Self-Efficacy and Adherence Behaviors in Rheumatoid Arthritis Patients.

Published

Journal Article

INTRODUCTION:Rheumatoid arthritis (RA) is a common disease that requires patient self-management with chronic medications. Adherence rates for RA medications are suboptimal. This study explores medication adherence and self-efficacy behaviors among RA patients. METHODS:We conducted a qualitative study comprising focus groups and individual interviews. Nineteen participants were recruited and screened to participate in three 90-minute focus groups (n = 13) and six 60-minute individual interviews. We created and maintained a codebook to analyze data. Interviews were analyzed by using NViVo qualitative analysis software. RESULTS:Key points in participant interviews were 1) self-efficacy as influenced by the ability to establish routines, and having an understanding relationship with their healthcare provider; 2) self-efficacy to adjust medications depended on having permission from providers to adjust medications, perceptions of the effectiveness of medications, and confidence in self-knowledge to make appropriate adjustments; and 3) changes in self-efficacy over time were influenced by initial denial and later acceptance of the diagnosis. Participant interviews revealed that medication adherence is a spectrum that ranges from adherent to nonadherent. CONCLUSION:Participants' experience with RA medications revealed varied underlying reasons for adherence behaviors. Recognizing adherence as a dynamic behavior has important implications for how adherence interventions are designed. For example, participants reported adjusting medications in response to the unpredictable nature of RA. Interventions could collect information about RA symptoms and be tailored to provide adherence support at times when patients need it most. The importance of self-efficacy in influencing participants' adherence behaviors is an area for continuing research among patients and providers.

Full Text

Duke Authors

Cited Authors

  • Oshotse, C; Zullig, LL; Bosworth, HB; Tu, P; Lin, C

Published Date

  • October 18, 2018

Published In

Volume / Issue

  • 15 /

Start / End Page

  • E127 -

PubMed ID

  • 30339772

Pubmed Central ID

  • 30339772

Electronic International Standard Serial Number (EISSN)

  • 1545-1151

International Standard Serial Number (ISSN)

  • 1545-1151

Digital Object Identifier (DOI)

  • 10.5888/pcd15.180218

Language

  • eng