively 70.44 ± 7.04 and 67.11 ± 6.54. The independent t test did not reveal any significant difference in this regard (P = 0.15). However, after the intervention, the mean of care burden significantly differed between the experimental (50.94 ± 4.58) and control (70.88 ± 5.13) groups, as confirmed by independent t test (P < 0.001). Conclusions: Based on the results, deploying the care program based on Roy adaptation model is an effective, low-cost, and noninvasive nursing intervention for mothers of children with cancer.

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Section: Introductionmentioning

confidence: 99%

Effect of Roy’s Adaptation Model on the Care Burden of Mothers of Children Under Chemotherapy in Gorgan in 2018: A Quasi-Experimental Study

Hatami

Hojjati

2019

Med Surg Nurs J

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“…Different versions of the GHQ contain different numbers of items ranging from 12 to 60 (35). The GHQ-28 comprises four 7-item subscales, and the items are sequential and respectively associated with somatic symptoms (items 1-7), anxiety and insomnia (items 8-14), social dysfunction (items 15-21) and depression symptoms (items [22][23][24][25][26][27][28]. The items are scored on a Likert scale including zero (never), one (usually), two (more than usual) and three (far more than usual).…”

Section: Study Populationmentioning

confidence: 99%

“…Frazao et al also introduced RAM as the best adaptation model in ESRD patients (25). According to this model, manipulating the focal, contextual and residual stimuli can improve adaptation (26,27). These stimuli can be therefore identified in the patients' non-adaptive behaviours through their assessments to lay plans to develop their healthy behaviours (28).…”

Section: Introductionmentioning

confidence: 99%

“…According to this model, the individual can achieve adaptation in physical (physiologic) mode and psychological dimension, i.e. self-concept, role function and interdependence modes (26,29,30). Hay suggested that adaptation in psychophysical dimension reduces the debilitating complications of the disease and improves quality of life in the patients (23).…”

Section: Introductionmentioning

confidence: 99%

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The effect of a care plan based on the Roy adaptation model on general health in hemodialysis patients; a randomized controlled clinical trial

et al. 2020

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Introduction: Evidence suggests that end-stage renal disease (ESRD) significantly affects general health in the patients, causing their general health to be poorer compared to the general population. The Roy adaptation model (RAM) is the best one for ESRD patients. Objectives: The present study aimed to determine the effect of a RAM-based care plan on general health in hemodialysis patients. Patients and Methods: This randomized controlled clinical trial conducted on 60 hemodialysis patients in Iran. The data collected using a demographic questionnaire and the general health questionnaire-28 (GHQ-28). In the intervention group, the Roy assessment form was completed and the RAM-based care plan was then trained in four group sessions over 4 weeks. Individual sessions were also held if required and patients followed-up for 2 weeks. The control group received only routine care. At the end of the follow-up, general health was re-assessed in the patients. The findings were analysed using t test, the chi-square test and the McNemar test. Results: Despite observing no significant differences between the two groups in terms of general health levels before the intervention (P=0.530), the difference was significant after the intervention (P=0.028), since the mean score of general health decreased by 4.07 in the intervention group compared to before the intervention (P=0.003). The intervention significantly affected the subscales of somatic symptoms (P=0.013), anxiety and insomnia (P=0.006), social dysfunction (P=0.016) and depression (P=0.031). Conclusion: The findings suggested the positive effects of using the RAM on general health in hemodialysis patients. The RAM is therefore recommended that be used as a holistic care approach to improving general health in these patients

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“…There are several social cognitive theories for explaining, predicting, and modifying adherence behavior with treatment regimen [18]. Meanwhile, application of nursing theories as a conceptual framework in research is essential for the development of nursing knowledge [19,20]. The use of conceptual models to guide nursing research seems complicated because of their abstract concepts.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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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

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The Roy Adaptation Model

Cited by 29 publications

References 45 publications

Effect of Roy’s Adaptation Model on the Care Burden of Mothers of Children Under Chemotherapy in Gorgan in 2018: A Quasi-Experimental Study

Effect of Roy’s Adaptation Model on the Care Burden of Mothers of Children Under Chemotherapy in Gorgan in 2018: A Quasi-Experimental Study

The effect of a care plan based on the Roy adaptation model on general health in hemodialysis patients; a randomized controlled clinical trial

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

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