The Selected Psychosocial Predictors of Treatment Adherence among Individuals with Chronic Mechanical Low Back Pain in University College Hospital, Ibadan, Nigeria

  • Johnson Tunde Oyeleke University of Ilorin
Keywords: Treatment adherence, self-efficacy, social support, anxiety, depression, low back pain

Abstract

Abstract

Objective: Non-adherence to treatment regimens is one of the most challenging problems facing health professionals today. The current study investigated the role of anxiety, depression, self-efficacy and social support on treatment adherence.

Methods: Ninety-two purposively selected individuals diagnosed with mechanical low back pain (Mage =37.45; SD = 5.48) participated in this cross-sectional survey. A 95-item battery of scales (questionnaire) was used in measuring participants’ bio-data, level of anxiety, depression, self-efficacy, social support, pain self-efficacy and treatment adherence. Multiple regression and ANOVA statistics were employed in analysis, with three hypotheses tested at p<0.05.

Results: Anxiety, depression, self-efficacy and social support jointly predicted cognition (R=.57; R2=.33; F (4, 87) = 10.64), behavioral (R = .29; R2 =.08; F (4, 87) = 1.97) and therapy satisfaction (R = .29; R2 =.08; F F (4, 87) = 1.94) domains of treatment adherence.  Self-efficacy independently predicted behavioral (β=.59) and therapy satisfaction (β=.25) domains of treatment adherence (β=.25).

Conclusion:  Self-efficacy, social support, anxiety and depression are jointly predictors of three domains of treatment adherence among low back pain patients. Attention to these psychological factors would be needful in the management of treatment adherence among patients with low back pain.

 

References

Alikari. V., and Zyga, S. (2014). Conceptual analysis of patient compliance in treatment and its impact on health care quality improvement. Health Science Journal, 8(2), 179-186.
Baiardini, I., Braido, F., Giardini, A., Majani, G., Cacciola, C., Rogaku, A., Scordamagha, A., and Canonica, G. W. (2006). Adherence to treatment: Assessment of an unmet need in Asthma. Journal of Investigative Clinical Immunological. 16(4), 218-223.
Balagué, F., Mannion, A.F., Pellisé, F. and Cedraschi, C. (2012). Non-Specific Low Back Pain. Lancet, 19, 379. Pharmacoeconomics. 2009; 27(8):681-9
Bandura A. (1986). Social foundations of thought and action: a social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
Gallagher, M., Muldoon, O.T and Pettigrew J. (2015). An integrative review of social and occupational factors influencing health and wellbeing. Front Psychol. 2015; 6: 1281.
Koho, P. (2015). Fear of Movement: Epidemiological and clinical evaluation in the Finnish general population and chronic musculoskeletal pain patients and relevance for rehabilitation. Academic Dissertation presented with the permission of the Faculty of Medicine of The University of Helsinki, for public examination in the Auditorium of the Invalid Foundation, Tenholantie 10; December 11th, 2015.
Marquez, B., Anderson, A., Wing, R. R., West, D. S., Newton, R. L., Meancham, M., Hazuda, H., Peters, A., Montez, M. G., Broyles, S.T., Walker, M and Hudsnall, G. E. (2017). The relationship of social support with treatment adherence and weight loss in Latinos with type 2 diabetes. Obesity (Silver Spring). Mar; 24(3): 568–575.

Nicholas, M. K. (2007). The pain self-efficacy questionnaire: Taking pain into account. European Journal of pain. 11(2), 153–163.

Odole, A.C., Akinpelu, A. A., Adekanla, B. A. and Obisanya, O.B. (2012). Economic Burden of Low Back Pain on Patients Seen at the Outpatient Physiotherapy Clinics of Secondary and Tertiary Health Institutions in Ibadan. Journal of Nigeria Society of Physiotherapy, 18 & 19, pgs. 44-48.
Rafii, F., Fatemi, N. S., Danielson, E., Johansson, C. M., and Modanloo, M (2013). Compliance to treatment in patients with chronic illness: A concept exploration. Iran J Nurs Midwifery Res. 2014 Mar-Apr; 19(2): 159–167
Schweitzer, R., Dry, H. K. and Dwyer, J.W. (2007) .Psychological Factors and Treatment Adherence Behavior, in Patients with Chronic Heart Failure. Journal of Cardiovascular Nursing. 22, (1) 76-83

Snaith, R.P., and Zigmond, A. S. (1986). The hospital anxiety and depression scale. British Medical Journal of Clinical Research; 292:344

Treede, R., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., Cohen, M., Evers, S., Finnerup, N. B., First, M. B., Giamberardino, M. A., Kaasa, S., Kosek, E., `Lavand’homme, P., Nicholas, M., Perrot, S., Scholz, J., Shug, S., Smith, B. H., Svensson, P., Vlaeyen, W. S., and Wang S. J. (2015). A classification of chronic pain for ICD-11. Pain. 2015 Jun; 156(6): 1003–1007.
Yazdi-Ravanda, S., Taslimi, Z., Jamshidian, N., Saberi, H., Shams, J., and Haghparast A (2013). Prediction of Quality of life by Self-Efficacy, Pain Intensity and Pain Duration in Patient with Pain Disorders. Basic Clin Neurosci. 2013 Spring; 4(2): 117–124.
Published
2018-09-30
Section
Research Articles