IngentaConnect Predicting adherence to eye patching in children with amblyopia: ...

Authors: Norman P.¹; Searle A.²; Harrad R.³; Vedhara K.²

Source: British Journal of Health Psychology, Volume 8, Number 1, February 2003 , pp. 67-82(16)

Publisher: British Psychological Society

Abstract:

Objectives: This study reports an application of protection motivation theory (PMT) to the prediction of parental adherence to eye patching recommendations for children with amblyopia over a 2-month period. The study also considered the role of past behaviour in PMT.

Design and methods: A total of 151 parents of children with amblyopia who were attending follow-up appointments for orthoptic treatment participated. They completed questionnaires based on PMT to assess their beliefs about amblyopia and eye patching. Of the parents, 105 were contacted again at 2-month follow-up to obtain a measure of adherence to the recommended treatment for their child.

Results: PMT was found to be predictive of adherence intentions and behaviour at 2-month follow-up. Regression analyses revealed perceived vulnerability, response efficacy and self-efficacy to be significant predictors of protection motivation, whereas perceived vulnerability and response costs were significant predictors of adherence behaviour. Past adherence behaviour was found to have a direct effect on future adherence behaviour over and above the influence of PMT.

Conclusions: The results are discussed in relation to the sufficiency of PMTas a model of adherence behaviour. The practical implications for attempts to increase adherence to eye patching among children with amblyopia are outlined.

Document Type: Research article

DOI: 10.1348/135910703762879219

Affiliations: 1: Department of Psychology, University of Sheffield, UK 2: MRC Health Services Research Collaboration, Department of Social Medicine, University of Bristol, UK 3: Division of Ophthalmology, Bristol Eye Hospital, UK

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Predicting adherence to eye patching in children with amblyopia: An application of protection motivation theory