Understanding Non-Adherence From the Inside
Hypertensive Patients' Motivations for Adhering and Not Adhering
Bibliographic Data
| ID | 4686672 |
|---|---|
| Authors | Pablo Herrera (0000-0002-2142-2961, corresponding author), Pablo Alberto Herrera (0000-0003-2413-7514, University of Chile, corresponding author), Laura Moncada (0009-0001-1362-1792, University of Chile, Santiago, Chile), Denise Defey (University of the Republic, Montevideo, Uruguay) |
| Year | 2017 |
| Volume | 27 |
| Issue | 7 |
| Pages | 1023-1034 |
| Publication date | 2017-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732316652529 |
| PMID | 27282381 |
| OpenAlex | W2413172777 |
| Language | EN |
| Citations received | 5 |
| References cited | 38 |
Patients' low adherence to medical treatment in chronic illnesses is one of the biggest public health problems. Numerous studies attend to the diverse factors associated with patient adherence. However, little research has been done to explore patients' reasons for non-compliance from their own point of view. In this article, we aim to understand patient non-adherence using dialogical self-theory and qualitative research methods. We interviewed 51 hypertensive patients to explore their anti- and pro-adherence motivations. Results show that most patients adhere and non-adhere to different aspects of treatment programs (medication, exercise, diet) according to the way they construct meaning to those activities. Also, our findings support the notion that patients' non-adherent behavior aims to preserve important values such as self-esteem, autonomy, affiliation, well-being, freedom, and health (or that more adherence is not worth the extra effort). We discuss the therapeutic relevance of empathically understanding patients' worldview and implicit beliefs
Autonomy · Dialogical self · Medication adherence · Psychotherapist · Qualitative research · Sociology · Attachment and Relationship Dynamics · Behavioral Health and Interventions · Child and Adolescent Psychosocial and Emotional Development · Medicine · Psychology · Social Psychology
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| Citations per year | 0.56 |
|---|---|
| Citation span | 2017 - 2024 (8) |
| Highly cited | No |