nach oben

Journal of Behavioral Medicine

Erschienen in:

16.03.2016

Self-management of chronic illness: the role of ‘habit’ versus reflective factors in exercise and medication adherence

verfasst von: L. Alison Phillips, Joshua Cohen, Edith Burns, Jessica Abrams, Steffi Renninger

Erschienen in: Journal of Behavioral Medicine | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Abstract

Non-adherence to health behaviors required for chronic illness self-management is pervasive. Advancing health-behavior theory to include behavioral initiation and maintenance factors, including reflective (e.g., belief- and feedback-based) and automatic (e.g., habit-based) mechanisms of adherence to different treatment-related behaviors could improve non-adherence prediction and intervention efforts. To test behavioral initiation and maintenance factors from an extended common sense self-regulation theoretical framework for predicting medication adherence and physical activity among patients with Type 2 diabetes. Patients (n = 133) in an in-person (n = 80) or online (n = 53) version of the study reported treatment-related (1) barriers, (2) beliefs and experiential feedback (reflective mechanisms of treatment-initiation and short-term repetition), and (3) habit strength (automatic mechanism of treatment-maintenance) for taking medication and engaging in regular physical activity at baseline. Behaviors were assessed via self-reports (n = 133) and objectively (electronic monitoring pill bottles, accelerometers; n = 80) in the subsequent month. Treatment-specific barriers and habit strength predicted self-reported and objective adherence for both behaviors. Beliefs were inconsistently related to behavior, even when habits were “weak”. Experiential feedback from behavior was not related to adherence. Among patients with Type 2 diabetes diagnosis, medication and physical activity adherence were better predicted by their degree of automatic behavioral repetition than their beliefs/experiences with the treatment-actions. Habit strength should be an intervention target for chronic illness self-management; assessing it in practice settings may effectively detect non-adherence to existing treatment-regimens. However, future research and further refining of CS-SRM theory regarding the processes required for such habit development are needed.

Aarts, H., Paulussen, T., & Schaalma, H. (1997). Physical exercise habit: On the conceptualization and formation of habitual health behaviours. Health Education Research, 12, 363–374. doi:10.1093/her/12.3.363 CrossRefPubMed

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. doi:10.1016/0749-5978(91)90020-T CrossRef

Andersen, F., Engstad, T. A., Straume, B., Viitanen, M., Halvorsen, D. S., Hykkerud, S., & Sjøbrend, K. (2010). Recruitment methods in Alzheimer’s disease research: General practice versus population based screening by mail. BMC Medical Research Methodology, 10, 35. doi:10.1186/1471-2288-10-35 CrossRefPubMedPubMedCentral

Bandura, A. (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26. doi:10.1146/annurev.psych.52.1.1 CrossRefPubMed

Bolman, C., Arwert, T. G., & Völlink, T. (2011). Adherence to prophylactic asthma medication: Habit strength and cognitions. Heart & Lung: The Journal of Acute and Critical Care, 40, 63–75. doi:10.1016/j.hrtlng.2010.02.003 CrossRefPubMed

Brooks, T. L., Leventhal, H., Wolf, M. S., O'Conor, R., Morillo, J., Martynenko, M., Wisnivesky, J. P., & Federman, A. D. (2014). Strategies used by older adults with asthma for adherence to inhaled corticosteroids. Journal of General Internal Medicine, 29, 1506–1512. doi:10.1007/s11606-014-2940-8 CrossRefPubMedPubMedCentral

Cooper, V., Horne, R., Gellaitry, G., Vrijens, B., Lange, A. C., Fisher, M., & White, D. (2010). The impact of once-nightly versus twice-daily dosing and baseline beliefs about HAART on adherence to efavirenz-based HAART over 48 weeks: The NOCTE study. JAIDS, 53, 369–377. doi:10.1097/QAI.0b013e3181ccb762 PubMed

Creer, T. L., & Holroyd, K. A. (1997). Self-management. In A. Baum (Ed.), Cambridge handbook of psychology, health, and medicine (pp. 255–258). New York: Cambridge University Press.

Danner, U. N., Aarts, H., & de Vries, N. K. (2008). Habit vs. intention in the prediction of future behavior: The role of frequency, context stability, and mental accessibility of past behavior. British Journal of Social Psychology, 47, 245–265. doi:10.1348/014466607X230876 CrossRefPubMed

DiMatteo, R., Giordani, P. J., Lepper, H. S., & Croghan, T. W. (2002). Patient adherence and medical treatment outcomes: A meta-analysis. Medical Care, 40, 794–811.CrossRefPubMed

Elwood, W. (2015). Self, others, and chronic conditions: An opportunity to understand the sociobehavioral underpinnings of the healthiest-possible life with self-management [web post]. http://connector.obssr.od.nih.gov/self-others-and-chronic-conditions-an-opportunity-to-understand-the-sociobehavioral-underpinnings-of-the-healthiest-possible-life-with-self-management/

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavioral Research Methods, 41, 1149–1160. doi:10.3758/BRM.41.4.1149 CrossRef

Fleig, L., Pomp, S., Schwarzer, R., & Lippke, S. (2013). Promoting exercise maintenance: How interventions with booster sessions improve long-term rehabilitation outcomes. Rehabilitation Psychology, 58, 323–333. doi:10.1037/a0033885 CrossRefPubMed

García-Pérez, L. E., Álvarez, M., Dilla, T., Gil-Guillén, V., & Orozco-Beltrán, D. (2013). Adherence to therapies in patients with type 2 diabetes. Diabetes Therapy, 4, 175–194. doi:10.1007/s13300-013-0034-y CrossRefPubMedPubMedCentral

Gardner, B. (2014). A review and analysis of the use of ‘habit’ in understanding, predicting and influencing health-related behaviour. Health Psychology Review,. doi:10.1080/17437199.2013.876238 PubMedPubMedCentral

Gardner, B., Abraham, C., Lally, P., & de Bruijn, G. (2012). Towards parsimony in habit measurement: Testing the convergent and predictive validity of an automaticity subscale of the Self-Report Habit Index. International Journal of Behavioral Nutrition and Physical Activity, 9, 102. doi:10.1186/1479-5868-9-102 CrossRefPubMedPubMedCentral

Glasgow, R. E., Hampson, S. E., Strycker, L. A., & Ruggiero, L. (1997). Personal-model beliefs and social-environmental barriers related to diabetes self-management. Diabetes Care, 20, 556–561. doi:10.2337/diacare.20.4.556 CrossRefPubMed

Hagger, M. S., Rebar, A. L., Mullan, B., Lipp, O. V., & Chatzisarantis, N. L. D. (2014). The subjective experience of habit captured by self-report indexes may lead to inaccuracies in the measurement of habitual action. Health Psychology Review. doi:10.1080/17437199.2014.959728

Horne, R. (2004). The medication adherence report scale. Brighton: University of Brighton.

Horne, R., Chapman, S. C. E., Parham, R., Freemantle, N., Forbes, A., & Cooper, V. (2013). Understanding patients’ adherence-related beliefs about medicines prescribed for long-term conditions: A meta-analytic review of the Necessity-Concerns Framework. PloS One, 8, e80633. doi:10.1371/journal.pone.0080633 CrossRefPubMedPubMedCentral

Horne, R., & Weinman, J. (2002). Self-regulation and self-management in asthma: Exploring the role of illness perceptions and treatment beliefs in explaining non-adherence to preventer medication. Psychology and Health, 17, 17–32. doi:10.1080/08870440290001502 CrossRef

Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology and Health, 14, 1–24. doi:10.1080/08870449908407311 CrossRef

Jarvis, C. B., Mackenzie, S. B., & Podsakoff, P. M. (2003). A critical review of construct indicators and measurement model misspecification in marketing and consumer research. Journal of Consumer Research, 30, 199–218. doi:10.1086/376806 CrossRef

Knowler, W. C., Barrett-Connor, E., Fowler, S. E., Hamman, R. F., Lachlin, J. M., Walker, E. A., & Nathan, D. M. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346, 393–403. doi:10.1056/NEJMoa012512 CrossRefPubMed

Kravitz, R. L., & Melnikow, J. (2004). Medical adherence research: Time for a change in direction? Medical Care, 42, 197–199. http://www.jstor.org/stable/4640728

Leventhal, H., Brissette, I., & Leventhal, E. A. (2003). The common-sense model of self-regulation of health and illness. In L. D. Cameron & H. Leventhal (Eds.), The self-regulation of health and illness behaviour (pp. 42–65). London: Routledge.

Leventhal, H., Weinman, J., Leventhal, E. A., & Phillips, L. A. (2008). Health psychology: The search for pathways between behavior and health. Annual Review of Psychology, 59, 477–505. doi:10.1146/annurev.psych.59.103006.093643 CrossRefPubMed

Mann, D. M., Ponieman, D., Leventhal, H., & Halm, E. A. (2009). Predictors of adherence to diabetes medications: The role of disease and medication beliefs. Journal of Behavioral Medicine, 32, 278–284. doi:10.1007/s10865-009-9202-y CrossRefPubMed

McAndrew, L. M., Musumeci-Szabó, T. J., Mora, P. A., Vileikyte, L., Burns, E., Halm, E. A., et al. (2008). Using the common sense model to design interventions for the prevention and management of chronic illness threats: From description to process. British Journal of Health Psychology, 13, 195–204. doi:10.1348/135910708X295604 CrossRefPubMed

McDonald, H. P., Garg, A. X., & Haynes, R. B. (2002). Interventions to enhance patient adherence to medication prescriptions. JAMA, 288, 2868–2879. doi:10.1001/jama.288.22.2868 CrossRefPubMed

Meng, X. L., Rosenthal, R., & Rubin, D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172–175. doi:10.1037/0033-2909.111.1.172 CrossRef

Meyer, D., Leventhal, H., & Gutmann, M. (1985). Common-sense models of illness: The example of hypertension. Health Psychology, 4, 115–135. doi:10.1037//0278-6133.4.2.115 CrossRefPubMed

Mora, P., & McAndrew, L. (2013). Common-sense model of self-regulation. In M. D. Gellman & J. R. Turner (Eds.), Encyclopedia of behavioral medicine (pp. 460–467). New York: Springer. doi:10.1007/978-1-4419-1005-9_1220 CrossRef

Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and Health, 17, 1–16. doi:10.1080/08870440290001494 CrossRef

Nagelkerk, J., Reick, K., & Meengs, L. (2006). Perceived barriers and effective strategies to diabetes self-management. Journal of Advanced Nursing, 54, 151–158. doi:10.1111/j.1365-2648.2006.03799.x CrossRefPubMed

Norris, S. L., Engelgau, M. M., & Narayan, K. M. V. (2001). Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trails. Diabetes Care, 24, 561–587. doi:10.2337/diacare.24.3.561 CrossRefPubMed

Orbell, S., & Verplanken, B. (2010). The automatic component of habit in health behavior: Habit as cue-contingent automaticity. Health Psychology, 29, 374–383. doi:10.1037/a0019596 CrossRefPubMed

Petrie, K. J., Jago, L. A., & Devcich, D. A. (2007). The role of illness perceptions in patients with medical conditions. Current Opinion in Psychiatry, 20, 163–167. doi:10.1097/YCO.0b013e328014a871 CrossRefPubMed

Phillips, L. A., Leventhal, H., & Leventhal, E. A. (2012). Physicians’ communication of the common-sense self-regulation model results in greater reported adherence than physicians’ use of interpersonal-skills. British Journal of Health Psychology, 17, 244–257. doi:10.1111/j.2044-8287.2011.02035.x CrossRefPubMed

Phillips, L. A., Leventhal, H., & Leventhal, E. A. (2013). Assessing theoretical predictors of long-term medication adherence: Patients’ treatment-related beliefs, experiential feedback, and habit development. Psychology and Health, 28, 1135–1151. doi:10.1080/08870446.2013.793798 CrossRef

Rhodes, R. E., & De Bruijn, G. J. (2010). Automatic and motivational correlates of physical activity: Does intensity moderate the relationship? Behavioral Medicine, 36, 44–52. doi:10.1080/08964281003774901 CrossRefPubMed

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15, 175–183. doi:10.1177/109019818801500203 CrossRefPubMed

Rothman, A. J. (2000). Toward a theory-based analysis of behavioral maintenance. Health Psychology, 19, S64–S69. doi:10.1037/0278-6133.19.Suppl1.64 CrossRef

Rothman, A. J. (2004). “Is there nothing more practical than a good theory?”: Why innovations and advances in health behavior change will arise if interventions are used to test and refine theory. International Journal of Behavioral Nutrition and Physical Activity, 1, 1–7. doi:10.1186/1479-5868-1-11 CrossRef

Rothman, A. J., Sheeran, P., & Wood, W. (2009). Reflective and automatic processes in the initiation and maintenance of dietary change. Annals of Behavioral Medicine, 38, 4–17. doi:10.1007/s12160-009-9118-3 CrossRef

Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78. doi:10.1037/0003-066X.55.1.68 CrossRefPubMed

Scott, S., Walter, F., Webster, A., Sutton, S., & Emery, J. D. (2012). The model of pathways to treatment: Conceptualization and integration with existing theory. British Journal of Health Psychology, 18, 45–65. doi:10.1111/j.2044-8287.2012.02077.x CrossRefPubMed

Sechrist, K. R., Walker, S. N., & Pender, N. J. (1987). Development and psychometric evaluation of the exercise benefits/barriers scale. Research in Nursing & Health, 10, 357–365. doi:10.1002/nur.4770100603 CrossRef

Siegel, K., Schrimshaw, E. W., & Dean, L. (1999). Symptom interpretation and medication adherence among late middle-age and older HIV-infected adults. Journal of Health Psychology, 4, 247–257. doi:10.1177/135910539900400217 CrossRefPubMed

Svarstad, B. L., Chewning, B. A., Sleath, B. L., & Claesson, C. (1999). The brief medication questionnaire: A tool for screening patient adherence and barriers to adherence. Patient Education and Counseling, 37, 113–124. doi:10.1016/S0738-3991(98)00107-4 CrossRefPubMed

Tanenbaum, M. L., Leventhal, H., Breland, J. Y., Walker, E. A., & Gonzalez, J. S. (2015). Successful self-management among non-insulin-treated adults with type 2 diabetes: A self-regulation perspective. Diabetic Medicine, 32, 1504–1512. doi:10.1111/dme.12745 CrossRefPubMedPubMedCentral

van Dulmen, S., Sluijs, E., van Dijk, L., de Ridder, D., Heerdink, R., & Bensing, J. (2007). Patient adherence to medical treatment: A review of reviews. BMC Health Services Research, 7, 55. doi:10.1186/1472-6963-7-55 CrossRefPubMedPubMedCentral

Verplanken, B., & Orbell, S. (2003). Reflections on past behavior: A self-report index of habit strength. Journal of Applied Social Psychology, 33, 1313–1330. doi:10.1111/j.1559-1816.2003.tb01951.x CrossRef

Wiedemann, A. U., Gardner, B., Knoll, N., & Burkert, S. (2014). Intrinsic rewards, fruit and vegetable consumption, and habit strength: A three-wave study testing the associative–cybernetic model. Applied Psychology: Health and Well-Being, 6, 119–134. doi:10.1111/aphw.12020

Williams, G. C., McGregor, H. A., Zeldman, A., Freedman, Z. R., & Deci, E. L. (2004). Testing a self-determination theory process model for promoting glycemic control through diabetes self-management. Health Psychology, 23, 58–66. doi:10.1037/0278-6133.23.1.58 CrossRefPubMed

Wood, W., & Neal, D. T. (2007). A new look at habits and the habit-goal interface. Psychological Review, 114, 843–863. doi:10.1037/0033-295X.114.4.843 CrossRefPubMed

Titel: Self-management of chronic illness: the role of ‘habit’ versus reflective factors in exercise and medication adherence
verfasst von: L. Alison Phillips
Joshua Cohen
Edith Burns
Jessica Abrams
Steffi Renninger
Publikationsdatum: 16.03.2016
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 6/2016
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-016-9732-z

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2016

Treatment adherence and illness self-management: introduction to the special issue

Modified social learning theory re-examined: correlates of self-management behaviors of persons with Type 2 diabetes

Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

Predictors of medication adherence: fact or artifact