Perceived stigma and adherence in epilepsy: evidence for a link and mediating processes

Marie Chesaniuk; Hyunmi Choi; Paul Wicks; Gertraud Stadler

doi:10.1016/j.yebeh.2014.10.004

Perceived stigma and adherence in epilepsy: evidence for a link and mediating processes

Marie Chesaniuk, Hyunmi Choi, Paul Wicks, Gertraud Stadler

Research output: Contribution to journal › Article › peer-review

33 Citations (Scopus)

Abstract

OBJECTIVE: This study tested whether perceived epilepsy-related stigma is associated with adherence in people living with epilepsy and if information, motivation, and behavioral skills are potential pathways underlying the stigma-adherence link.

METHODS: We surveyed persons living with epilepsy between the ages of 18 and 65 (N = 140) using an online questionnaire to assess medication adherence and perceived epilepsy-related stigma. In addition, participants reported their level of information, motivation, and behavioral skills.

RESULTS: Higher perceived epilepsy-related stigma was associated with lower medication adherence (r = -0.18, p < .05). Higher perceived stigma was associated with lower levels of information (r = -0.28, p < .05), motivation (r = -0.55, p < .05), and behavioral skills (r = -0.41, p < .05), and the link between stigma and adherence was fully explained by information, motivation, and behavioral skills, i.e., the effect of stigma on adherence was fully mediated (c = -0.18, p < .05 reduced to c' = 0.06, p = .48).

CONCLUSION: Perceived epilepsy-related stigma is problematic for maintaining the prescribed medication regimen in people living with epilepsy. The information-motivation-behavioral skills model is a useful framework for understanding the pathways linking perceived stigma and adherence in this population.

Original language	English
Pages (from-to)	227-231
Number of pages	5
Journal	Epilepsy and Behavior
Volume	41
DOIs	https://doi.org/10.1016/j.yebeh.2014.10.004
Publication status	Published - Dec 2014

Bibliographical note

This study was supported by the Behavioral Science Student Fellowship from the Epilepsy Foundation of America (#214619). The authors thank Michelle Herrera, Vanessa Spano, and all the participants and members of the project team for assistance in collecting the data. We also thank Niall Bolger for advice on analyzing data. This study was registered at clinicaltrials.gov as NCT01566500.

Keywords

Adult
Epilepsy
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Medication Adherence
Middle Aged
Motivation
Social Stigma
Young Adult
Journal Article
Research Support, Non-U.S. Gov't

Access to Document

10.1016/j.yebeh.2014.10.004Licence: Unspecified

Cite this

@article{6bbdeb0c3f3541088e8cce90fb1f2dde,

title = "Perceived stigma and adherence in epilepsy: evidence for a link and mediating processes",

abstract = "OBJECTIVE: This study tested whether perceived epilepsy-related stigma is associated with adherence in people living with epilepsy and if information, motivation, and behavioral skills are potential pathways underlying the stigma-adherence link.METHODS: We surveyed persons living with epilepsy between the ages of 18 and 65 (N = 140) using an online questionnaire to assess medication adherence and perceived epilepsy-related stigma. In addition, participants reported their level of information, motivation, and behavioral skills.RESULTS: Higher perceived epilepsy-related stigma was associated with lower medication adherence (r = -0.18, p < .05). Higher perceived stigma was associated with lower levels of information (r = -0.28, p < .05), motivation (r = -0.55, p < .05), and behavioral skills (r = -0.41, p < .05), and the link between stigma and adherence was fully explained by information, motivation, and behavioral skills, i.e., the effect of stigma on adherence was fully mediated (c = -0.18, p < .05 reduced to c' = 0.06, p = .48).CONCLUSION: Perceived epilepsy-related stigma is problematic for maintaining the prescribed medication regimen in people living with epilepsy. The information-motivation-behavioral skills model is a useful framework for understanding the pathways linking perceived stigma and adherence in this population.",

keywords = "Adult, Epilepsy, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Medication Adherence, Middle Aged, Motivation, Social Stigma, Young Adult, Journal Article, Research Support, Non-U.S. Gov't",

author = "Marie Chesaniuk and Hyunmi Choi and Paul Wicks and Gertraud Stadler",

note = "This study was supported by the Behavioral Science Student Fellowship from the Epilepsy Foundation of America (#214619). The authors thank Michelle Herrera, Vanessa Spano, and all the participants and members of the project team for assistance in collecting the data. We also thank Niall Bolger for advice on analyzing data. This study was registered at clinicaltrials.gov as NCT01566500. ",

year = "2014",

month = dec,

doi = "10.1016/j.yebeh.2014.10.004",

language = "English",

volume = "41",

pages = "227--231",

journal = "Epilepsy and Behavior",

issn = "1525-5050",

publisher = "Academic Press Inc.",

}

TY - JOUR

T1 - Perceived stigma and adherence in epilepsy

T2 - evidence for a link and mediating processes

AU - Chesaniuk, Marie

AU - Choi, Hyunmi

AU - Wicks, Paul

AU - Stadler, Gertraud

N1 - This study was supported by the Behavioral Science Student Fellowship from the Epilepsy Foundation of America (#214619). The authors thank Michelle Herrera, Vanessa Spano, and all the participants and members of the project team for assistance in collecting the data. We also thank Niall Bolger for advice on analyzing data. This study was registered at clinicaltrials.gov as NCT01566500.

PY - 2014/12

Y1 - 2014/12

N2 - OBJECTIVE: This study tested whether perceived epilepsy-related stigma is associated with adherence in people living with epilepsy and if information, motivation, and behavioral skills are potential pathways underlying the stigma-adherence link.METHODS: We surveyed persons living with epilepsy between the ages of 18 and 65 (N = 140) using an online questionnaire to assess medication adherence and perceived epilepsy-related stigma. In addition, participants reported their level of information, motivation, and behavioral skills.RESULTS: Higher perceived epilepsy-related stigma was associated with lower medication adherence (r = -0.18, p < .05). Higher perceived stigma was associated with lower levels of information (r = -0.28, p < .05), motivation (r = -0.55, p < .05), and behavioral skills (r = -0.41, p < .05), and the link between stigma and adherence was fully explained by information, motivation, and behavioral skills, i.e., the effect of stigma on adherence was fully mediated (c = -0.18, p < .05 reduced to c' = 0.06, p = .48).CONCLUSION: Perceived epilepsy-related stigma is problematic for maintaining the prescribed medication regimen in people living with epilepsy. The information-motivation-behavioral skills model is a useful framework for understanding the pathways linking perceived stigma and adherence in this population.

AB - OBJECTIVE: This study tested whether perceived epilepsy-related stigma is associated with adherence in people living with epilepsy and if information, motivation, and behavioral skills are potential pathways underlying the stigma-adherence link.METHODS: We surveyed persons living with epilepsy between the ages of 18 and 65 (N = 140) using an online questionnaire to assess medication adherence and perceived epilepsy-related stigma. In addition, participants reported their level of information, motivation, and behavioral skills.RESULTS: Higher perceived epilepsy-related stigma was associated with lower medication adherence (r = -0.18, p < .05). Higher perceived stigma was associated with lower levels of information (r = -0.28, p < .05), motivation (r = -0.55, p < .05), and behavioral skills (r = -0.41, p < .05), and the link between stigma and adherence was fully explained by information, motivation, and behavioral skills, i.e., the effect of stigma on adherence was fully mediated (c = -0.18, p < .05 reduced to c' = 0.06, p = .48).CONCLUSION: Perceived epilepsy-related stigma is problematic for maintaining the prescribed medication regimen in people living with epilepsy. The information-motivation-behavioral skills model is a useful framework for understanding the pathways linking perceived stigma and adherence in this population.

KW - Adult

KW - Epilepsy

KW - Female

KW - Health Knowledge, Attitudes, Practice

KW - Humans

KW - Male

KW - Medication Adherence

KW - Middle Aged

KW - Motivation

KW - Social Stigma

KW - Young Adult

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1016/j.yebeh.2014.10.004

DO - 10.1016/j.yebeh.2014.10.004

M3 - Article

C2 - 25461221

SN - 1525-5050

VL - 41

SP - 227

EP - 231

JO - Epilepsy and Behavior

JF - Epilepsy and Behavior

ER -

Perceived stigma and adherence in epilepsy: evidence for a link and mediating processes

Abstract

Bibliographical note

Keywords

Access to Document

Fingerprint

Cite this