The role of perceived control and preference for control in adherence to a chronic medical regimen
Poor patient adherence is a widespread problem among patients undergoing hemodialysis for end-stage renal disease. The goal of this study was to examine the joint role of perceived restriction of control and individual differences in preference for control in predicting adherence to the hemodialysis...
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| Veröffentlicht in: | Annals of behavioral medicine 2004-06, Vol.27 (3), p.155-161 |
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| creator | Cvengros, Jamie A Christensen, Alan J Lawton, William J |
| description | Poor patient adherence is a widespread problem among patients undergoing hemodialysis for end-stage renal disease.
The goal of this study was to examine the joint role of perceived restriction of control and individual differences in preference for control in predicting adherence to the hemodialysis regimen.
Participants were 49 patients recruited from five hemodialysis centers affiliated with the University of Iowa Hospitals and Clinics. Preference for control in the health care context was assessed using the Preference for Information and Preference for Behavioral Involvement subscales of the Krantz Health Opinion Survey, and perceived control was assessed using six items written for this study. Adherence was assessed by examining patients' interdialysis session weight gains (IWG).
Hierarchical regression analysis indicated that the interaction between preference for information and perceived control over dialysis context explained a significant proportion of variance in IWG values, change in R2 =.09, F(1, 43) = 5.26, p |
| doi_str_mv | 10.1207/s15324796abm2703_3 |
| format | Article |
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The goal of this study was to examine the joint role of perceived restriction of control and individual differences in preference for control in predicting adherence to the hemodialysis regimen.
Participants were 49 patients recruited from five hemodialysis centers affiliated with the University of Iowa Hospitals and Clinics. Preference for control in the health care context was assessed using the Preference for Information and Preference for Behavioral Involvement subscales of the Krantz Health Opinion Survey, and perceived control was assessed using six items written for this study. Adherence was assessed by examining patients' interdialysis session weight gains (IWG).
Hierarchical regression analysis indicated that the interaction between preference for information and perceived control over dialysis context explained a significant proportion of variance in IWG values, change in R2 =.09, F(1, 43) = 5.26, p <.05, standardized beta = -.32. Among patients with lower levels of perceived control in the dialysis setting, a higher preference for information concerning one's own health care was associated with increasingly poorer adherence. IWG levels in these individuals reflected clinically problematic nonadherence with fluid-intake restrictions. Among patients with a higher level of perceived control, preference for information had little effect on adherence. No main or interactive effects were found involving differences in patients' preference for behavioral involvement in their own health care or for the items reflecting perceived control outside the dialysis treatment setting.
These data suggest that assessing and examining the interactive effects of patients' preferences for control and perceived control may, in some cases, be useful in identifying those individuals at risk for difficulty in adhering to the complex behavioral restrictions associated with chronic medical regimens.</description><identifier>ISSN: 0883-6612</identifier><identifier>EISSN: 1532-4796</identifier><identifier>DOI: 10.1207/s15324796abm2703_3</identifier><identifier>PMID: 15184091</identifier><identifier>CODEN: AMBEEH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Attitude to Health ; Female ; Health psychology ; Hemodialysis ; Humans ; Internal-External Control ; Iowa ; Kidney Failure, Chronic - therapy ; Male ; Middle Aged ; Patient Compliance - psychology ; Preferences ; Regression Analysis ; Renal Dialysis - psychology</subject><ispartof>Annals of behavioral medicine, 2004-06, Vol.27 (3), p.155-161</ispartof><rights>The Society of Behavioral Medicine 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-77742794fed9a69c95628f9698069256e9dc3b5f5e75360a757d4ae5b42360cf3</citedby><cites>FETCH-LOGICAL-c370t-77742794fed9a69c95628f9698069256e9dc3b5f5e75360a757d4ae5b42360cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15184091$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cvengros, Jamie A</creatorcontrib><creatorcontrib>Christensen, Alan J</creatorcontrib><creatorcontrib>Lawton, William J</creatorcontrib><title>The role of perceived control and preference for control in adherence to a chronic medical regimen</title><title>Annals of behavioral medicine</title><addtitle>Ann Behav Med</addtitle><description>Poor patient adherence is a widespread problem among patients undergoing hemodialysis for end-stage renal disease.
The goal of this study was to examine the joint role of perceived restriction of control and individual differences in preference for control in predicting adherence to the hemodialysis regimen.
Participants were 49 patients recruited from five hemodialysis centers affiliated with the University of Iowa Hospitals and Clinics. Preference for control in the health care context was assessed using the Preference for Information and Preference for Behavioral Involvement subscales of the Krantz Health Opinion Survey, and perceived control was assessed using six items written for this study. Adherence was assessed by examining patients' interdialysis session weight gains (IWG).
Hierarchical regression analysis indicated that the interaction between preference for information and perceived control over dialysis context explained a significant proportion of variance in IWG values, change in R2 =.09, F(1, 43) = 5.26, p <.05, standardized beta = -.32. Among patients with lower levels of perceived control in the dialysis setting, a higher preference for information concerning one's own health care was associated with increasingly poorer adherence. IWG levels in these individuals reflected clinically problematic nonadherence with fluid-intake restrictions. Among patients with a higher level of perceived control, preference for information had little effect on adherence. No main or interactive effects were found involving differences in patients' preference for behavioral involvement in their own health care or for the items reflecting perceived control outside the dialysis treatment setting.
These data suggest that assessing and examining the interactive effects of patients' preferences for control and perceived control may, in some cases, be useful in identifying those individuals at risk for difficulty in adhering to the complex behavioral restrictions associated with chronic medical regimens.</description><subject>Attitude to Health</subject><subject>Female</subject><subject>Health psychology</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Internal-External Control</subject><subject>Iowa</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Compliance - psychology</subject><subject>Preferences</subject><subject>Regression Analysis</subject><subject>Renal Dialysis - psychology</subject><issn>0883-6612</issn><issn>1532-4796</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNplkE1LxDAQhoMo7rr6BzxI8OCtmu80R1n8ggUv67mk6dTt0jZr0gr-e7NsUdDTMO_7zjDzIHRJyS1lRN9FKjkT2ihbdkwTXvAjNN9r2V48RnOS5zxTirIZOotxSwjhgqpTNKOS5oIYOkflegM4-Bawr_EOgoPmEyrsfD8kFdu-wrsANQToHeDahx-r6bGtNpMxeGyx2wTfNw53UDXOtjjAe9NBf45OattGuJjqAr09PqyXz9nq9elleb_KHNdkyLTWgmkjaqiMVcYZqVheG2VyogyTCkzleClrCVpyRayWuhIWZClYal3NF-jmsHcX_McIcSi6JjpoW9uDH2OhGUkvC5qC13-CWz-GPt1WMC1kzogwKcQOIRd8jAlBsQtNZ8NXQUmxx1_8x5-GrqbNY5ko_I5MvPk3ymmAVg</recordid><startdate>20040601</startdate><enddate>20040601</enddate><creator>Cvengros, Jamie A</creator><creator>Christensen, Alan J</creator><creator>Lawton, William J</creator><general>Oxford University Press</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20040601</creationdate><title>The role of perceived control and preference for control in adherence to a chronic medical regimen</title><author>Cvengros, Jamie A ; Christensen, Alan J ; Lawton, William J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-77742794fed9a69c95628f9698069256e9dc3b5f5e75360a757d4ae5b42360cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Attitude to Health</topic><topic>Female</topic><topic>Health psychology</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Internal-External Control</topic><topic>Iowa</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Compliance - psychology</topic><topic>Preferences</topic><topic>Regression Analysis</topic><topic>Renal Dialysis - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cvengros, Jamie A</creatorcontrib><creatorcontrib>Christensen, Alan J</creatorcontrib><creatorcontrib>Lawton, William J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cvengros, Jamie A</au><au>Christensen, Alan J</au><au>Lawton, William J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of perceived control and preference for control in adherence to a chronic medical regimen</atitle><jtitle>Annals of behavioral medicine</jtitle><addtitle>Ann Behav Med</addtitle><date>2004-06-01</date><risdate>2004</risdate><volume>27</volume><issue>3</issue><spage>155</spage><epage>161</epage><pages>155-161</pages><issn>0883-6612</issn><eissn>1532-4796</eissn><coden>AMBEEH</coden><abstract>Poor patient adherence is a widespread problem among patients undergoing hemodialysis for end-stage renal disease.
The goal of this study was to examine the joint role of perceived restriction of control and individual differences in preference for control in predicting adherence to the hemodialysis regimen.
Participants were 49 patients recruited from five hemodialysis centers affiliated with the University of Iowa Hospitals and Clinics. Preference for control in the health care context was assessed using the Preference for Information and Preference for Behavioral Involvement subscales of the Krantz Health Opinion Survey, and perceived control was assessed using six items written for this study. Adherence was assessed by examining patients' interdialysis session weight gains (IWG).
Hierarchical regression analysis indicated that the interaction between preference for information and perceived control over dialysis context explained a significant proportion of variance in IWG values, change in R2 =.09, F(1, 43) = 5.26, p <.05, standardized beta = -.32. Among patients with lower levels of perceived control in the dialysis setting, a higher preference for information concerning one's own health care was associated with increasingly poorer adherence. IWG levels in these individuals reflected clinically problematic nonadherence with fluid-intake restrictions. Among patients with a higher level of perceived control, preference for information had little effect on adherence. No main or interactive effects were found involving differences in patients' preference for behavioral involvement in their own health care or for the items reflecting perceived control outside the dialysis treatment setting.
These data suggest that assessing and examining the interactive effects of patients' preferences for control and perceived control may, in some cases, be useful in identifying those individuals at risk for difficulty in adhering to the complex behavioral restrictions associated with chronic medical regimens.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>15184091</pmid><doi>10.1207/s15324796abm2703_3</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Attitude to Health Female Health psychology Hemodialysis Humans Internal-External Control Iowa Kidney Failure, Chronic - therapy Male Middle Aged Patient Compliance - psychology Preferences Regression Analysis Renal Dialysis - psychology |
| title | The role of perceived control and preference for control in adherence to a chronic medical regimen |
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