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Predicting Treatment Adherence among Patients Attending Primary Health Care Clinics

The Utility of the Theory of Planned Behaviour

Bibliographic Data

ID9957331
AuthorsAshraf Kagee (0000-0003-1241-2566, Stellenbosch University, corresponding author), Marie van der Merwe (0000-0001-5683-4790, Stellenbosch University)
Year2006
Volume36
Issue4
Pages699-714
Publication date2006-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSouth African Journal of Psychology (JOURNAL)
Journal identifiersISSN: 0081-2463 • E-ISSN: 2078-208X
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/008124630603600404
OpenAlexW2146739448
LanguageEN
Citations received3
References cited36

Treatment regimens for conditions such as hypertension and Type II diabetes require strict adherence to medical instructions. Yet, adherence among patients living with chronic medical conditions attending public health clinics is typically low. The present study sought to determine the extent to which the Theory of Planned Behaviour (TPB) was able to significantly explain variance in adherence intentions and behaviour in a sample of 117 formerly disadvantaged South Africans living with diabetes and hypertension in the Western Cape. The results showed that the linear combination of TPB variables — Attitudes, Perceived behavioural control, and Subjective norms — was able to account for 47 per cent of the variance in adherence intentions and 23 per cent of the variance in self-reported adherence behaviour. The addition of the variables Psychological distress and Social support to the two regression models, hypothesised to add predictive power to the TPB, yielded non-significant results. The findings of the study are discussed in the context of applying theoretical models of behaviour developed in the industrially developed world and tested on middle-class subjects to patient samples in developing countries such as South Africa. Our findings suggest that social cognitive models of health behaviour such as the TPB may be useful in predicting treatment adherence but should be used in a critical and cautious manner

Context (archaeology) · Control (management) · Disadvantaged · Distress · Explained variation · Predictive power · Social cognitive theory · Social support · Theory of planned behavior · Attachment and Relationship Dynamics · Behavioral Health and Interventions · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Psychology · Social Psychology · Gerontology

  • Perceived Challenges in the Self-Management of Essential Hypertension in South African Settings

    Karel Botha, Wynand F Du Plessis•Journal of Psychology in Africa•2009

  • A Milestone for South African Psychology

    Open Access•Ashraf Kagee•South African Journal of Psychology•2006

  • The applicability of the Theory of Planned Behaviour in predicting adherence to ART among a South African sample

    Open Access•Wylene Saal, Ashraf Kagee•Journal of Health Psychology•2012

  • Validity of the Hopkins Symptom Checklist‐25 amongst HIV‐positive pregnant women in Tanzania

    Open Access•Sylvia Kaaya, S F Kaaya et al.•Acta Psychiatrica Scandinavica•2002

  • Perceived Behavioral Control, Self‐Efficacy, Locus of Control, and the Theory of Planned Behavior 1

    Open Access•Icek Ajzen•Journal of Applied Social…•2002

  • Development and Evaluation of the Adherence Attitude Inventory

    Open Access•Sarah J Lewis, Neil Abell•Research on Social Work Practice•2002

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  • Measures of perceived social support from friends and from family

    Open Access•Mary E Procidano, Kenneth Heller•American Journal of Community…•1983

  • Where is the Evidence in South African Clinical Psychology

    Open Access•Ashraf Kagee•South African Journal of Psychology•2006

  • Cognitive predictors of adherence to malaria prophylaxis regimens on return from a malarious region

    Open Access•Charles Abraham, Sarah Clift et al.•Social Science & Medicine•1999

Unique citing works3
Citations per year0,15
Citation span2006 - 2012 (7)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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