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Cognitive Reframing and Adherence Motivation: Using Spirituality After an Adult CF Diagnosis

Grossoehme, Daniel H.
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1335461507

Abstract Details

2012, MS, University of Cincinnati, Medicine: Clinical and Translational Research.
Introduction: Diagnosis and living with a chronic illness is a significant life stressor and the majority of Americans utilize spirituality to cope. Numerous studies demonstrate links between spiritual coping and health outcomes. We hypothesized that persons diagnosed with cystic fibrosis (CF) as adults would use spirituality to cope and influence day-to-day disease management. Methods: Semi-structured interviews were completed and analyzed using grounded theory methodology. A theoretical model centered on a core dimension with supporting themes was developed. Results: Twelve adults participated (n=10 female); mean age=47 (sd=13); mean age at diagnosis=40 (15). The sample represents 48% of those eligible and the point at which interpretive sufficiency was reached with the data. Persons with late-life CF diagnoses used spirituality to make meaning of their diagnosis, understanding themselves in a collaborative partnership with their pulmonologist and God. Supporting themes were: i) God's intervention depended on treatment adherence; and ii) spiritual meaning was constructed through positively reframing their experience. Discussion: Spirituality is a clinically relevant aspect of care of patients diagnosed with CF as adults. Adults diagnosed later in life with CF relate their spiritual beliefs to their CF and to the physical care of their bodies. The constructed meaning differed from that of adult parents of children diagnosed with CF. Meaning was empowering; for late-life diagnosed adults, the diagnosis itself was empowering whereas adult parents constructed a spiritual meaning. Late-life diagnosed adults focus on personal responsibility for their health. Clinical and research implications are presented.
Paul Succop, PhD (Committee Chair)
Dennis Drotar, PhD (Committee Member)
Michael Seid, MD (Committee Member)
Joel Tsevat, MD MPH (Committee Member)
14 p.
Health Sciences
Cystic fibrosis; Adult; spirituality; religion; adherence; grounded theory;

Recommended Citations

Citations

  • Grossoehme, D. H. (2012). Cognitive Reframing and Adherence Motivation: Using Spirituality After an Adult CF Diagnosis [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1335461507

    APA Style (7th edition)

  • Grossoehme, Daniel. Cognitive Reframing and Adherence Motivation: Using Spirituality After an Adult CF Diagnosis. 2012. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1335461507.

    MLA Style (8th edition)

  • Grossoehme, Daniel. "Cognitive Reframing and Adherence Motivation: Using Spirituality After an Adult CF Diagnosis." Master's thesis, University of Cincinnati, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1335461507

    Chicago Manual of Style (17th edition)

ucin1335461507
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© 2012, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.