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Development of the long-term medication behaviour self-efficacy scale: qualitative study for item development
S De Geest1, I Abraham, H Gemoets
1Department of Nursing, University of Leuven, Belgium.
Journal of Advanced Nursing
|February 1, 1994
Summary
This study explored patient medication behaviors to develop a self-efficacy scale. Findings identified key factors influencing medication adherence and patient confidence.
Area of Science:
- Nursing Practice
- Psychology
- Health Behavior
Background:
- Understanding patient self-efficacy in medication behavior is crucial for improving medication compliance.
- No validated instruments currently exist to measure patient self-efficacy related to medication behavior.
Purpose of the Study:
- To explore patient perceptions, experiences, and practices concerning long-term medication behavior.
- To establish an instrument measuring self-efficacy in medication behavior.
Main Methods:
- Qualitative study employing in-depth interviews with 14 patients on lifelong medication.
- Phenomenological analysis to identify themes related to self-efficacy in medication behavior.
Main Results:
- Identified themes integrated within Bandura's self-efficacy dimensions: personal attributes (e.g., emotional distress, perceived health), environmental factors (e.g., routine, social support, cost), and task-related factors (e.g., side-effects, medication aids, knowledge).
- Developed items for the Long-Term Medication Behaviour Self-Efficacy Scale based on emergent themes.
Conclusions:
- The study successfully identified key themes influencing medication self-efficacy.
- The developed scale provides a foundation for measuring and potentially enhancing patient self-efficacy in medication adherence.