Actualidades en Psicología ISSN Impreso: 0258-6444 ISSN electrónico: 2215-3535

OAI: https://revistas.ucr.ac.cr/index.php/actualidades/oai
Common-sense and self-regulation model-based intervention to increase adherence and asthma control
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Keywords

Intervención psicológica
adherencia al tratamiento
control del asma
estudio de caso único
Psychological intervention
treatment adherence
asthma control
single case study

How to Cite

Lugo González, I. V. (2024). Common-sense and self-regulation model-based intervention to increase adherence and asthma control . Actualidades En Psicología, 38(137), 33–53. https://doi.org/10.15517/ap.v38i137.55053

Abstract

Objective. The effects of a common-sense and self-regulation model-based intervention to increase adherence behaviors and asthma control were valuated. Method. We tested an A-B and follow-up design, replicating the intervention with five women, ages between 25 and 55. The treatment was applied over three 90-minute sessions based on the following strategies: psychoeducation, reattribution, problem-solving, and objective feedback. Effects were assessed with standardized and behavioral measures of adherence, asthma control and pulmonary obstruction measurement over a period of 28-75 days, using visual analysis, effect size and clinical significance. Results. The increase in adherence behaviors for phase B and follow-up had a moderate-strong effect (NAP = .86-1, p < .01). In the case of asthma control, there were significant clinical effects (RCI = 2.32-5.42), as well as in pulmonary obstruction where patients decreased it between 11%-40%.

https://doi.org/10.15517/ap.v38i137.55053
PDF (Español (España))

References

Achstetter, L. I., Schultz, K., Faller, H., & Schuler, M. (2016). Leventhal’s common-sense model and asthma control: Do illness representations predict success of an asthma rehabilitation? Journal of Health Psychology, 24(3), 327-336. https://doi.org/10.1177/1359105316651332

Alfonsson, S., Englund, J., & Parling, T. (2019). Tailored text message prompts to increase therapy homework adherence: A single-case randomised controlled study. Behaviour Change, 36(3), 180-191. https://doi.org/10.1017/bec.2019.10

Aujla, N., Walker, M., Sprigg, N., Abrams, K., Massey, A., & Vedhara, K. (2016). Can illness beliefs, from the common-sense model, prospectively predict adherence to self-management behaviours? A systematic review and meta-analysis. Psychology & Health, 31(8), 931-958. https://doi.org/10.1080/08870446.2016.1153640

Balcazar, F., Hopkins, B. L., & Suarez, Y. (1985). A critical, objective review of performance feedback. Journal of Organizational Behavior Management, 7(3-4), 65-89. https://doi.org/10.1300/j075v07n03_05

Brandes, K., & Mullan, B. (2014). Can the common-sense model predict adherence in chronically ill patients? A meta-analysis. Health Psychology Review, 8(2), 129-153. https://doi.org/10.1080/17437199.2013.820986

Breland, J. Y., Wong, J. J., & McAndrew, L. M. (2020). Are Common Sense Model constructs and self-efficacy simultaneously correlated with self-management behaviors and health outcomes: A systematic review. Health Psychology Open, 7(1), 1-13. https://doi.org/10.1177/2055102919898846

Cardiel, R. (1994). La medición de la calidad de vida. En L. Moreno, F. Cano-Valle & H. García-Romero (Eds.). Epidemiología clínica (pp. 189-199). Interamericana-McGraw-Hill.

Chan, A. H. Y., Horne, R., Hankins, M., & Chisari, C. (2020). The Medication Adherence Report Scale: A measurement tool for eliciting patients' reports of nonadherence. British Journal of Clinical Pharmacology, 86(7), 1281-1288. https://doi.org/10.1111/bcp.14193

Chapman, S. C. E., Barnes, N., Barnes, M., Wilkinson, A., Hartley, J., Piddock, C., Weinman, J., & Horne, R. (2015). Changing adherence-related beliefs about ICS maintenance treatment for asthma: Feasibility study of an intervention delivered by asthma nurse specialists. BMJ Open, 5(6), 1-9. https://doi.org/10.1136/bmjopen-2014-007354

Chapman, S., Dale, P., Svedsater, H., Stynes, G., Vyas, N., Price, D., & Horne, R. (2017). Modelling the effect of beliefs about asthma medication and treatment intrusiveness on adherence and preference for once-daily vs. twice-daily medication. Npj Primary Care Respiratory Medicine, 27(1), 1-11. https://doi.org/10.1038/s41533-017-0061-7

Clarkesmith, D., Pattison, H., Borg-Xuereb, C., & Lane, D. (2016). Developing a Complex Educational-Behavioural Intervention: The TREAT intervention for patients with atrial fibrillation. Healthcare, 4(1), 10. https://doi.org/10.3390/healthcare4010010

Degroote, L., De Paepe, A., De Bourdeaudhuij, I., Van Dyck, D., & Crombez, G. (2021). Effectiveness of the mHealth intervention ‘MyDayPlan’ to increase physical activity: An aggregated single case approach. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 1-12. https://doi.org/10.1186/s12966-021-01163-2

Dugas, M., Gao, G., & Agarwal, R. (2020). Unpacking mHealth interventions: A systematic review of behavior change techniques used in randomized controlled trials assessing mHealth effectiveness. Digital Health, 6, 1-16. https://doi.org/10.1177/2055207620905411

Foot, H., La Caze, A., Baker, P., & Cottrell, N. (2019). Better understanding the influence and complexity of beliefs on medication adherence in asthma. Patient Education and Counseling, 102(3), 564-570. https://doi.org/10.1016/j.pec.2018.10.010

Foot, H., La Caze, A., Gujral, G., & Cottrell, N. (2016). The necessity-concerns framework predicts adherence to medication in multiple illness conditions: A meta-analysis. Patient Education and Counseling, 99(5), 706-717. https://doi.org/10.1016/j.pec.2015.11.004

Ghaemian, A., Ghomi, M., Wrightman, M., & Ellis-Nee, C. (2020). Therapy discontinuation in a primary care psychological service: why patients drop out. Cognitive Behaviour Therapist, 13, e25. https://doi.org/10.1017/s1754470x20000240

Glanz, K., & Kegler, M. C. (2012). Processes of health behavior change. In A. Baum, T. A. Revenson & J. Singer (Eds.), Handbook of Health Psychology (pp. 99-112). Routledge.

Global Initiative for Asthma. (2019). Global Strategy for Asthma Management and Prevention. www.ginasthma.org

Guillén, C., González-Celis, A. L., Cruz-Peralta, M. J., Mendoza-Madrigal, V. A., Reyes-Jarquín, K., & Bautista-Díaz, M. L. (2020). Efectos de una intervención cognitivo conductual para mujeres con síntomas de depresión y asma no controlada. Revista Latinoamericana de Medicina Conductual, 10(2), 23-35. https://www.revistas.unam.mx/index.php/rlmc/article/view/79730

Hagger, M. S., & Orbell, S. (2021). The common sense model of illness self-regulation: a conceptual review and proposed extended model. Health Psychology Review, 16(3). 347-377. https://doi.org/10.1080/17437199.2021.1878050

Heller, M. K., Chapman, S. C. E., & Horne, R. (2015). Beliefs about medication predict the misattribution of a common symptom as a medication side effect - Evidence from an analogue online study. Journal of Psychosomatic Research, 79(6), 519-529. https://doi.org/10.1016/j.jpsychores.2015.10.003

Hoogeboom, T. J., Kwakkenbos, L., Rietveld, L., Den Broeder, A. A., De Bie, R. A., & Van den Ende, C. H. M. (2012). Feasibility and potential effectiveness of a non-pharmacological multidisciplinary care programme for persons with generalised osteoarthritis: A randomised, multiple-baseline single-case study. BMJ Open, 2(4), 1-9. https://doi.org/10.1136/bmjopen-2012-001161

Horne, R., Chapman, S. C. E., Parham, R., Freemantle, N., Forbes, A., & Cooper, V. (2013). Understanding patients’ adherence-related Beliefs about Medicines prescribed for long-term conditions: A meta-analytic review of the Necessity-Concerns Framework. PLoS ONE, 8(12), e80633. https://doi.org/10.1371/journal.pone.0080633

Horne, R., Cooper, V., Wileman, V., & Chan, A. (2019). Supporting adherence to medicines for long-term conditions. European Psychologist, 24(1), 82-96. https://doi.org/10.1027/1016-9040/a000353

Horne, R., Price, D., Cleland, J., Costa, R., Covey, D., Gruffydd-Jones, K., Haughney, J., Henrichsen, S. H., Kaplan, A., Langhammer, A., Østrem, A., Thomas, M., Van der Molen, T., Virchow, J. C., & Williams, S. (2007). Can asthma control be improved by understanding the patient’s perspective? BMC Pulmonary Medicine, 7, 1-11. https://doi.org/10.1186/1471-2466-7-8

Horne, R., Weinman, J., & Hankins, M. (1999). The beliefs about medicines questionnaire: The development and evaluation of a new method for assessing the cognitive representation of medication. Psychology & Health, 14(1), 1-24. https://doi.org/10.1080/08870449908407311

Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychologv, 59(1), 12-19. https://doi.org/10.1037/0022-006X.59.1.12

Jones, C., Smith, H. E., & Llewellyn, C. D. (2016). A systematic review of the effectiveness of interventions using the Common Sense Self-Regulatory Model to improve adherence behaviours. Journal of Health Psychology, 21(11), 2709-2724. https://doi.org/10.1177/1359105315583372

Kosse, R. C., Bouvy, M. L., De Vries, T. W., & Koster, E. S. (2019). Effect of a mHealth intervention on adherence in adolescents with asthma: A randomized controlled trial. Respiratory Medicine, 149, 45-51. https://doi.org/10.1016/j.rmed.2019.02.009

Kosse, R. C., Koster, E. S., Kaptein, A. A., De Vries, T. W., & Bouvy, M. L. (2020). Asthma control and quality of life in adolescents: The role of illness perceptions, medication beliefs, and adherence. Journal of Asthma, 57(10), 1145-1154. https://doi.org/10.1080/02770903.2019.1635153

Kratochwill, T. R., Hitchcock, J. H., Horner, R. H., Levin, J. R., Odom, S. L., Rindskopf, D. M., & Shadish, W. R. (2013). Single-case intervention research design standards. Remedial and Special Education, 34(1), 26-38. https://doi.org/10.1177/0741932512452794

Kucukarslan, S. N. (2012). A review of published studies of patients’ illness perceptions and medication adherence: Lessons learned and future directions. Research in Social and Administrative Pharmacy, 8(5), 371-382. https://doi.org/10.1016/j.sapharm.2011.09.002

Kucukarslan, S., Plumley, D., Chang, A., & Ueda, A. (2014). Intending to adhere or to not adhere: Results from an experiment in healthy subjects testing illness perceptions and behavioral intentions in asthma. Research in Social and Administrative Pharmacy, 10(1), 239-245. https://doi.org/10.1016/j.sapharm.2013.05.001

Kurti, A. N., & Dallery, J. (2014). Integrating technological advancements in behavioral interventions to promote health: unprecedented opportunities for behavior analysts. Revista Mexicana de Análisis de la Conducta, 40(2), 106-126. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4358800/

Kwasnicka, D., Inauen, J., Nieuwenboom, W., Nurmi, J., Schneider, A., Short, C. E., Dekkers, T., Williams, A. J., Bierbauer, W., Haukkala, A., Picariello, F., & Naughton, F. (2019). Challenges and solutions for N-of-1 design studies in health psychology. Health Psychology Review, 13(2), 163-178. https://doi.org/10.1080/17437199.2018.1564627

Lam, W. Y., & Fresco, P. (2015). Medication adherence measures: An overview. BioMed Research International, 2015(1), 1-12. https://doi.org/10.1155/2015/217047

Leventhal, H., Breland, J. Y., Mora, P. A., & Leventhal, E. A. (2010). Lay representations of illness and treatment: A framework for action. In Handbook of Behavioral Medicine (pp. 137-154). Springer New York. https://doi.org/10.1007/978-0-387-09488-5_11

Leventhal, H., Diefenbach, M., & Leventhal, E. A. (1992). Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions. Cognitive Therapy and Research, 16(2), 143-163. https://doi.org/10.1007/BF01173486

Lugo-González, I. V. (2023). Manual psicoeducativo para mejorar el apego al medicamento de control en pacientes con asma. Universidad Nacional Autónoma de México/ Iztacala. https://www.mciztacala.org/uploads/1/3/2/8/132887507/3_manual_asma.pdf

Lugo-González, I. V., Fernández-Vega, M., Pérez-Bautista, Y. Y., & Vega, Z. (2020). Propiedades psicométricas del Cuestionario Revisado de Percepción de Enfermedad (IPQ-R) en adultos mexicanos con asma. Revista Digital Internacional de Psicología y Ciencia Social, 6(2), 388-413. https://doi.org/10.22402/j.rdipycs.unam.6.2.2020.271.388-413

Lugo-González, I. V., González-Betanzos, F., Robles-Montijo, S., & Vega, C. Z. (2022). Psychometric properties of the Beliefs about Medicines Questionnaire (BMQ) in Mexican adults with asthma. International Journal of Psychology & Psychological Therapy, 22(1), 33-43. https://www.ijpsy.com/volumen22/num1/606.html

Lugo-González, I. V., & Pérez-Bautista, Y. Y. (2023). Validación y análisis de legibilidad de un manual psicoeducativo para favorecer conductas de adherencia en adultos con asma. Revista de psicología y ciencias del comportamiento de la unidad académica de ciencias jurídicas y sociales, 14(2), 24-35. https://doi.org/10.29059/rpcc.20231201-160

Lugo-González, I. V., Reynoso-Erazo, L., & Fernández-Vega, M. (2016). Efecto de una intervención cognitivo-conductual sobre ansiedad, depresión y severidad del asma en adultos. Revista Latinoamericana de Medicina Conductual, 6(5), 23-32. https://www.revistas.unam.mx/index.php/rlmc/article/view/58064

Lugo-González, I. V., & Vega, C. Z. (2020a). Propiedades psicométricas de la Medication Adherence Report Scale-Asthma en adultos asmáticos mexicanos. Psicología y Salud, 30(2), 275-285. https://doi.org/10.25009/pys.v30i2.2663

Lugo-González, I. V., & Vega, C. Z. (2020b). Conductas de adherencia al tratamiento y control del asma: El rol de la percepción del tratamiento. Interacciones: Revista de Avances en Psicología, 6(1), e222. https://doi.org/10.24016/2020.v6n1.222

Lugo-González, I. V., Vega, C. Z., González-Betanzos, F., Robles, S., & Fernández-Vega, M. (2022). Relación entre percepción de enfermedad, tratamiento, adherencia y control del asma: un análisis de mediación. Neumología y Cirugía de Tórax, 81(3), 157-164. https://dx.doi.org/10.35366/111085

Lugo-González, I. V., & Villegas, A. (2021). Adhesión al tratamiento: un problema en las enfermedades crónicas. En L. Reynoso & A. L. Becerra (Eds.), Medicina Conductual: Avances y Perspectivas (pp. 183-208). Qartuppi. https://doi.org/10.29410/QTP.21.05

Lukens, E. P., & McFarlane, W. R. (2004). Psychoeducation as evidence-based practice: Considerations for practice, research, and policy. Brief Treatment and Crisis Intervention, 4(3), 205-225. https://doi.org/10.1093/brief-treatment/mhh019

Lycett, H., Wildman, E., Raebel, E. M., Sherlock, J. P., Kenny, T., & Chan, A. H. Y. (2018). Treatment perceptions in patients with asthma: Synthesis of factors influencing adherence. Respiratory Medicine, 141, 180-189. https://doi.org/10.1016/j.rmed.2018.06.032

McAndrew, L. M., Musumeci-Szabó, T. J., Mora, P. A., Vileikyte, L., Burns, E., Halm, E. A., Leventhal, E. A., & Leventhal, H. (2008). Using the common sense model to design interventions for the prevention and management of chronic illness threats: From description to process. British Journal of Health Psychology, 13(2), 195-204. https://doi.org/10.1348/135910708X295604

McDonald, S., Quinn, F., Vieira, R., O’Brien, N., White, M., Johnston, D. W., & Sniehotta, F. F. (2017). The state of the art and future opportunities for using longitudinal n-of-1 methods in health behaviour research: A systematic literature overview. Health Psychology Review, 11(4), 307-323. https://doi.org/10.1080/17437199.2017.1316672

Méndez, I., Namihira, D., Moreno, L., & Sosa, C. (2001). El protocolo de investigación. Lineamientos para su elaboración y análisis. Trillas.

Michie, S., Wood, C. E., Johnston, M., Abraham, C., Francis, J. J., & Hardeman, W. (2015). Behaviour change techniques: The development and evaluation of a taxonomic method for reporting and describing behaviour change interventions (a suite of five studies involving consensus methods, randomised controlled trials and analysis of qualitative data). Health Technology Assessment, 19(99), 1-187. https://doi.org/10.3310/hta19990

Miles, C., Arden-Close, E., Thomas, M., Bruton, A., Yardley, L., Hankins, M., & Kirby, S. E. (2017). Barriers and facilitators of effective self-management in asthma: Systematic review and thematic synthesis of patient and healthcare professional views. NPJ Primary Care Respiratory Medicine, 27(1), 1-21. https://doi.org/10.1038/s41533-017-0056-4

Morley, S. (2015). Single cases are complex. Illustrated by Flink et al. ‘Happy despite pain: A pilot study of a positive psychology intervention for patients with chronic pain’. Scandinavian Journal of Pain, 7(1), 55-57. http://dx.doi.org/10.1016/j.sjpain.2015.02.004

Nathan, R. A., Sorkness, C. A., Kosinski, M., Schatz, M., Li, J. T., Marcus, P., Murray, J. J., & Pendergraft, T. B. (2004). Development of the Asthma Control Test: A survey for assessing asthma control. Journal of Allergy and Clinical Immunology, 113(1), 59-65. https://doi.org/10.1016/j.jaci.2003.09.008

Nock, M. K., Belle-Janis, I., & Weding, M. M. (2008). Research designs. In A. M. Nezu & C. M. Nezu (Eds.), Evidence-based outcome research: A practical guide to conducting randomized controlled trials for psychosocial interventions (pp. 201-218). Oxford.

Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single-case research: Tau-U. Behavior Therapy, 42(2), 284-299. https://doi.org/10.1016/j.beth.2010.08.006

Petrie, K. J., Perry, K., Broadbent, E., & Weinman, J. (2012). A text message programme designed to modify patients’ illness and treatment beliefs improves self-reported adherence to asthma preventer medication. British Journal of Health Psychology, 17(1), 74-84. https://doi.org/10.1111/j.2044-8287.2011.02033.x

Riaz, S., & Jones, J. D. (2019). A pilot study of a text messaging intervention to modify illness and medication beliefs among patients diagnosed with inflammatory bowel disease. Journal of Technology in Behavioral Science, 4(1), 42-52. https://doi.org/10.1007/s41347-018-0083-1

Rodin, J. (1983). Behavioral medicine: beneficial effects of self control training in aging. Applied Psychology, 32(2), 153-181. https://doi.org/10.1111/j.1464-0597.1983.tb00901.x

Sánchez-Cervantes, C. T., Guillén, C., & Mendoza Madrigal, V. A. (2021). Calidad de vida general, depresión y ansiedad: diferencias de acuerdo con el control del asma. Actualidades en Psicología, 35(131), 35-50. https://doi.org/10.15517/ap.v35i131.41887

Tate, R. L., Perdices, M., Rosenkoetter, U., McDonald, S., Togher, L., Shadish, W., Horner, R., Kratochwill, T., Barlow, D. H., Kazdin, A., Sampson, M., Shamseer, L., & Vohra, S. (2016). The Single-Case Reporting Guideline In BEhavioural Interventions (SCRIBE) 2016: Explanation and elaboration. Archives of Scientific Psychology, 4(1), 10-31. https://doi.org/10.1037/arc0000027

Unni, E., & Shiyanbola, O. O. (2016). Clustering medication adherence behavior based on beliefs in medicines and illness perceptions in patients taking asthma maintenance medications. Current Medical Research and Opinion, 32(1), 113-121. https://doi.org/10.1185/03007995.2015.1105204

Vannest, K. J., & Ninci, J. (2015). Evaluating intervention effects in single-case research designs. Journal of Counseling and Development, 93(4), 403-411. https://doi.org/10.1002/jcad.12038

Vázquez, G. J. C., & Salas, H. J. (2017). Guía Mexicana del Asma 2017. Neumología y Cirugía de Tórax, 76(1), 137. https://doi.org/ISSN 0028-3746

Walter, T., Hale, L., & Smith, C. (2015). Blue prescription: a single-subject design intervention to enable physical activity for people with stroke. International Journal of Therapy & Rehabilitation, 22(2), 87-95. https://doi.org/10.12968/ijtr.2015.22.2.87

Zetterberg, H., Flink, I., Spörndly-Nees, S., Wagner, S., Karlsten, R., & Åsenlöf, P. (2022). Behavioral medicine physiotherapy in the context of return to work for chronic pain: A single-case experimental design study. International Journal of Environmental Research and Public Health, 19(3), 1-24. https://doi.org/10.3390/ijerph19031509

Zurita-Cruz, J. N., Márquez-González, H., Miranda-Novales, G., & Villasís-Keever, M. Á. (2018). Estudios experimentales: diseños de investigación para la evaluación de intervenciones en la clínica. Revista Alergia México, 65(2), 178-186. https://doi.org/10.29262/ram.v65i2.376

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