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dc.contributor.authorPlatt, Ian
dc.contributor.authorGreen, Heather J
dc.contributor.authorJayasinghe, Rohan
dc.contributor.authorMorrissey, Shirley A
dc.date.accessioned2017-07-27T01:30:45Z
dc.date.available2017-07-27T01:30:45Z
dc.date.issued2014
dc.date.modified2014-04-22T05:16:08Z
dc.identifier.issn0005-0067
dc.identifier.doi10.1111/ap.12038
dc.identifier.urihttp://hdl.handle.net/10072/56825
dc.description.abstractIn people with Coronary Heart Disease (CHD), poor adherence to medication, exercise, and dietary recommendations can compromise prognosis. This study investigated respective associations of the Commonsense Self-Regulation Model (CSM), the Transtheoretical Model (TM), and trait affect with patients' self-reported adherence to treatment. One hundred and forty-two CHD outpatients completed the Illness Perceptions Questionnaire Revised, Self-Efficacy, Stage of Change, Positive and Negative Affect Scale, and General Adherence Questionnaire. Stage of change and self-efficacy were associated with self-reported medication, diet, and exercise adherence. In comparison, the CSM accounted for a smaller proportion of variance in adherence. In hierarchical regression, the variance from CSM variables associated with exercise adherence was no longer significant when TM variables were in the equation. For dietary and medication adherence, in contrast, both emotional representations (CSM) and TM variables contributed independently to the regression equation. There was some evidence that trait affect moderated the association between the CSM variable of emotional representations and dietary adherence. Results suggest that the largest effects for improving adherence to medication, exercise, and dietary recommendations would occur by increasing readiness to change for exercise, increasing domain-specific self-efficacy, and decreasing negative emotions about CHD. Additional implications for research and practice are discussed.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent200590 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherJohn Wiley & Sons
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationY
dc.relation.ispartofpagefrom127
dc.relation.ispartofpageto137
dc.relation.ispartofissue2
dc.relation.ispartofjournalAustralian Psychologist
dc.relation.ispartofvolume49
dc.rights.retentionY
dc.subject.fieldofresearchCardiology (incl. cardiovascular diseases)
dc.subject.fieldofresearchCognitive and computational psychology
dc.subject.fieldofresearchcode320101
dc.subject.fieldofresearchcode5204
dc.titleUnderstanding adherence in patients with coronary heart disease: Illness representations and readiness to engage in healthy behaviours
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Applied Psychology
gro.rights.copyright© 2013 The Australian Psychological Society. This is the pre-peer reviewed version of the following article: Understanding adherence in patients with coronary heart disease: Illness representations and readiness to engage in healthy behaviours, Australian Psychologist, Volume 49, Issue 2, 2013, pages 127–137, which has been published in final form at dx.doi.org/10.1111/ap.12038.
gro.date.issued2013
gro.hasfulltextFull Text
gro.griffith.authorGreen, Heather J.


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