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Journal of Pediatric Psychology Advance Access originally published online on February 5, 2009
Journal of Pediatric Psychology 2009 34(8):893-902; doi:10.1093/jpepsy/jsn135
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© The Author 2009. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Adherence to Treatment in Adolescents with Cystic Fibrosis: The Role of Illness Perceptions and Treatment Beliefs

Romola S. Bucks, PhD1, Katharine Hawkins, DClinPsych1,2, T. C. Skinner, PhD1,3, Sandra Horn, MSc2,4, Paul Seddon, FRCP3,5 and Rob Horne, PhD4,6

1School of Psychology, University of Western Australia, 2Psychosocial and Family Services, Great Ormond Street Hospital, 3Combined Universities Centre for Rural Health, 4Geraldton, School of Psychology, University of Southampton, 5Rockinghorse Research Unit, Royal Alexandra Children's Hospital, and 6Centre for Behavioural Medicine, School of Pharmacy, University of London

All correspondence concerning this article should be addressed to Dr Romola S. Bucks, School of Psychology, M304, University of Western Australia, 35 Stirling Highway, Crawley, 6009 WA, Australia. E-mail: romola.bucks{at}uwa.edu.au


  Abstract

Objectives This study was conducted to explore the relationships between illness perceptions, emotional representations, treatment beliefs and reported adherence in adolescents with cystic fibrosis (CF). Methods Thirty-eight adolescents completed questionnaires assessing their perceptions of CF, beliefs about prescribed treatments and reported adherence to chest physiotherapy, enzyme supplements, and antibiotics. Results Reported non-adherence to chest physiotherapy was associated with the way in which patients judged their personal need for treatment relative to their concerns about potential adverse effects. Patients reported strong doubts about the necessity of chest physiotherapy. Reported non-adherence to antibiotics was related to doubts about the necessity of antibiotics, believing that CF is not amenable to treatment control. Despite these beliefs about treatment, participants perceived CF as a chronic condition. Conclusions The findings provide preliminary support for the self-regulatory model, using the necessity-concerns framework to operationalize treatment beliefs, in explaining adherence to treatment in adolescents with CF.

Key words: cystic fibrosis; adherence; illness representations.

Received June 13, 2008; revision received November 18, 2008; accepted November 25, 2008


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