title: Testing the health promotion model for adherence and quality of life in individuals with multiple sclerosis.
abstract: The nature of multiple sclerosis (MS) presents challenges to health-promoting behaviors (e.g. adherence) and quality of life. The Health Promotion Model (HPM) proposes that these outcomes are explained by individual characteristics (i.e. biological, social, psychological) and behavior-specific cognitions (e.g. self-efficacy). The current study sought to test the HPM in explaining self-reported adherence and MS quality of life among 121 MS patients receiving care in an MS clinic in the southeastern United States. Hierarchical regression models partially supported the HPM for adherence (R2= .27) and more fully for quality of life (QoL) (R2= .64). Depression and stigma were among the variables most strongly related to both adherence and QoL; contrary to HPM theory, self-efficacy was not significantly related to adherence but was to QoL. Thus, the HPM may help to guide strategies used to improve QoL among individuals living with MS; however, the model may need further refinement to be used with adherence.
authors: a Department of Family and Community Medicine , Carilion Clinic - Virginia Tech Carilion School of Medicine , Roanoke , VA , USA.
authors: Lauren
authors: L
authors: Penwell-Waines
authors: b Department of Psychiatry and Health Behavior, Medical College of Georgia , Augusta University , Augusta , GA , USA.
authors: Kimberly
authors: K
authors: Lewis
authors: c Department of Neuropsychology , Baylor Institute of Rehabilitation , Frisco , TX , USA.
authors: Abbey
authors: A
authors: Valvano
authors: d Augusta MS Center , Augusta University Health , Augusta , GA , USA.
authors: Suzanne
authors: S
authors: Smith
authors: d Augusta MS Center , Augusta University Health , Augusta , GA , USA.
authors: Rebecca
authors: R
authors: Rahn
authors: b Department of Psychiatry and Health Behavior, Medical College of Georgia , Augusta University , Augusta , GA , USA.
authors: Lara
authors: L
authors: Stepleman
mesh_terms: D000328:Adult; D003863:Depression; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009103:Multiple Sclerosis / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012044:Regression Analysis; D020377:Self Efficacy; D015144:Southeastern United States
keywords: Health promotion; adherence; multiple sclerosis; quality of life