Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/154110
Title: UNDERSTANDING FACTORS AFFECTING MEDICATION-TAKING BEHAVIOUR AMONG ADOLESCENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS: A QUALITATIVE STUDY
Authors: TAN QIU ER, CLARICE
Keywords: Medication adherence
Systemic Lupus Erythematosus
Adolescents
Issue Date: 25-May-2019
Citation: TAN QIU ER, CLARICE (2019-05-25). UNDERSTANDING FACTORS AFFECTING MEDICATION-TAKING BEHAVIOUR AMONG ADOLESCENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS: A QUALITATIVE STUDY. ScholarBank@NUS Repository.
Abstract: Aim: This study aims to explore factors affecting medication-taking behaviour among adolescents with Systemic Lupus Erythematosus (SLE) in Singapore. Background: Medication adherence in SLE adolescents has been historically poor. This often results in increased morbidity, poorer quality of life and higher fatality. Yet, little is known about the complex interplay between the developing adolescent and their treatment concerns, socioeconomical and healthcare environment, which are responsible for influencing adolescents’ medicationtaking behaviour. Methods: A descriptive qualitative design was employed. Sixteen SLE adolescents were recruited via purposive sampling. Face-to-face semi-structured interviews were conducted from September 2018 to January 2019. Field notes and reflexive journals were maintained and frequent debriefing sessions were performed to ensure the study’s methodological rigour. Constant comparative analysis was executed to determine the study’s information power, which was obtained with 14 participants. The audio-recorded interviews were transcribed verbatim, coded, and thematically analysed by 2 researchers. Results: Five motivator themes and five deterrent themes were identified. The 5 motivator themes were enlightened about medication treatment, appreciation of medication value, maintaining network of supportive relationships, adept coping skills and minimising medication impact on daily life. The 5 deterrent themes were neglectful behaviour towards medication taking, dissatisfaction with medication treatment, apprehension towards medication use, impaired external support, and poor doctor-patient relationship. Conclusion: This study has highlighted various medication-taking motivators and deterrents. Despite being identified separately, it is the interdependent relationship between all motivators and deterrents that determine their medication-taking behaviours. Implications: The findings can contribute to the development of education platforms and guide the improvement of medication necessity understanding by emphasising use of graphical feedbacks. The findings also highlight the need to engage psychological services to address adolescents’ self-image concerns. Future research can look into transitional care and behavioural interventions’ feasibility to enhance adherence.
URI: https://scholarbank.nus.edu.sg/handle/10635/154110
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