Understanding Non-Adherence From the Inside: Hypertensive Patients' Motivations for Adhering and Not Adhering.

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  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Author-Supplied Keywords:
      adherence
      behavior change
      content analysis
      health behavior
      motivation
      south america
      users' experiences
    • Abstract:
      Patients' low adherence to medical treatment in chronic illnesses is one of the biggest public health problems. Numerous studies attend to the diverse factors associated with patient adherence. However, little research has been done to explore patients' reasons for non-compliance from their own point of view. In this article, we aim to understand patient non-adherence using dialogical self-theory and qualitative research methods. We interviewed 51 hypertensive patients to explore their anti- and pro-adherence motivations. Results show that most patients adhere and non-adhere to different aspects of treatment programs (medication, exercise, diet) according to the way they construct meaning to those activities. Also, our findings support the notion that patients' non-adherent behavior aims to preserve important values such as self-esteem, autonomy, affiliation, well-being, freedom, and health (or that more adherence is not worth the extra effort). We discuss the therapeutic relevance of empathically understanding patients' worldview and implicit beliefs. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Qualitative Health Research is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Full Text Word Count:
      8805
    • ISSN:
      1049-7323
    • Accession Number:
      10.1177/1049732316652529
    • Accession Number:
      123667644
  • Citations
    • ABNT:
      HERRERA, P. A.; MONCADA, L.; DEFEY, D. Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering. Qualitative Health Research, [s. l.], v. 27, n. 7, p. 1023–1034, 2017. DOI 10.1177/1049732316652529. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=123667644. Acesso em: 26 nov. 2020.
    • AMA:
      Herrera PA, Moncada L, Defey D. Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering. Qualitative Health Research. 2017;27(7):1023-1034. doi:10.1177/1049732316652529
    • APA:
      Herrera, P. A., Moncada, L., & Defey, D. (2017). Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering. Qualitative Health Research, 27(7), 1023–1034. https://doi.org/10.1177/1049732316652529
    • Chicago/Turabian: Author-Date:
      Herrera, Pablo A., Laura Moncada, and Denise Defey. 2017. “Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering.” Qualitative Health Research 27 (7): 1023–34. doi:10.1177/1049732316652529.
    • Harvard:
      Herrera, P. A., Moncada, L. and Defey, D. (2017) ‘Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering’, Qualitative Health Research, 27(7), pp. 1023–1034. doi: 10.1177/1049732316652529.
    • Harvard: Australian:
      Herrera, PA, Moncada, L & Defey, D 2017, ‘Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering’, Qualitative Health Research, vol. 27, no. 7, pp. 1023–1034, viewed 26 November 2020, .
    • MLA:
      Herrera, Pablo A., et al. “Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering.” Qualitative Health Research, vol. 27, no. 7, June 2017, pp. 1023–1034. EBSCOhost, doi:10.1177/1049732316652529.
    • Chicago/Turabian: Humanities:
      Herrera, Pablo A., Laura Moncada, and Denise Defey. “Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering.” Qualitative Health Research 27, no. 7 (June 2017): 1023–34. doi:10.1177/1049732316652529.
    • Vancouver/ICMJE:
      Herrera PA, Moncada L, Defey D. Understanding Non-Adherence From the Inside: Hypertensive Patients’ Motivations for Adhering and Not Adhering. Qualitative Health Research [Internet]. 2017 Jun [cited 2020 Nov 26];27(7):1023–34. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=hch&AN=123667644