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Self-efficacy and adherence as mediating factors between personality traits and health-related quality of life
University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.ORCID iD: 0000-0001-5493-8334
Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.ORCID iD: 0000-0002-4722-009X
Department of Psychology, University of Gothenburg.
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2013 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 22, no 3, p. 567-575Article in journal (Refereed) Published
Abstract [en]

Purpose Personality traits are rather stable dispositions inadulthood, while self-efficacy and adherence may bemodified through targeted interventions. Health-relatedquality of life (HRQL) serves as a vital outcome measure.The present aim was to explore the function of self-efficacyand adherence as mediators for the influencing effect ofpersonality traits on HRQL in people with chronic disease.Methods An epidemiological sample of 786 personscompleted questionnaires on personality, general self-efficacy,adherence behaviour and HRQL. Data were statisticallyanalysed using descriptive statistics, correlationanalyses and path models.Results Self-efficacy mediated the effect of Extraversionand Conscientiousness on mental HRQL. Neuroticism hada direct effect on both physical and mental HRQL.Adherence partially mediated the effect of both Agreeablenessand Conscientiousness on mental HRQL.Conclusions The mental HRQL in people scoring low onExtraversion or low on Conscientiousness could beimproved by strengthening general self-efficacy. Increasingadherence in people scoring low on Agreeableness orConscientiousness could improve their mental HRQL, butthe improvement was small and may be of lesser clinicalrelevance. These results argue for personalized interventionsintended to positively affect health outcomes inpeople with chronic disease.

Place, publisher, year, edition, pages
2013. Vol. 22, no 3, p. 567-575
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-3945DOI: 10.1007/s11136-012-0181-zISI: 000316762600013Scopus ID: 2-s2.0-84876498999OAI: oai:DiVA.org:hv-3945DiVA, id: diva2:471286
Available from: 2012-01-02 Created: 2012-01-02 Last updated: 2017-12-08Bibliographically approved
In thesis
1. Personality and adherence to medication treatment
Open this publication in new window or tab >>Personality and adherence to medication treatment
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Striving for improved adherence to medication treatment is of vital concern, as low adherence is a major obstacle in treating many prevalent chronic diseases. Several factors have been identified that seem to influence adherence behaviour, but limited research exists on the significance of personality for adherence to medication treatment. According to the Five-Factor Model (FFM), personality can be described in terms of five broad personality traits: Neuroticism, Extraversion, and Openness to experience, Agreeableness, and Conscientiousness. Reports on health-related quality of life (HRQL), asthma control and selfefficacy may also be influenced by personality. Therefore, the overall aim of the present research project was to explore the significance of personality traits in relation to adherence to medication treatment and asthma control, health-related quality of life and self-efficacy. 

Place, publisher, year, edition, pages
Göteborg: Institute of Medicine at Sahlgrenska Academy, University of Gothenburg, 2011. p. 65
Keywords
Five-factor model, personality traits, medication adherence, chronic disease
National Category
Medical and Health Sciences
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-3846 (URN)ISBN 978-91-628-8321-8 (ISBN)
Public defence
2011-09-16, 13:00 (English)
Opponent
Supervisors
Available from: 2012-01-02 Created: 2011-11-15 Last updated: 2012-01-02Bibliographically approved

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Axelsson, MalinCliffordson, ChristinaBrink, Eva

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