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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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 |
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: | Date Event 28 March 2016 Published 24 February 2016 Available 7 February 2016 Accepted June 2014 Submitted |
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 |
URI: | https://wrap.warwick.ac.uk/85887/ |
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