Adherence to Hormone Replacement Therapy: A Longitudinal Study Using the Theory of Planned Behaviour

Authors: Légaré F.1; Godin G.2; Dodin S.1; Turcot L.1; Laperrière L.1

Source: Psychology and Health, Volume 18, Number 3, June 2003 , pp. 351-371(21)

Publisher: Routledge, part of the Taylor & Francis Group

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Abstract:

The aim of this longitudinal study was to assess the stability and determinants of the intention to adopt HRT over a one-year period using the Theory of Planned Behaviour. At baseline, a total of 644 middle-aged premenopausal women who had never used HRT, were recruited. At follow-up, 417 women completed an interview to assess any change in their reproductive status and in their behavioural intention. Among women who stayed premenopausal (n = 172) and among those who became perimenopausal (n = 209), the intention to adopt HRT was quite stable over the one-year period. However, being perimenopausal had a significant effect on the intention to adopt HRT at follow-up, as did subjective norm, perceived behavioural control and moral norm measured at baseline. Attitude towards HRT did not have a significant effect on the intention to adopt HRT one year later. Therefore, interventions to support women's decision-making about HRT should be tailored to their menopausal status and take into account their perception of social pressure to perform, control over this behaviour and moral obligation.

Keywords: Hormone replacement therapy; Adherence to treatment; Cohort study; Decision-making; Theory of planned behaviour

Document Type: Research article

DOI: http://dx.doi.org/10.1080/0887044031000146824

Affiliations: 1: Centre de recherche Hôpital St-François d'Assise Centre Hospitalier Universitaire de Québec (CHUQ) 10 rue de l'Espinay G1L 3L5 Québec QC Canada 2: Groupe de recherche sur les comportements dans le domaine de la santé Faculté des sciences infirmières Pavillon Comtois Université Laval G1K 7P4 Québec QC Canada

Publication date: 2003-06-01

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