title: Evaluating the reasons underlying treatment nonadherence in VLU patients: introducing the VeLUSET Part 1 of 2.
abstract: Although healing rates have improved with the use of compression therapy, venous leg ulceration recurrence rates remain very high. There is evidence that certain self-care activities may reduce the risk of recurrence, however, many patients do not adhere to performing these self-care activities. The reasons for this may be multifactorial. Furthermore, the literature indicates that some patients appear to have a poor understanding of their condition despite having received information from health professionals. Since a concordant relationship is dependent on shared decision-making, this apparent knowledge deficit may have major implications in changing health behaviours and achieving adherence with self-care. This article is in two parts - part one will briefly discuss health behaviour change models underpinned by social cognitive theory. It introduces the VeLUSET, a newly developed and validated tool which provides an objective measure of nursing interventions designed to increase self-efficacy.
authors.affiliation: PhD, MSc, BSc(Hons), RN, Independent Tissue Viability Consultant, Doctoral Fellow; East of England Strategic Health Authority, UK.
authors.forename: A
authors.initials: A
authors.lastname: Brown
mesh_terms: D006801:Humans; D007389:Internal-External Control; D008960:Models, Psychological; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D012944:Social Support; D053828:Stockings, Compression; D011795:Surveys and Questionnaires; D014647:Varicose Ulcer / Q000451:nursing / Q000628:therapy*