Path Model of Multidimensional Compliance With Cancer Therapy

Authors

C. Anderson Johnson, Claremont Graduate UniversityFollow
Jean L. Richardson, University of Southern California
Gary Marks, University of Southern California
John W. Graham, University of Southern California
Kenneth K. Chan, University of Southern California
Judith N. Selser, University of Southern California
Connie Kishbaugh, University of Southern California
Yvonne Barranday, University of Southern California
Alexandra M. Levine, University of Southern California

Document Type

Article

Department

Community and Global Health (CGU)

Publication Date

1987

Disciplines

Applied Behavior Analysis | Experimental Analysis of Behavior | Medicine and Health | Oncology

Abstract

92 patients (aged 18–86 yrs) newly diagnosed with hematologic malignancies were followed for 6 mo to assess compliance with 3 regimen requirements for cancer therapy: antineoplastic medication self-administered intermittently, supportive medication self-administered daily, and monthly clinic appointments. The effect on compliance of 3 intervention packages (some combination of education, pill-taking behavior, and home restructuring) and the extent that patient satisfaction, knowledge, and uncertainty about illness-related events mediated the effects of the interventions were also examined. Compliance with daily pill taking and clinic appointments was higher for each intervention group compared to a control group. Daily pill taking was influenced directly by the behavioral components of the interventions. Uncertainty was associated with depression, which was negatively correlated with intermittent self-medication.

Rights Information

© 1987 Lawrence Erlbaum Associates, Inc.

DOI

10.1037/0278-6133.6.3.183

Recommended Citation

Richardson, J.L., Marks, G., Johnson, C.A., Graham, J.W., Chan, K.K., Selser, J.N., Kishbaugh, C., Barranday, Y., & Levine, A.M. Path model of multidimensional compliance with cancer therapy. Health Psych, 6(3), 183-207, 1987.