Patient-by-Treatment Context Interaction in Chronic Disease: A Conceptual Framework for the Study of Patient Adherence
Abstract
OBJECTIVE: Previous reviews have concluded that there is little or no evidence supporting a predictable association between patient characteristics and regimen adherence in chronic illness. The primary objective of this article is to propose an alternative conceptual framework for the interpretation and design of adherence research. METHODS: The author's research involving adherence among patients with end-stage renal disease is reviewed and used to illustrate the patient-by-context interactive framework. RESULTS: Adherence is most favorable when the patient's characteristic or preferred style of coping with illness and treatment-related experiences is congruent with the contextual features or demands of the particular type of medical intervention the patient is undergoing. Among patients with end-stage renal disease, a more vigilant or active style of coping is associated with more favorable adherence only for patients undergoing home-based dialysis treatment modalities that are highly patient directed. Among patients receiving hospital-based, provider-controlled treatment, a less vigilant or more passive coping style is associated with more favorable dialysis regimen adherence. CONCLUSIONS: The patient-by-context interactive perspective can provide a useful framework for the interpretation and design of adherence research.
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Adherence to medication and study drop-out appear to be related to personality characteristics.
“Adherence to medication and study drop-out alike appears to be related to personality characteristics [265–267].”
From Personality and Longevity: Knowns, Unknowns, and Implications for Public Health and Personalized Medicine (2011) · cites this paper as [265]
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Compliance, peritoneal dialysis and chronic kidney disease: lessons from the literature
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One size does not fit all: matching patients with insomnia treatment modality
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Lupus (SLE): Existence and Impact of Depressive Symptomatology
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Gender and Racial/Ethnic Differences in CVD Risk: Behavioral and Psychosocial Risk and Resilience
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Self-citationAl-Khattabi, G. H. (2023) · Saudi Journal of Kidney Diseases and Transplantation · doi:10.4103/sjkdt.sjkdt_249_23 · Cited by 2 · see citing works
Outcomes on home haemodialysis: registry challenges
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Cognitive Behavioral and eHealth Approaches to Promote Engagement in Treatment
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Self-citationChronic kidney disease: Patient information needs, preferences and priorities
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- Authors
- Christensen, A. J.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Christensen, Alan J.
- ORCID
- Christensen, Alan J.
- Venue
- Psychosomatic Medicine
- Published
- 2000-05
- Volume
- 62
- Issue
- 3
- Pages
- 435-443
- ISSN
- 0033-3174 (ISSN-L)
- OpenAlex
- W2077658919
- Cited by
- 78
- References
- 45
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 3 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 8 · 2012: 1
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (DK49129)
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- medication adherence, coping styles, end-stage renal disease, home dialysis, treatment demand, chronic disease
- MeSH terms
- Adaptation, Psychological, Chronic Disease, Humans, Kidney Failure, Chronic, Patient Compliance, Peritoneal Dialysis, Continuous Ambulatory, Weight Gain
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