Reasons related to adherence in community-based field studies

J. R. Atwood, Joan Haase, S. Rees-McGee, G. Blackwell, L. Giordano, D. Earnest, D. Alberts, E. Sheehan, J. Benedict, M. Aickin, F. Meyskens

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

This study identified participants' reasons for good, marginal or poor adherence, or withdrawing from community-based clinical studies using a dietary and/or drug intervention. Adults aged 48-75 years participated in one of three studies related to decreasing colon polyp recurrence. Qualitative data from progress notes (N = 675) and end-of-study evaluations (N = 87) were coded using constant comparative analysis with 100% content validity panel agreement. Most common reasons for non-adherence were barriers such as side-effects, interference with vacation plans, unrelated illness, forgetting and competing outside stressors. Participation motivators were benefits such as altruism, medical benefits, free service and staff rapport. Findings supported the Health Behavior in Cancer Prevention model-based approach to adherence interventions and provided directions for adherence promotion in future community-based clinical studies.

Original languageEnglish (US)
Pages (from-to)251-259
Number of pages9
JournalPatient Education and Counseling
Volume19
Issue number3
DOIs
StatePublished - 1992
Externally publishedYes

Fingerprint

Altruism
Health Behavior
Polyps
Colon
Recurrence
Pharmaceutical Preparations
Neoplasms
Clinical Studies
Direction compound

Keywords

  • Adherence
  • Colon cancer prevention
  • Community-based field studies
  • Study participation motivators

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Atwood, J. R., Haase, J., Rees-McGee, S., Blackwell, G., Giordano, L., Earnest, D., ... Meyskens, F. (1992). Reasons related to adherence in community-based field studies. Patient Education and Counseling, 19(3), 251-259. https://doi.org/10.1016/0738-3991(92)90144-8

Reasons related to adherence in community-based field studies. / Atwood, J. R.; Haase, Joan; Rees-McGee, S.; Blackwell, G.; Giordano, L.; Earnest, D.; Alberts, D.; Sheehan, E.; Benedict, J.; Aickin, M.; Meyskens, F.

In: Patient Education and Counseling, Vol. 19, No. 3, 1992, p. 251-259.

Research output: Contribution to journalArticle

Atwood, JR, Haase, J, Rees-McGee, S, Blackwell, G, Giordano, L, Earnest, D, Alberts, D, Sheehan, E, Benedict, J, Aickin, M & Meyskens, F 1992, 'Reasons related to adherence in community-based field studies', Patient Education and Counseling, vol. 19, no. 3, pp. 251-259. https://doi.org/10.1016/0738-3991(92)90144-8
Atwood, J. R. ; Haase, Joan ; Rees-McGee, S. ; Blackwell, G. ; Giordano, L. ; Earnest, D. ; Alberts, D. ; Sheehan, E. ; Benedict, J. ; Aickin, M. ; Meyskens, F. / Reasons related to adherence in community-based field studies. In: Patient Education and Counseling. 1992 ; Vol. 19, No. 3. pp. 251-259.
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