Patients' and health care practitioners' attributions about adherence problems as predictors of medication adherence†
Article first published online: 28 JAN 2008
Copyright © 2008 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 31, Issue 3, pages 261–273, June 2008
How to Cite
Cook, P. F. (2008), Patients' and health care practitioners' attributions about adherence problems as predictors of medication adherence. Res. Nurs. Health, 31: 261–273. doi: 10.1002/nur.20256
The author wishes to thank Dr. Ellyn Matthews and other members of the UCDHSC School of Nursing Writers' Group, Dr. Jay Efran, and three anonymous peer reviewers for their helpful comments on drafts of this article.
- Issue published online: 13 MAY 2008
- Article first published online: 28 JAN 2008
- Manuscript Accepted: 13 SEP 2007
- Centene Corporation/ScriptAssist Medication Adherence Programs. Grant Number: 0506-010-PC
- causal attributions;
- behavior change
Patients and healthcare practitioners (HCPs) each have theories about the causes of medication adherence problems. Traditional patient education focuses on correcting patients' inaccurate beliefs, but more recent models suggest working within patients' theories. Secondary data from a telehealth medication adherence program were analyzed to determine whether patients' or HCPs' causal theories better predicted adherence, and the effect of discrepancy between HCP and patient theories. Patients with osteoporosis (N = 402) or endometriosis (N = 2,015) received telephone counseling. Adherence levels and patients' and HCPs' causal attributions were recorded at each call. Hierarchical linear modeling showed associations between patients' attributions and current-session adherence, but HCP-patient attribution discrepancies predicted better subsequent adherence in three of six empirical tests performed. © 2008 Wiley Periodicals, Inc. Res Nurs Health 31:261–273, 2008