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Can illness beliefs, from the common-sense model, prospectively predict adherence to self-management behaviours? A systematic review and meta-analysis
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Aujla, N., Walker, M., Sprigg, N., Abrams, K., Massey, A. and Vedhara, K. (2016) Can illness beliefs, from the common-sense model, prospectively predict adherence to self-management behaviours? A systematic review and meta-analysis. Psychology & Health, 31 (8). pp. 931-958. ISSN 0887-0446.
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WRAP_Accepted Manuscript_Published16thMarch16.pdf - Accepted Version - Requires a PDF viewer. Download (2732Kb) | Preview |
Official URL: https://doi.org/10.1080/08870446.2016.1153640
Abstract
Objective: To determine whether people’s beliefs about their illness, conceptualised by the common sense model (CSM), can prospectively predict adherence to self-management behaviours (including, attendance, medication, diet and exercise) in adults with acute and chronic physical illnesses.
Design and Main Outcome Measures: Electronic databases were searched in September 2014, for papers specifying the use of the ‘CSM’ in relation to ‘self-management’, ‘rehabilitation’ and ‘adherence’ in the context of physical illness. Six hundred abstracts emerged. Data from 52 relevant studies were extracted. Twenty-one studies were meta-analysed, using correlation coefficients in random effects models. The remainder were descriptively synthesised.
Results: The effect sizes for individual illness belief domains and adherence to self-management behaviours ranged from .04 to .13, indicating very weak, predictive relationships. Further analysis revealed that predictive relationships did not differ by the: type of self-management behaviour; acute or chronic illness; or duration of follow-up.
Conclusion: Individual illness belief domains, outlined by the CSM, did not predict adherence to self-management behaviours in adults with physical illnesses. Prospective relationships, controlling for past behaviour, also did not emerge. Other factors, including patients’ treatment beliefs and inter-relationships between individual illness beliefs domains, may have influenced potential associations with adherence to self-management behaviours.
Item Type: | Journal Article | ||||||||||
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Subjects: | R Medicine > R Medicine (General) | ||||||||||
Divisions: | Faculty of Social Sciences > Warwick Business School > Behavioural Science Faculty of Social Sciences > Warwick Business School |
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Library of Congress Subject Headings (LCSH): | Patient compliance, Health, Common sense, Diet, Exercise, Medical appointments and schedules -- Patients -- Attendance, Systematic reviews (Medical research) | ||||||||||
Journal or Publication Title: | Psychology & Health | ||||||||||
Publisher: | Routledge | ||||||||||
ISSN: | 0887-0446 | ||||||||||
Official Date: | 28 March 2016 | ||||||||||
Dates: |
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Volume: | 31 | ||||||||||
Number: | 8 | ||||||||||
Page Range: | pp. 931-958 | ||||||||||
Status: | Peer Reviewed | ||||||||||
Publication Status: | Published | ||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||
Date of first compliant deposit: | 10 February 2017 | ||||||||||
Date of first compliant Open Access: | 28 March 2017 | ||||||||||
Funder: | University of Nottingham |
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