PDF(Pubmed)
Abstract：
OBJECTIVE: The aim of this study was to a) explore barriers and facilitators associated with medication-taking habit formation, and b) elicit feedback on the components of an intervention designed to help form strong habits for long-term medication adherence.
METHODS: The study design was qualitative; we conducted semistructured interviews between September 2021 and February 2022.
METHODS: The interviews were conducted online, with 27 participants recruited at the Cedars-Sinai Medical Center in Los Angeles, California.
METHODS: A purposive sample of 20 patients who were over 18 years of age, had been diagnosed with hypertensive disorder (or reported high blood pressure; >140/90 mm Hg) and who were prescribed antihypertensive therapy at the time of recruitment, along with seven providers were interviewed.
RESULTS: Contextual factors included frequent changes to prescription for regimen adjustment, and polypharmacy. Forgetfulness, perceived need for medication, and routine disruptions were identified as possible barriers to habit formation. Facilitators of habit formation included identification of stable routines for anchoring, planning, use of external reminders (including visual reminders) and pillboxes for prescription management, and extrinsic motivation for forming habits. Interestingly, experiencing medication side effects was identified as a possible barrier and a possible facilitator of habit formation. Feedback on study components included increasing text size, and visual appeal of the habit leaflet; and imparting variation in text message content and adjusting their frequency to once a day. Patients generally favoured the use of conditional financial incentives to support habit formation.
CONCLUSIONS: The study sheds light on some key considerations concerning the contextual factors for habit formation among people with hypertension. As such, future studies may evaluate the generalisability of our findings, consider the role of visual reminders in habit formation and sustenance, and explore possible disruptions to habits.
BACKGROUND: NCT04029883.
METHODS: The study design was qualitative; we conducted semistructured interviews between September 2021 and February 2022.
METHODS: The interviews were conducted online, with 27 participants recruited at the Cedars-Sinai Medical Center in Los Angeles, California.
METHODS: A purposive sample of 20 patients who were over 18 years of age, had been diagnosed with hypertensive disorder (or reported high blood pressure; >140/90 mm Hg) and who were prescribed antihypertensive therapy at the time of recruitment, along with seven providers were interviewed.
RESULTS: Contextual factors included frequent changes to prescription for regimen adjustment, and polypharmacy. Forgetfulness, perceived need for medication, and routine disruptions were identified as possible barriers to habit formation. Facilitators of habit formation included identification of stable routines for anchoring, planning, use of external reminders (including visual reminders) and pillboxes for prescription management, and extrinsic motivation for forming habits. Interestingly, experiencing medication side effects was identified as a possible barrier and a possible facilitator of habit formation. Feedback on study components included increasing text size, and visual appeal of the habit leaflet; and imparting variation in text message content and adjusting their frequency to once a day. Patients generally favoured the use of conditional financial incentives to support habit formation.
CONCLUSIONS: The study sheds light on some key considerations concerning the contextual factors for habit formation among people with hypertension. As such, future studies may evaluate the generalisability of our findings, consider the role of visual reminders in habit formation and sustenance, and explore possible disruptions to habits.
BACKGROUND: NCT04029883.
摘要：
目的：这项研究的目的是a）探索与服药习惯形成相关的障碍和促进因素，b）引起对干预措施组成部分的反馈，该干预措施旨在帮助养成长期服药依从性的良好习惯。
方法：研究设计是定性的；我们在2021年9月至2022年2月之间进行了半结构化访谈。
方法：访谈是在网上进行的，在洛杉矶的Cedars-Sinai医疗中心招募了27名参与者，加州
方法：20名18岁以上患者的目的样本，已被诊断患有高血压疾病（或报告高血压；>140/90mmHg），并且在招募时接受了抗高血压治疗，与七位供应商一起接受了采访。
结果：背景因素包括频繁改变处方以调整方案，和多药房。健忘,感知到的药物需求，和常规中断被确定为习惯形成的可能障碍。习惯形成的促进者包括识别稳定的锚定程序，规划,使用外部提醒（包括视觉提醒）和药盒进行处方管理，以及养成习惯的外在动机。有趣的是,经历药物副作用被认为是习惯形成的可能障碍和可能促进者。对研究组件的反馈包括增加文本大小，和习惯传单的视觉吸引力；并赋予短信内容的变化，并将其频率调整为每天一次。患者通常赞成使用有条件的财务激励措施来支持习惯的形成。
结论：该研究揭示了高血压患者习惯形成的一些关键因素。因此，未来的研究可能会评估我们发现的普遍性，考虑视觉提醒在习惯形成和维持中的作用，并探索对习惯的可能破坏。
背景：NCT04029883。
方法：研究设计是定性的；我们在2021年9月至2022年2月之间进行了半结构化访谈。
方法：访谈是在网上进行的，在洛杉矶的Cedars-Sinai医疗中心招募了27名参与者，加州
方法：20名18岁以上患者的目的样本，已被诊断患有高血压疾病（或报告高血压；>140/90mmHg），并且在招募时接受了抗高血压治疗，与七位供应商一起接受了采访。
结果：背景因素包括频繁改变处方以调整方案，和多药房。健忘,感知到的药物需求，和常规中断被确定为习惯形成的可能障碍。习惯形成的促进者包括识别稳定的锚定程序，规划,使用外部提醒（包括视觉提醒）和药盒进行处方管理，以及养成习惯的外在动机。有趣的是,经历药物副作用被认为是习惯形成的可能障碍和可能促进者。对研究组件的反馈包括增加文本大小，和习惯传单的视觉吸引力；并赋予短信内容的变化，并将其频率调整为每天一次。患者通常赞成使用有条件的财务激励措施来支持习惯的形成。
结论：该研究揭示了高血压患者习惯形成的一些关键因素。因此，未来的研究可能会评估我们发现的普遍性，考虑视觉提醒在习惯形成和维持中的作用，并探索对习惯的可能破坏。
背景：NCT04029883。
