Adherence to Dysphagia Treatment Recommendations: A Conceptual Model

Autor/inn/en	Krekeler, Brittany N.; Vitale, Kailey; Yee, Joanne; Powell, Ryan; Rogus-Pulia, Nicole
Titel	Adherence to Dysphagia Treatment Recommendations: A Conceptual Model
Quelle	In: Journal of Speech, Language, and Hearing Research, 63 (2020) 6, S.1641-1657 (17 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Krekeler, Brittany N.) ORCID (Rogus-Pulia, Nicole)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Human Body; Physical Disabilities; Intervention; Compliance (Psychology); Individual Characteristics; Context Effect; Health; Access to Health Care; Self Efficacy; Knowledge Level; Allied Health Personnel; Bias; Patients; Attitudes + Suchen Sie Ihr Suchwort? Menschlicher Körper; Physical handicap; Körperbehinderung; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Gesundheit; Self-efficacy; Selbstwirksamkeit; Wissensbasis; Patient; Attitude; Einstellung; Verhalten
Abstract	Purpose: Conceptual models of complex health problems are useful when designing targeted clinical interventions and focused research studies. Understanding and studying patient adherence often involves interplay among many factors that influence whether a patient successfully follows recommendations or completes a therapy program. Functional frameworks serve to arrange these factors visually, increasing interpretability and allowing for empirical testing of relationships among concepts. The purpose of this article is to integrate relevant factors from the literature into a comprehensive framework that describes adherence to dysphagia treatment. Method: Using peer-reviewed, published guidelines regarding conceptual model construction, the authors created a list of potential factors that influence patient adherence to dysphagia-related treatment recommendations. During model construction, following extensive review of the literature and existing theories that have been applied in other areas of health care, factors were identified and grouped into conceptually similar domains (clusters). Clusters were arranged into larger categories that emerged during model optimization. Ultimately, two models were created: one that illustrates the interrelated factors of patient adherence and another that illustrates a subset of modifiable risk factors that a clinical speech-language pathologist may influence when developing a dysphagia treatment plan. Results: Three general categories from 14 factors emerged based on relationships between factors and aspects of patient care--health factors, individual patient factors, and contextual factors. A second model consisting of modifiable risk factors included access, treatment type, patient perceptions, self-efficacy, health literacy, support factors, and provider bias. Conclusions: This conceptual model allows clinicians and researchers to identify and explore the mechanisms driving adherence. Continual refinements of this model should be made as future studies uncover how the interconnectedness of factors affects adherence in dysphagia management. The models we have presented here are ready for clinical application and should also serve researchers as they generate hypotheses and design targeted research questions. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01