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Understanding Treatment Adherence With the Health Belief Model in Children With Cystic Fibrosis

Nicole R Dempster1, Beth G Wildman2, Tracy L Masterson3

  • 11 Nationwide Children's Hospital, Columbus, OH, USA.

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|October 14, 2017
PubMed

Insights

The Health Belief Model (HBM) effectively explains children's adherence to medical treatments. Understanding health beliefs and barriers can improve adherence for pediatric patients with chronic conditions.

Area of Science:

  • Pediatric adherence research
  • Health psychology
  • Chronic illness management

Background:

  • Children's health beliefs significantly influence treatment adherence.
  • Pediatric literature has seldom examined health-related theories comprehensively.
  • The Health Belief Model (HBM) offers a framework for understanding health behaviors.

Purpose of the Study:

  • To evaluate the Health Belief Model (HBM) in understanding pediatric adherence.
  • To assess the HBM's applicability to global adherence and specific treatment components.
  • To explore discrepancies in health beliefs between children and parents.

Main Methods:

  • Study involved 33 patient-parent dyads.
  • Questionnaires assessed health beliefs and adherence to medical regimens.
  • Statistical analyses included multiple linear regressions and paired sample t tests.

Main Results:

  • Significant relationships found between HBM variables and global adherence for both children and parents.
  • For children, HBM variables correlated with adherence to aerosol medications, aerosol antibiotics, metered dose inhalers, and vitamins.
  • For parents, HBM variables correlated with children's adherence to airway clearance, oral antibiotics, and vitamins. Significant belief discrepancies noted between children and parents.

Conclusions:

  • Findings support the HBM's utility in pediatric adherence assessment.
  • Barriers and cues to action within the HBM may be intervention targets.
  • Further research is recommended to develop comprehensive HBM-based strategies for improving adherence in chronically ill youth.
Abstract

Keywords:
adherencecystic fibrosishealth belief modeltheory

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