Denial and Compliance in Adults With Asthma
A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is det...
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| Veröffentlicht in: | Clinical nursing research 2008-08, Vol.17 (3), p.151-170 |
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| creator | McGann, Elizabeth F. Sexton, Dorothy Chyun, Deborah A. |
| description | A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores (M = 1.88; p = .02). Affective denial is inversely correlated with compliance (r = —.31; p = .05) and is significantly higher in the suboptimal compliance group (M = 11.51; p =.05). These study findings suggest that affective denial may be a contributor to suboptimal compliance. |
| doi_str_mv | 10.1177/1054773808320273 |
| format | Article |
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Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores (M = 1.88; p = .02). Affective denial is inversely correlated with compliance (r = —.31; p = .05) and is significantly higher in the suboptimal compliance group (M = 11.51; p =.05). 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Aug 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c277t-b867e77749116963709af8fe6030cfbba732b0eac79906a682ef6f4a883185613</citedby><cites>FETCH-LOGICAL-c277t-b867e77749116963709af8fe6030cfbba732b0eac79906a682ef6f4a883185613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1054773808320273$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1054773808320273$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18617705$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGann, Elizabeth F.</creatorcontrib><creatorcontrib>Sexton, Dorothy</creatorcontrib><creatorcontrib>Chyun, Deborah A.</creatorcontrib><title>Denial and Compliance in Adults With Asthma</title><title>Clinical nursing research</title><addtitle>Clin Nurs Res</addtitle><description>A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores (M = 1.88; p = .02). Affective denial is inversely correlated with compliance (r = —.31; p = .05) and is significantly higher in the suboptimal compliance group (M = 11.51; p =.05). These study findings suggest that affective denial may be a contributor to suboptimal compliance.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Affect</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Asthma</subject><subject>Asthma - diagnosis</subject><subject>Asthma - drug therapy</subject><subject>Asthma - psychology</subject><subject>Cognition</subject><subject>Compliance</subject><subject>Denial (Psychology)</subject><subject>Denials</subject><subject>Drug Monitoring - methods</subject><subject>Drug therapy</subject><subject>Electronic monitoring</subject><subject>Female</subject><subject>Forced Expiratory Volume</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>New England</subject><subject>Nursing</subject><subject>Nursing Methodology Research</subject><subject>Patient Compliance - psychology</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Patient Education as Topic</subject><subject>Psychological Theory</subject><subject>Severity of Illness Index</subject><subject>Statistics, Nonparametric</subject><subject>Stress, Psychological - psychology</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><issn>1054-7738</issn><issn>1552-3799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kM1Lw0AQxRdRrFbvniR48CLRmd1kZ_dY6icUvCgewybdtSn5qNnk4H_vhhaUgqcZmN97M_MYu0C4RSS6Q0gTIqFACQ6cxAE7wTTlsSCtD0MfxvE4n7BT79cAkHDAYzZBJYMc0hN2c2-b0lSRaZbRvK03VWmawkZlE82WQ9X76KPsV9HM96vanLEjZypvz3d1yt4fH97mz_Hi9ellPlvEBSfq41xJskSUaESppSDQxilnJQgoXJ4bEjwHa4pwJEgjFbdOusQoJVClEsWUXW99N137NVjfZ3XpC1tVprHt4DOpBRCoEbzaA9ft0DXhtgw1jU-iChBsoaJrve-syzZdWZvuO0PIxhSz_RSD5HLnO-S1Xf4KdrEFIN4C3nzaP0v_M_wBHJt1xQ</recordid><startdate>200808</startdate><enddate>200808</enddate><creator>McGann, Elizabeth F.</creator><creator>Sexton, Dorothy</creator><creator>Chyun, Deborah A.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200808</creationdate><title>Denial and Compliance in Adults With Asthma</title><author>McGann, Elizabeth F. ; Sexton, Dorothy ; Chyun, Deborah A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c277t-b867e77749116963709af8fe6030cfbba732b0eac79906a682ef6f4a883185613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Affect</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Asthma</topic><topic>Asthma - diagnosis</topic><topic>Asthma - drug therapy</topic><topic>Asthma - psychology</topic><topic>Cognition</topic><topic>Compliance</topic><topic>Denial (Psychology)</topic><topic>Denials</topic><topic>Drug Monitoring - methods</topic><topic>Drug therapy</topic><topic>Electronic monitoring</topic><topic>Female</topic><topic>Forced Expiratory Volume</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>New England</topic><topic>Nursing</topic><topic>Nursing Methodology Research</topic><topic>Patient Compliance - psychology</topic><topic>Patient Compliance - statistics & numerical data</topic><topic>Patient Education as Topic</topic><topic>Psychological Theory</topic><topic>Severity of Illness Index</topic><topic>Statistics, Nonparametric</topic><topic>Stress, Psychological - psychology</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McGann, Elizabeth F.</creatorcontrib><creatorcontrib>Sexton, Dorothy</creatorcontrib><creatorcontrib>Chyun, Deborah A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nursing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McGann, Elizabeth F.</au><au>Sexton, Dorothy</au><au>Chyun, Deborah A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Denial and Compliance in Adults With Asthma</atitle><jtitle>Clinical nursing research</jtitle><addtitle>Clin Nurs Res</addtitle><date>2008-08</date><risdate>2008</risdate><volume>17</volume><issue>3</issue><spage>151</spage><epage>170</epage><pages>151-170</pages><issn>1054-7738</issn><eissn>1552-3799</eissn><coden>CNREFD</coden><abstract>A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores (M = 1.88; p = .02). Affective denial is inversely correlated with compliance (r = —.31; p = .05) and is significantly higher in the suboptimal compliance group (M = 11.51; p =.05). These study findings suggest that affective denial may be a contributor to suboptimal compliance.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>18617705</pmid><doi>10.1177/1054773808320273</doi><tpages>20</tpages></addata></record> |
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| subjects | Adolescent Adult Adults Affect Aged Analysis of Variance Asthma Asthma - diagnosis Asthma - drug therapy Asthma - psychology Cognition Compliance Denial (Psychology) Denials Drug Monitoring - methods Drug therapy Electronic monitoring Female Forced Expiratory Volume Health Knowledge, Attitudes, Practice Humans Longitudinal Studies Male Middle Aged New England Nursing Nursing Methodology Research Patient Compliance - psychology Patient Compliance - statistics & numerical data Patient Education as Topic Psychological Theory Severity of Illness Index Statistics, Nonparametric Stress, Psychological - psychology Studies Surveys and Questionnaires |
| title | Denial and Compliance in Adults With Asthma |
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