TY - JOUR
T1 - Testing the health promotion model for adherence and quality of life in individuals with multiple sclerosis
AU - Penwell-Waines, Lauren
AU - Lewis, Kimberly
AU - Valvano, Abbey
AU - Smith, Suzanne
AU - Rahn, Rebecca
AU - Stepleman, Lara
PY - 2017/2/7
Y1 - 2017/2/7
N2 - The nature of multiple sclerosis (MS) presents challenges to health-promoting behaviors (e.g. adherence) and quality of life. The Health Promotion Model (HPM) proposes that these outcomes are explained by individual characteristics (i.e. biological, social, psychological) and behavior-specific cognitions (e.g. self-efficacy). The current study sought to test the HPM in explaining self-reported adherence and MS quality of life among 121 MS patients receiving care in an MS clinic in the southeastern United States. Hierarchical regression models partially supported the HPM for adherence (R2 =.27) and more fully for quality of life (QoL) (R2 =.64). Depression and stigma were among the variables most strongly related to both adherence and QoL; contrary to HPM theory, self-efficacy was not significantly related to adherence but was to QoL. Thus, the HPM may help to guide strategies used to improve QoL among individuals living with MS; however, the model may need further refinement to be used with adherence.
AB - The nature of multiple sclerosis (MS) presents challenges to health-promoting behaviors (e.g. adherence) and quality of life. The Health Promotion Model (HPM) proposes that these outcomes are explained by individual characteristics (i.e. biological, social, psychological) and behavior-specific cognitions (e.g. self-efficacy). The current study sought to test the HPM in explaining self-reported adherence and MS quality of life among 121 MS patients receiving care in an MS clinic in the southeastern United States. Hierarchical regression models partially supported the HPM for adherence (R2 =.27) and more fully for quality of life (QoL) (R2 =.64). Depression and stigma were among the variables most strongly related to both adherence and QoL; contrary to HPM theory, self-efficacy was not significantly related to adherence but was to QoL. Thus, the HPM may help to guide strategies used to improve QoL among individuals living with MS; however, the model may need further refinement to be used with adherence.
KW - Health promotion
KW - adherence
KW - multiple sclerosis
KW - quality of life
UR - http://www.scopus.com/inward/record.url?scp=84984683448&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84984683448&partnerID=8YFLogxK
U2 - 10.1080/13548506.2016.1226506
DO - 10.1080/13548506.2016.1226506
M3 - Article
C2 - 27584721
AN - SCOPUS:84984683448
SN - 1354-8506
VL - 22
SP - 205
EP - 211
JO - Psychology, Health and Medicine
JF - Psychology, Health and Medicine
IS - 2
ER -