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Predicting treatment course and outcome using a promotion and prevention framework in a community sample of arthritis sufferers.

Publication ,  Journal Article
Blalock, DV; McKnight, PE; Kashdan, TB; Franz, SC
Published in: Patient Prefer Adherence
2018

OBJECTIVE: The present study examined the proposition that patients need to focus on something beyond simply "getting better". In a sample of arthritis sufferers, we distinguished individuals by the goals that motivated them - moving toward aspirational goals and maximizing gains (promotion focus) rather than obligations and minimizing losses (prevention focus) - and how these motivational styles influenced treatment. METHODS: Patients (N=254) participated in a randomized controlled trial of resistance training and self-management, providing 6 time points of data over 2 years. Promotion and prevention focus at baseline were used to predict the course (compliance and changes in coping self-efficacy) and outcome (changes in physical functioning) of treatment. RESULTS: Arthritis sufferers with strong promotion orientations showed significant improvements in physical functioning (a direct positive impact on physical health); there were no significant associations with treatment compliance and coping self-efficacy. Arthritis sufferers with strong prevention orientations complied less with the treatment and showed little change in coping self-efficacy during treatment, which, in turn, predicted worse physical functioning over time (a pernicious, indirect influence on treatment outcome). CONCLUSION: A focus on positive approach-oriented goals may improve overall treatment response, whereas a focus on negative avoidance-oriented goals may degrade treatment response through reduced compliance and self-efficacy.

Duke Scholars

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Published In

Patient Prefer Adherence

DOI

ISSN

1177-889X

Publication Date

2018

Volume

12

Start / End Page

981 / 991

Location

New Zealand

Related Subject Headings

  • 4203 Health services and systems
  • 1103 Clinical Sciences
 

Citation

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Blalock, D. V., McKnight, P. E., Kashdan, T. B., & Franz, S. C. (2018). Predicting treatment course and outcome using a promotion and prevention framework in a community sample of arthritis sufferers. Patient Prefer Adherence, 12, 981–991. https://doi.org/10.2147/PPA.S161144
Blalock, Dan V., Patrick E. McKnight, Todd B. Kashdan, and Simone C. Franz. “Predicting treatment course and outcome using a promotion and prevention framework in a community sample of arthritis sufferers.Patient Prefer Adherence 12 (2018): 981–91. https://doi.org/10.2147/PPA.S161144.
Blalock DV, McKnight PE, Kashdan TB, Franz SC. Predicting treatment course and outcome using a promotion and prevention framework in a community sample of arthritis sufferers. Patient Prefer Adherence. 2018;12:981–91.
Blalock, Dan V., et al. “Predicting treatment course and outcome using a promotion and prevention framework in a community sample of arthritis sufferers.Patient Prefer Adherence, vol. 12, 2018, pp. 981–91. Pubmed, doi:10.2147/PPA.S161144.
Blalock DV, McKnight PE, Kashdan TB, Franz SC. Predicting treatment course and outcome using a promotion and prevention framework in a community sample of arthritis sufferers. Patient Prefer Adherence. 2018;12:981–991.

Published In

Patient Prefer Adherence

DOI

ISSN

1177-889X

Publication Date

2018

Volume

12

Start / End Page

981 / 991

Location

New Zealand

Related Subject Headings

  • 4203 Health services and systems
  • 1103 Clinical Sciences