Can illness beliefs, from the common-sense model, prospectively predict adherence to self-management behaviours?: a systematic review and meta-analysis
Aujla, Navneet; Walker, Marion; Sprigg, Nikola; Abrams, Keith; Massey, Adam; Vedhara, Kavita
NIKOLA SPRIGG email@example.com
Professor of Stroke Medicine
KAVITA VEDHARA firstname.lastname@example.org
Professor in Applied Psychology
Objective: To determine whether people’s beliefs about their illness, conceptualised by the common sense model (CSM), can prospectively predict adherence to self-management behaviours (including, attendance, medication, diet and exercise) in adults with acute and chronic physical illnesses.
Design and Main Outcome Measures: Electronic databases were searched in September 2014, for papers specifying the use of the ‘CSM’ in relation to ‘self-management’, ‘rehabilitation’ and ‘adherence’ in the context of physical illness. Six hundred abstracts emerged. Data from 52 relevant studies were extracted. Twenty-one studies were meta-analysed, using correlation coefficients in random effects models. The remainder were descriptively synthesised.
Results: The effect sizes for individual illness belief domains and adherence to self-management behaviours ranged from .04 to .13, indicating very weak, predictive relationships. Further analysis revealed that predictive relationships did not differ by the: type of self-management behaviour; acute or chronic illness; or duration of follow-up.
Conclusion: Individual illness belief domains, outlined by the CSM, did not predict adherence to self-management behaviours in adults with physical illnesses. Prospective relationships, controlling for past behaviour, also did not emerge. Other factors, including patients’ treatment beliefs and inter-relationships between individual illness beliefs domains, may have influenced potential associations with adherence to self-management behaviours.
Aujla, N., Walker, M., Sprigg, N., Abrams, K., Massey, A., & Vedhara, K. (in press). Can illness beliefs, from the common-sense model, prospectively predict adherence to self-management behaviours?: a systematic review and meta-analysis. Psychology and Health, 2016, https://doi.org/10.1080/08870446.2016.1153640
|Journal Article Type||Article|
|Acceptance Date||Feb 7, 2016|
|Online Publication Date||Mar 28, 2016|
|Deposit Date||Apr 18, 2016|
|Publicly Available Date||Apr 18, 2016|
|Journal||Psychology & Health|
|Peer Reviewed||Peer Reviewed|
|Keywords||illness beliefs, common sense model, self-regulation theory, self-management, adherence, systematic review|
|Additional Information||This is an Accepted Manuscript of an article published by Taylor & Francis in Psychology & Health on 28/03/2016, available online: http://www.tandfonline.com/10.1080/08870446.2016.1153640|
N Aujla Accepted Manuscript_Published16thMarch16.pdf
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