使用理论领域框架,对2型糖尿病患者服用药物的障碍进行定性研究
Michael Vallis1, Susie Jin2, Agnieszka Klimek-Abercrombie3
1Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
概括
了解2型糖尿病药物坚持方面的挑战至关重要. 影响坚持的关键因素包括情绪,决策,行为调节,对后果的信念,目标和环境资源.
科学领域:
- 行为科学 行为科学
- 内分泌学 在内分泌学.
- 健康心理学 心理健康心理学
背景情况:
- 药物坚持对于管理2型糖尿病至关重要.
- 了解患者报告的挑战对于改善坚持必不可少.
研究的目的:
- 使用理论领域框架 (TDF) 探索2型糖尿病中服用药物的障碍和促进因素.
主要方法:
- 在加拿大,对30名2型糖尿病患者进行了定性采访.
- 采访以基于TDF的半结构化讨论为指导.
- 参与者代表了不同的药物计划和坚持水平.
主要成果:
- 主题映射到14个TDF领域中的12个,不包括知识和技能.
- 影响药物服用的突出领域包括情绪,记忆/注意力/决策过程,行为调节,对后果的信念,目标和环境背景/资源.
- 在这些关键领域中,在低药量和高药量组之间发现了对比的观点.
结论:
- 出现了几个关键领域,可以为改善2型糖尿病药物服用的干预措施提供信息.
- 未来需要进行定量研究来验证这些发现,并解决心理和行为障碍.
- 干预措施应考虑影响遵守的情绪,认知,监管和环境因素.
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