使用理论领域框架来确定帕金森病中药物坚持的障碍和促进因素
J C Smith1, C H Seage1, E Lane2
1Department of Applied Psychology, Cardiff School of Health Sciences, Cardiff Metropolitan University, Llandaff Campus, 200 Western Avenue, Cardiff, Wales CF5 2YB, UK.
Exploratory research in clinical and social pharmacy
|August 16, 2023
概括
在帕金森病 (PD) 中,通过了解患者的知识,社会影响和对后果的信念来提高药物坚持. 障碍包括强化,记忆和环境因素,突出显示了理论领域框架的实用性.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 在帕金森病 (PD) 中,低于最佳的药物坚持会对症状管理,生活质量和医疗费用产生负面影响.
- 理论领域框架 (TDF) 是一种心理学工具,在其他慢性疾病中成功识别了坚持障碍.
- 将TDF应用于PD可以提高对坚持挑战的理解,并为干预开发提供信息.
研究的目的:
- 利用理论领域框架 (TDF) 识别帕金森病 (PD) 患者药物坚持的障碍和促进者.
主要方法:
- 一项定性研究,涉及在线采访诊断患有PD的个人.
- 采访以基于14个TDF领域的半结构化时间表为指导.
- 数据使用框架分析进行分析,并映射到TDF.
主要成果:
- 所有14个TDF域都代表了来自12名PD参与者的数据.
- 关键的促进因素包括知识,社会影响和对后果的信念.
- 主要障碍包括强化,记忆/注意力/决策过程以及环境背景/资源.
结论:
- 在这个PD队列中,TDF有效地绘制了对药物坚持的障碍和促进因素,证明了它对结构化支持的有用性.
- 这些发现表明,TDF可以为PD的药物支持提供一个连贯的框架.
- 建议进行进一步的定量研究,以将这些发现推广到更广泛的PD人群中.
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