Using the Transtheoretical Model to Facilitate Behavior Change in Patients with Chronic Illness

Cassidy, Catherine A.

doi:10.1111/j.1745-7599.1999.tb00578.x

Cited by 23 publications

(12 citation statements)

References 10 publications

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“…The study relies on surrogate markers of compliance, rather than direct measures. Moreover, the analysis does not disentangle other factors employed by physicians in general practice that might influence compliance, such as clinical feedback [3] or motivational models [20]. Neither does the study consider the impact of different devices available for delivering the ICS dose.…”

Section: Study Limitationsmentioning

confidence: 99%

Switching asthma patients to a once-daily inhaled steroid improves compliance and reduces healthcare costs

Guest

Davie

Ruiz

et al. 2005

Primary Care Respiratory Journal

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Objective: To determine the costs and consequences of switching asthma patients, managed in primary care, from a twice-daily inhaled corticosteroid (ICS), to either a once-daily or another twice-daily ICS. Design: This was a case-control study based on an interrogation of the General Practice Research Database in the UK, for patients with a Read code of asthma who were managed between 1990 and 2001, and who had received at least two prescriptions for a twice-daily ICS within 12 months, before switching to a once-daily ICS (cases) or another twice-daily ICS (controls). Data on resource use was collected for one year before and after the switch. Patients were stratified according to whether their treatment step had been stepped up, stepped down or remained unchanged. Setting: A modelling study performed from the perspective of the UK's National Health Service (NHS). Main outcome measures: Compliance with ICS, and the cost of drug and non-drug resource use, for the year before and after the switch. Results: Switching patients managed in primary care to a once-daily ICS increased compliance and reduced NHS costs, irrespective of whether patients' treatment had been stepped up or down. Switching patients to another twice-daily ICS increased compliance to a lesser extent, and increased NHS costs. We believe that this paper offers the first documented association between compliance in asthma and NHS management costs. Conclusions: Compliance and management costs among patients with asthma managed in primary care appear to be related to both changing treatment and dosing regimen. Within the limitations of our study, the results suggest that patients who are switched to a once-daily ICS rather than another twice-daily preparation are better compliers with their ICS medication. Additionally, patients who become high-* Corresponding author. C o p y r ig h t G e n e r a l P r a c t ic e A ir w a y s G r o u p R e p r o d u c t io n p r o h ib it e dCosts and compliance associated with once-daily inhaled steroids 89 compliers after being switched to a once-daily ICS incur lower management costs than patients who become high-compliers after being switched to another twice-daily ICS. These findings should now be investigated further under more controlled conditions.

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Section: Study Limitationsmentioning

confidence: 99%

Switching asthma patients to a once-daily inhaled steroid improves compliance and reduces healthcare costs

Guest

Davie

Ruiz

et al. 2005

Primary Care Respiratory Journal

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“…8 Alternatively, if the clinical condition is viewed as volitional, treatment refusal may be thought to signify a pre-contemplative state, in which case clinicians may use motivational interviewing techniques to attempt to move patients toward increasing readiness to engage in treatment voluntarily. 9 In practice, the spectrum of patients' displays of denial, minimization, treatment refusal and ambivalence about treatment is often more complex. In the case of patients with serious anorexia nervosa, the degree of personal volition reflected in treatment refusal often varies from patient to patient, with the stage and severity of the illness, and with the personal perspectives of different clinician observers.…”

Section: Discussionmentioning

confidence: 99%

Medical futility and psychiatry: Palliative care and hospice care as a last resort in the treatment of refractory anorexia nervosa

Lopez

Yager

Feinstein

2009

Intl J Eating Disorders

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Objective: The concept of medical futility is accepted in general medicine, yet little attention has been paid to its application in psychiatry. We explore how medical futility and principles of palliation may contribute to the management of treatment refractory anorexia nervosa. Method:We review the case of a 30-year-old woman with chronic anorexia nervosa, treated unsuccessfully for several years.

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“…[28][29][30] Therefore, health care providers must determine their patient's readiness for collaborative management and tailor interventions to facilitate the process. 31,32 Patients are more apt to remember and employ tailored interventions leading to the likelihood of improving health outcomes. 33 Tailored interventions are based on both the Transtheoretical Model and the Health Belief Model which have made significant contributions in understanding how patients change behaviors to promote health.…”

Section: Self-management As Collaborative Managementmentioning

confidence: 99%

Moving towards effective chronic illness management: asthma as an exemplar

Estes

2011

Chron Respir Dis

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The United States health care system is at a pivotal point in its ability to manage chronic illness. The demands and philosophical differences between the management of acute and chronic illnesses suggest the need for different strategies for effective and efficient management of chronic illness. The purpose of this article is to discuss the Chronic Care Model and the collaborative approach to managing chronic illnesses. Asthma, as an exemplar, will be used to illustrate the need for the development of new models of collaborative care for the treatment of chronic illnesses.

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Using the Transtheoretical Model to Facilitate Behavior Change in Patients with Chronic Illness

Cited by 23 publications

References 10 publications

Switching asthma patients to a once-daily inhaled steroid improves compliance and reduces healthcare costs

Switching asthma patients to a once-daily inhaled steroid improves compliance and reduces healthcare costs

Medical futility and psychiatry: Palliative care and hospice care as a last resort in the treatment of refractory anorexia nervosa

Moving towards effective chronic illness management: asthma as an exemplar

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