Creating and testing regulatory focus messages to enhance medication adherence

2018 ◽  
Vol 15 (2) ◽  
pp. 124-137
Author(s):  
Ashley O’Connor ◽  
Amy Ladebue ◽  
Jamie Peterson ◽  
Ryan Davis ◽  
Susan Jung Grant ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Regulatory Focus ◽  
Patient Adherence ◽  
Regulatory Fit ◽  
Structured Interviews ◽  
Motivational Messages ◽  
Prevention Messages ◽  
Improve Patient Adherence ◽  
And Control ◽  
The Impact

Objectives Strategies were explored to improve patient adherence to cardioprotective medications by borrowing from a motivational framework used in psychology, regulatory focus theory. The current study is part of a larger randomized control trial and was aimed at understanding what written educational messages, based on patients’ regulatory focus tendency, resonated with each individual as a potential reminder to take medications. This study was also aimed at understanding why messages resonated with the patients. Methods Twenty veterans were tested for regulatory fitand presented with messages dependent on focus tendency. In-person semi-structured interviews were conducted to collect feedback of messages. An iterative analysis drawing primarily on matrix and reflexive team analyses was conducted. Result Six promotion and six prevention messages emerged, such as “team up with your provider to create a combination of medications to prevent illness” and “Live your best life – Take your medications”. Five themes related to types of health messages that spoke to patients’ regulatory fit were discovered: relatability; empowerment and control; philosophy on life; relationship with provider and medications; and vocabulary effect on the impact of messages. Discussion Motivational messages based on regulatory fit may be useful in improving patient medication adherence, leading to improved cardiovascular outcomes.

scholarly journals Views of the Future of Partners of People with Multiple Sclerosis Who Attended a Lifestyle Modification Workshop: A Qualitative Analysis of Perspectives and Experiences

2020 ◽  
Vol 18 (1) ◽  
pp. 85
Author(s):  
Sandra L. Neate ◽  
Keryn L. Taylor ◽  
Nupur Nag ◽  
George A. Jelinek ◽  
Steve Simpson-Yap ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Outcomes ◽  
Lifestyle Modification ◽  
Structured Interviews ◽  
Interpretive Phenomenology ◽  
Related Risk ◽  
The Future ◽  
Partner Perceptions ◽  
And Control ◽  
The Impact

People with multiple sclerosis (PwMS) often experience uncertainty and fear about their futures. Partners of PwMS may share their concerns and experience fears about their own futures, limitations on their lives, ability to work, and becoming a carer. For PwMS, modification of lifestyle-related risk factors has been associated with improved health outcomes. For PwMS who attended residential lifestyle modification workshops (RLMW), sustained improved health outcomes have been demonstrated. Whether improved outcomes for PwMS who engage with lifestyle modification translate to improved partner perceptions of the future, is yet to be explored. We explored the perspectives of partners of PwMS who had attended a RLMW and the impact that the person with MS’s illness and their engagement with lifestyle modification had on their partners’ views of the future. Analysis of 21 semi-structured interviews used a methodology informed by Heidegger’s Interpretive Phenomenology. Three themes emerged: ‘uncertainty’, ‘planning for the future’ and ‘control, empowerment and confidence’. Subthemes included MS and lifestyle modification being a catalyst for positive change; developing a sense of control and empowerment; and hope, optimism and positivity. Lifestyle modification may provide benefits, not only to PwMS, but also to their partners, and should be considered part of mainstream management of MS.

scholarly journals The Impact of Stigma and Discrimination on Adherence to Medication amongst People Living with HIV in Tiv Land, North Central Nigeria

2019 ◽  
pp. 1-9
Author(s):  
Godwin Aondohemba Timiun ◽  
Timothy J. Scrase
Keyword(s):  
People Living With Hiv ◽  
Structured Interviews ◽  
Hiv Patients ◽  
Stigma And Discrimination ◽  
Treatment Services ◽  
Adherence To Medication ◽  
Multi Stage ◽  
Living With Hiv ◽  
And Control ◽  
The Impact

In spite the identification of stigma as a factor impeding public utilisation of HIV counselling, testing, and treatment services in Nigeria, gaps still exist in knowledge on the impact of stigma, and discrimination on adherence to medication amongst people living with HIV (PLWH). This study adopted mixed methods to examine the impact of stigma and discrimination on adherence to medication amongst PLWH in Nigeria.  A sample of 1,621 respondents was collected using multi-stage and purposive sampling methods. Structured interviews using questionnaires and in-depth interviews (using a guide) were utilised for data collection. SPSS (version 21) was used for quantitative data analysis while the qualitative data was analysed thematically. There are 46.3% men and 53.7% women respondents. Generally, their income is low, 70.7% are earning less than N25, 000 (approximately $125 USD) per month. Some of the HIV patients are stigmatised. In reaction, they avoid public places, travel long distances away from their immediate community to collect drugs and to avoid been noticed around the centers. They sometimes miss taking drugs regularly as prescribed, suffer depression and die. Stigma and discrimination impede adherence to medication amongst PLHW in Nigeria. More efforts should be made to create awareness to reduce stigma and discrimination of HIV patients, while augmenting their income to meet up with the challenges of adherence to medication. The overall benefits would be enhanced mechanism of HIV prevention, treatment and control in the study area.

Emerging Therapeutics, Technologies, and Drug Development Strategies to Address Patient Nonadherence and Improve Tuberculosis Treatment

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Maria Garcia-Cremades ◽  
Belen P. Solans ◽  
Natasha Strydom ◽  
Bernard Vrijens ◽  
Goonaseelan Colin Pillai ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Drug Development ◽  
Patient Adherence ◽  
Drug Distribution ◽  
Annual Review ◽  
Publication Date ◽  
Improve Medication Adherence ◽  
Resistance Development ◽  
Patient Nonadherence ◽  
The Impact

Imperfect medication adherence remains the biggest predictor of treatment failure for patients with tuberculosis. Missed doses during treatment lead to relapse, tuberculosis resistance, and further spread of disease. Understanding individual patient phenotypes, population pharmacokinetics, resistance development, drug distribution to tuberculosis lesions, and pharmacodynamics at the site of infection is necessary to fully measure the impact of adherence on patient outcomes. To decrease the impact of expected variability in drug intake on tuberculosis outcomes, an improvement in patient adherence and new forgiving regimens that protect against missed doses are needed. In this review, we summarize emerging technologies to improve medication adherence in clinical practice and provide suggestions on how digital adherence technologies can be incorporated in clinical trials and practice and the drug development pipeline that will lead to more forgiving regimens and benefit patients suffering from tuberculosis. Expected final online publication date for the Annual Review of Pharmacology and Toxicology, Volume 62 is January 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Tailored texts: An application of regulatory fit to text messages designed to reduce high-risk drinking

2019 ◽  
Vol 26 (3) ◽  
pp. 1742-1763
Author(s):  
Elizabeth M Glowacki ◽  
Jay M Bernhardt ◽  
Matthew S McGlone
Keyword(s):  
Regulatory Focus ◽  
Text Message ◽  
Regulatory Fit ◽  
Text Messages ◽  
Health Messages ◽  
Control Group ◽  
Post Test ◽  
High Risk Drinking ◽  
Congruent Group ◽  
The Impact

This study used the regulatory focus/fit framework to compare the impact of text message wording on college students’ drinking behaviors. In this 2 × 3 × 2 pre-test/post-test experiment, participants ( N = 279) were randomly assigned to one of the three groups: messages matching regulatory focus (congruent group), messages mismatching regulatory focus (incongruent group), and general health messages (control group). Messages were tailored by regulatory fit (prevention-oriented or promotion-oriented). Mixed factorial analyses of covariance revealed that prevention-oriented individuals who received text messages incongruent with their regulatory focus reported drinking alcohol for more hours and were more likely to consume a higher quantity of drinks than participants in the congruent or control group. These findings suggest that health messages mismatched to a receiver’s regulatory focus might exacerbate unhealthy behavior.

scholarly journals VISUAL ART AND REGULATORY FIT MESSAGES ON CONSUMER EVALUATIONS

2016 ◽  
Vol 56 (2) ◽  
pp. 152-165 ◽  
Author(s):  
DANIELLE MANTOVANI ◽  
DEBORAH IURI TAZIMA
Keyword(s):  
Regulatory Focus ◽  
Visual Art ◽  
Positive Impact ◽  
Regulatory Fit ◽  
Regulatory Focus Theory ◽  
Consumer Evaluations ◽  
Moderation Effect ◽  
Motivational Focus ◽  
The Impact ◽  
Art Infusion

ABSTRACT In this study, we demonstrate that the art infusion effect, in which the presence of visual art causes a positive impact on consumers' perceptions of products and advertising messages, might have a moderation effect on regulatory fit and non-fit messages. We investigate the impact of visual art on advertisement evaluations in regulatory (non-) fit conditions. Regulatory focus theory suggests that consumers rely on their motivational focus (prevention vs. promotion) for their evaluations and decisions. Usually, consumers prefer products that fit with their personal motivational focus. In the present study, the results of three experiments indicate that using visual art with a promotion or prevention fit message is recommended, while non-art images increase message persuasiveness when non-fit messages are presented. Therefore, not all information compatible with the consumer's motivational focus are best evaluated. When non-art images are presented, non-fit messages might be more persuasive.

scholarly journals Practices and pitfalls in medication adherence in hemodialysis settings – a focus-group study of health care professionals

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Trine Mechta Nielsen ◽  
Nina Schjerning ◽  
Gudrun Kaldan ◽  
Mads Hornum ◽  
Bo Feldt-Rasmussen ◽  
...  
Keyword(s):  
Health Care ◽  
Medication Adherence ◽  
Focus Group ◽  
Health Care Professionals ◽  
Patient Adherence ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Focus Group Study ◽  
Patient Reported ◽  
The Impact

Abstract Background Medication nonadherence is common among patients with hemodialysis, leading to poorer patient outcomes. Health care professionals have an important role in assessing risk of nonadherence and intervening to support adherence. The aim of this study was to explore physicians’ and nurses’ current medication adherence practices in hemodialysis settings. Method A generic qualitative design with inductive content analysis and focus group methodology. Focus groups with health care professionals were conducted in four Nephrology Centers, representing three different regions of Denmark. An interview guide was developed in collaboration with 3 patient representatives. Results Six focus group interviews involving a total of forty-two health care professionals were conducted. Five main categories were identified; Laboratory tests are the “gold standard” for assessing adherence, suggesting that abnormal results motivated investigation of adherence, Varying practices for supporting adherence, alluding to the impact of individual clinician priority and preference on choice of adherence interventions, Unclear allocation of roles and responsibility, specifically referring to uncertainty in the delegation of roles between physicians and nurses, Navigating time and resource limitations, intimating the resources needed to support medication adherence and Suggestions for future strategies. Conclusions We suggest implementing systematic use of validated patient-reported outcome measures for assessing adherence and deprescribing tools to support adherence, as these instruments might identify the patients who are in most need of support and promote patient adherence to their prescribed medications. The findings also point to a need for interdisciplinary clarification of roles and responsibilities regarding medication adherence, with the aim of building a strong collaborative partnership between professions.

scholarly journals Prevention focus relates to performance on a loss-framed inhibitory control task

2018 ◽  
Author(s):  
Benjamin T. Files ◽  
Kimberly A. Pollard ◽  
Ashley Oiknine ◽  
Antony D. Passaro ◽  
Peter Khooshabeh
Keyword(s):  
Inhibitory Control ◽  
Performance Feedback ◽  
Regulatory Focus ◽  
Rejection Rate ◽  
Regulatory Fit ◽  
Correct Rejection ◽  
Control Task ◽  
Control Feedback ◽  
Feedback Framing ◽  
The Impact

Information framing can be critical to the impact of information and can affect individuals differently. One contributing factor is a person's regulatory focus, which describes their focus on achieving gains or avoiding losses. We hypothesized that alignment between individual regulatory focus and the framing of performance feedback as either gain or loss would enhance performance gains from training. We measured participants’ (N=93) trait-level regulatory focus; they then trained in a go/no-go inhibitory control task with feedback framed as gains, losses, or control feedback conditions. Some changes in performance with training (correct rejection rate and response time) were consistent with regulatory fit, but only in the loss-framed condition. This suggests that regulatory fit is more complex than cursory categorization of trait regulatory focus and feedback framing might indicate. Regulatory fit, feedback framing, and task affordances should be considered when designing feedback or including game-like feedback elements to aid training.

The Impact of Regulatory Fit on Postdecision Evaluation

2016 ◽  
Vol 44 (3) ◽  
pp. 383-390
Author(s):  
Huaiyong Wang ◽  
Yongfang Liu
Keyword(s):  
Decision Making ◽  
Factorial Design ◽  
Undergraduate Students ◽  
Regulatory Focus ◽  
Regulatory Fit ◽  
Future Research ◽  
Design Experiment ◽  
The Impact ◽  
Decision Mode ◽  
Factorial Design Experiment

We investigated the effect of regulatory fit between regulatory focus and decision mode on postdecision evaluation, and the mechanism underlying this effect, in a 2 (regulatory focus: promotion vs. prevention) × 2 (decision mode: intuitive vs. deliberative) between-subjects factorial-design experiment. Participants were 92 undergraduate students who underwent regulatory focus priming before performing a multiattribute decision-making task, and then completed measures concerning postdecision evaluation and feeling right. Results showed that promotion-focused participants in intuitive mode made a more favorable postdecision evaluation than did those in deliberative mode, whereas prevention-focused participants in deliberative mode made a more favorable postdecision evaluation than did those in intuitive mode. The mechanism underlying this impact was the experience of feeling right. Implications for future research are discussed.

A mixed-methods study of tailor-made animated cartoons in teaching punctuation in EFL writing

ReCALL ◽  
2018 ◽  
Vol 31 (01) ◽  
pp. 75-91 ◽  
Author(s):  
Arif Bakla
Keyword(s):  
Mixed Methods ◽  
Treatment Group ◽  
Learning Experience ◽  
Instructional Materials ◽  
Control Group ◽  
Cluster Sampling ◽  
Structured Interviews ◽  
Post Test ◽  
And Control ◽  
The Impact

AbstractDespite their potential benefits, teacher-created animated cartoons have not found much room in second-language (L2) research, probably due to some technical challenges involved in creating them. This paper reports the findings of a mixed-methods embedded experimental study, designed to test the impact of tailor-made animated cartoons on the correct use of common punctuation rules in English. The participants were 112 Turkish-first language (L1) learners of English, assigned to either the treatment or control group through random cluster sampling. The instructional materials in the treatment group included teacher-created animated cartoons, exercises designed using SCORM-compliant software, and a forum for discussions in Moodle. The participants in the control group, on the other hand, used PowerPoint presentations (PPTs) instead of animated cartoons and completed the same follow-up activities. Quantitative results suggested that the treatment and control groups’ post-test and late post-test scores significantly differed in favour of the former. Moreover, qualitative data from semi-structured interviews and document analysis revealed that the participants, especially those in the treatment group, viewed this learning experience highly positively. The findings globally imply that tailor-made animated cartoons might facilitate the learning of punctuation and help raise students’ awareness of it.

The impact of founder’s regulatory focus on the process of firm birth and firm abandonment

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Paris Koumbarakis ◽  
Heiko Bergmann ◽  
Thierry Volery
Keyword(s):  
Regulatory Focus ◽  
Self Regulation ◽  
Binary Logistic Regression ◽  
Regulatory Fit ◽  
Content Type ◽  
Firm Birth ◽  
The Impact ◽  
The Relationship ◽  
Promotion Orientation ◽  
Longitudinal Dataset

PurposeThe purpose of this paper is to show how self-regulation influences the relationship between nascent entrepreneurial exploitation activities, firm birth and firm abandonment.Design/methodology/approachThis study draws from a unique longitudinal dataset of 181 nascent entrepreneurs from Switzerland who have been interviewed by phone in 2015 and 2016. It uses a moderated binary logistic regression to test the hypotheses.FindingsThis study provides evidence that discrepancies in promotion orientation can explain different ways exploitation can lead to an increased likelihood of firm birth and a decreased likelihood of firm abandonment while respectively increasing persistence. Findings suggest that this is attributed to the regulatory fit between a promotion orientation and exploitation activities.Research limitations/implicationsFor scholars, our findings provide insights into reasons for entrepreneurial persistence, as well as how firm birth can be achieved with different levels of exploitation activities.Practical implicationsThis study provides entrepreneurs with information on how to increase their persistence as well as the likelihood of firm birth while considering their regulatory focus.Originality/valueBased on regulatory focus theory, this paper highlights different paths to firm birth with varying quantity of exploitation activities. We contribute to a greater understanding of firm emergence by accounting for the impact of regulatory foci.

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