Promoting adherence to nebulized therapy in cystic fibrosis: poster development and a qualitative exploration of adherence.
BACKGROUND
Cystic fibrosis (CF) health care professionals recognize the need to motivate people with CF to adhere to nebulizer treatments, yet little is known about how best to achieve this. We aimed to produce motivational posters to support nebulizer adherence by using social marketing involving people with CF in the development of those posters.


METHODS
The Sheffield CF multidisciplinary team produced preliminary ideas that were elaborated upon with semi-structured interviews among people with CF to explore barriers and facilitators to the use of nebulized therapy. Initial themes and poster designs were refined using an online focus group to finalize the poster designs.


RESULTS
People with CF preferred aspirational posters describing what could be achieved through adherence in contrast to posters that highlighted the adverse consequences of nonadherence. A total of 14 posters were produced through this process.


CONCLUSIONS
People with CF can be engaged to develop promotional material to support adherence, providing a unique perspective differing from that of the CF multidisciplinary team. Further research is needed to evaluate the effectiveness of these posters to support nebulizer adherence.
Psychology Department, University of Sheffield, Sheffield, UK.
Stephen
S
Jones
Psychological Services, Sheffield Teaching Hospitals NHS Foundation Trust, University of Sheffield, Sheffield, UK.
Nathan
N
Babiker
Psychological Services, Sheffield Teaching Hospitals NHS Foundation Trust, University of Sheffield, Sheffield, UK ; Adult Cystic Fibrosis Unit, Northern General Hospital, University of Sheffield, Sheffield, UK.
Emma
E
Gardner
Psychological Services, Sheffield Teaching Hospitals NHS Foundation Trust, University of Sheffield, Sheffield, UK.
Jane
J
Royle
Adult Cystic Fibrosis Unit, Northern General Hospital, University of Sheffield, Sheffield, UK ; School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Rachael
R
Curley
Adult Cystic Fibrosis Unit, Northern General Hospital, University of Sheffield, Sheffield, UK ; School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Zhe Hui
ZH
Hoo
Adult Cystic Fibrosis Unit, Northern General Hospital, University of Sheffield, Sheffield, UK ; School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Martin J
MJ
Wildman
behavior change; medication adherence; nebulizers; patient participation; social marketing