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PREDICTORS OF INFECTION CONTROL ADHERENCE IN INDIVIDUALS WITH CYSTIC FIBROSIS

Masterson, Tracy Loye
http://rave.ohiolink.edu/etdc/view?acc_num=kent1195622736

Abstract Details

2007, PHD, Kent State University, College of Arts and Sciences / Department of Psychological Sciences.
The minimization of infection is critical to the immediate and long-term survival of CF patients. Within the past several years, the Cystic Fibrosis Foundation (CFF) has outlined Infection Control (IC) recommendations to minimize infection transmission to CF patients. The goal of the present research was to compare medical and IC adherence utilizing the Health Belief Model (HBM) as theoretical guide. Specifically, the HBM was used to compare the factors predictive of adherence to IC guidelines versus adherence to standard medical treatment regimens. Also, the comparison between individuals with CF who have a multi-drug resistant infection (MRDI) and/or maintain regular social contact with another CF patient (at-risk group) versus those without such risk factors (non-risk group) was examined. Specifically, the at-risk group was compared with the non-risk group on a variety of health-related parameters. The findings of the present study suggest significant differences between IC and medical adherence and have important implications for research and clinical practice with cystic fibrosis patients. Likely explanations for the finding that health beliefs differed as a function of adherence type include: the role of learning experiences on the formation of health beliefs (e.g., infection history), length of patient exposure to guidelines, and the impact of choice on adherence behaviors (e.g., the lack of choice or opportunity with respect to social interactions with other CF patients). Also, developmental differences between the pediatric and adult patient samples were identified with respect to adherence behaviors and health beliefs, suggesting that adults and children with CF may need different messages with respect to information and knowledge aimed at promoting adherence. Finally, analyses comparing the at-risk subgroup(s) versus the non-risk group suggested no statistically significant differences between the sample with regard to their health-related beliefs, with the exception of CF and IC knowledge scores. As CF and IC knowledge were also associated with adherence, study findings suggest the importance of assessing patient and family knowledge of CF and IC guidelines in order to promote adherence through education.
Beth Wildman (Advisor)
199 p.
Psychology, Clinical
Cystic Fibrosis; Adherence; Infection Control; Health belif Model

Recommended Citations

Citations

  • Masterson, T. L. (2007). PREDICTORS OF INFECTION CONTROL ADHERENCE IN INDIVIDUALS WITH CYSTIC FIBROSIS [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1195622736

    APA Style (7th edition)

  • Masterson, Tracy. PREDICTORS OF INFECTION CONTROL ADHERENCE IN INDIVIDUALS WITH CYSTIC FIBROSIS. 2007. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1195622736.

    MLA Style (8th edition)

  • Masterson, Tracy. "PREDICTORS OF INFECTION CONTROL ADHERENCE IN INDIVIDUALS WITH CYSTIC FIBROSIS." Doctoral dissertation, Kent State University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=kent1195622736

    Chicago Manual of Style (17th edition)

kent1195622736
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© 2007, all rights reserved.
This open access ETD is published by Kent State University and OhioLINK.