A test of a compliance model for prediction of smoking reduction in cardiopulmonary patients.
Item
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Title
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A test of a compliance model for prediction of smoking reduction in cardiopulmonary patients.
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Identifier
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AAI9029933
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identifier
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9029933
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Creator
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Galizia, Virginia Jean.
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Contributor
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Adviser: Shirley Feldmann
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Date
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1990
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Language
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English
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Publisher
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City University of New York.
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Subject
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Education, Educational Psychology | Psychology, General | Health Sciences, General
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Abstract
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In health-related situations, patients respond to directions or suggestions according to their own subjective decisions. The outcome of these subjective responses, or health behaviors, may be defined in terms of compliance, or the adherence to a treatment regimen. A patient-centered approach to compliance involving the study of personality-related individual differences of persons with a chronic disease condition is the focus of this study.;The medical model fails to provide adequate educational intervention. Thus, a suggested procedure for better compliance is to describe the patient on the basis of his or her personal orientation towards health, e.g., the individual's locus of control, beliefs and values associated with his or her health and to develop patient education accordingly. A smoker who suffers from a serious heart or lung condition typically is expected to stop smoking to reduce the likelihood of further complications or recurrence of the condition, which may be fatal. In this study, health locus of control, health beliefs, health value, and the use of self-regulatory behaviors are tested in relation to compliance with smoking reduction; demographics and smoking history data are also discussed.;Seventy-one subjects who were known smokers suffering from a coronary (CHD) or pulmonary (COPD) disease completed the initial questionnaire and interview; 58 (29 CHD and 29 COPD) subjects completed the follow-up questionnaire and interview. Compliance was assessed via self-report and validated by significant other reports. A biochemical analysis of saliva samples for thiocyanate levels was attempted but discontinued due to technical support errors.;A hierarchical multiple regression analysis was performed on the data to determine if the variables significantly contributed to the variation in smoking reduction in this patient population. The results did not support the model. Paired t-tests of the predictor variables resulted in a significant difference found in self-regulatory behaviors used at the first versus the second interview. A difference in smoking for the cardiac subjects approached significance. Overall, the cardiac subjects increased smoking over the study period while the pulmonary group decreased smoking slightly. Future research should attempt to modify the model and develop patient education accordingly.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
