title: Explaining adherence to self-care behaviours amongst adolescents with food allergy: a comparison of the health belief model and the common sense self-regulation model.
abstract: OBJECTIVE
  To identify explanations for adherence to self-care behaviours amongst adolescents with food allergy-induced anaphylaxis using two social cognition models: the health belief model (HBM) and the common sense self-regulation model (CS-SRM).
  
  
  METHODS
  Cross-sectional self-completion questionnaire study to gain initial evidence of the two models' feasibility/effectiveness in explaining adherence in an adolescent food-allergic population.
  
  
  METHODS
  Participants aged 13-19 years with a diagnosis of severe food allergy and a prescription of an adrenaline auto-injector were recruited from hospital outpatients. Adherence to self-care behaviours was measured in addition to constructs from the HBM and CS-SRM.
  
  
  RESULTS
  One hundred and eighty-eight food-allergic adolescents completed the questionnaire. The HBM, specifically the constructs perceived severity and barriers, accounted for 21% of the explained variance in adherence behaviours. CS-SRM constructs, illness identity, timeline cyclical beliefs and emotional representations explained 25% of the variance.
  
  
  CONCLUSIONS
  Both models performed similarly in explaining adherence to self-care behaviours in adolescents with food allergy. Interventions designed to elicit personal barriers to adherence and to address perceptions of severity and the unpredictable nature of symptoms may be more effective in improving adherence to self-care behaviours than current interventions.
authors: Division of Primary Care & Public Health, Brighton & Sussex Medical School, UK.
authors: Christina J
authors: CJ
authors: Jones
authors: Helen E
authors: HE
authors: Smith
authors: Anthony J
authors: AJ
authors: Frew
authors: George Du
authors: GD
authors: Toit
authors: Somnath
authors: S
authors: Mukhopadhyay
authors: Carrie D
authors: CD
authors: Llewellyn
mesh_terms: D000293:Adolescent; D000707:Anaphylaxis / Q000517:prevention & control; D003430:Cross-Sectional Studies; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D005512:Food Hypersensitivity / Q000523:psychology*; D006801:Humans; D007273:Injections, Intramuscular / Q000523:psychology; D008297:Male; D008960:Models, Psychological; D010349:Patient Compliance / Q000523:psychology*; D012648:Self Care / Q000523:psychology*; D012927:Social Control, Informal; D011795:Surveys and Questionnaires; D013566:Sympathomimetics / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D013566:Sympathomimetics; D004837:Epinephrine