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Abstract
The purpose of this paper was to describe the factors that predict compliance in adolescents with epilepsy. Altogether 300 individuals aged 13–17 years were randomly selected from the Finnish Social Insurance Institution’s register. Every fifth person on the list was included in the sample. Seventy-seven per cent (N= 232 ) of the selected adolescents with epilepsy returned the questionnaire.
The data were analysed with SPSS software. Using the logistic regression model, the compliance of adolescents with epilepsy was predicted on the basis of support from physician and parents, motivation and the disease not being a threat of social well-being. The most powerful predictor was support from the physician. The likelihood of adolescents supported by their physicians complying with their health regimens was 10.56-fold compared with the adolescents who did not receive support from their physicians. Another powerful predictor was support from parents. The adolescents who received support from their parents complied with the health regimens with a 10.47-fold likelihood compared with adolescents who did not receive support from their parents. Adolescents with good motivation were 9.77 times more likely to comply than adolescents who did not have good motivation. Adolescents who did not feel the disease to be a threat to their social well-being complied with health regimens with an 8.38-fold likelihood compared to those who felt the disease to be a threat to social well-being.
The value of the −2Log likelihood was 64.68 and the goodness of fit index was 214.735. The value of Nagelkerke was 0.893, which indicates that the logistic regression model explains 89% of the variance. The model predicts correctly 97% of compliance in adolescents showing good compliance. These values show the logistic regression model to be good and to match well with the data.
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References
- Medication, chronic illness and identity: the perspective of people with asthma.Social Science and Medicine. 1997; 45: 189-201
- Young diabetics’ compliance in the framework of the MIMC model.Journal of Advanced Nursing. 1996; 24: 997-1005
- Compliance in adolescents with chronic disease.Arthritis Care Research. 1991; 8: 329-336
- Compliance with health regimens of adolescents with epilepsy.Seizure. 2000; 9: 598-604
- Introduction and the magnitude of compliance and noncompliance.in: Sackett D.L. Haynes R.B. Compliance with Therapeutic Regimens. The Johns Hopkins University Press, Baltimore1976: 1-25
- Issues in adherence with pediatric regimens.Journal of Pediatric Psychology. 1990; 15: 423-436
- Collaboration: a concept analysis.Journal of Advanced Nursing. 1995; 21: 103-109
- Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens.Journal of Advanced Nursing. 1996; 24: 244-250
- Analysis of the concept of mutuality.Journal of Nursing Scholarship. 1997; 29: 77-81
- Compliance in adolescents with epilepsy or diabetes.Journal of Adolescents Health. 1992; 13: 375-379
- Knowledge, attitudes and practice of epilepsy: experience at a comprehensive rural health services project.Seizure. 1998; 7: 133-138
- Family coping with an adolescent’s chronic illness: an approach and three studies.Journal of Adolescence. 1993; 16: 305-329
- Therapeutic recreation programmes for children with epilepsy.Seizure. 1993; 2: 195-200
- Factors influencing compliance with antiepileptic drug regimens.Seizure. 1997; 6: 87-93
- Cross-cultural differences in health-related quality of life of people with epilepsy: findings from a European study.Quality of Life Research. 2000; 8: 675-685
- Statistical Methods for Health Care Research. Lippincott, New York1997
- Logistic regression.in: Grimm L.G. Yarnold P.R. Reading and Understanding Multivariate Statistics. American Psychological Association, Washington DC1995: 217-244
- Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens.Journal of Advanced Nursing. 1996; 24: 244-250
- Compliance in adolescents with epilepsy or diabetes.Journal of Adolescents Health. 1992; 13: 375-379
- Finding meaning in chronic illness as the key to self-care.Canadian Journal of Nursing Research. 1994; 25: 23-36
- Effectiveness of interventions to improve patient compliance: a meta-analysis.Medical Care. 1998; 36: 1138-1161
- Feasibility and use of an Internet support service for diabetes self-management.Diabetes Educator. 1998; 24: 174-179
- Adherence-related behaviour in adolescents with asthma: results from group interviews.Journal of Asthma. 1999; 35: 637-647
- Psychosocial aspects of disease duration and control in young adults with type I diabetes.Journal of Clinical Epidemiology. 1998; 41: 435-440
- Adolescents’ perceptions of physicians, nurses, parents and friends: help or hindrance in compliance with diabetes self-care.Journal of Advanced Nursing. 1998; 27: 760-769
- Peer influences in pediatric chronic illness: an update.Journal of Pediatric Psychology. 1992; 17: 775-784
- The theoretical model of compliance of young diabetics.Journal of Clinical Nursing. 1999; 8: 73-80
- Intrinsic Motivation and Self-determination in Human Behaviour. Plenum Press, New York1985
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