Shariatpanahi Shabnam, Ashghali Farahani Mansoureh, Rafii Forough, Rassouli Maryam, Kavousi Amir
Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
JMIR Res Protoc. 2019 Jul 26;8(7):e13317. doi: 10.2196/13317.
Adherence to treatment is an important factor to decrease repeated and costly hospitalization owing to heart failure (HF). The explanation and prediction of medication adherence and other lifestyle recommendations in chronic diseases, including HF, are complex. Theories lead to a better understanding of complex situations as well as the process of changing behavior and explain the reasons for the existence of a problem.
The aim of this study is to report a protocol for a mixed methods study setting out to investigate the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF in Iran.
This mixed methods study consists of an exploratory sequential design to be conducted in 2 phases. The first phase involves identifying the factors associated with treatment adherence in patients with HF through content analysis of the literature and elucidating the perception of participants in the context of Iranian health care where the model of adherence to treatment is designed based on the Roy Adaptation Model. The second phase addresses the interrelationships among variables in the model through a descriptive study using structural equation modeling. Finally, following the summarization and separate interpretation of the qualitative findings and quantitative results, a decision is made about the extent to and ways in which the results of the quantitative stage can be generalized or tested for the qualitative findings.
Content analysis of the literature in part 1 of the first phase was completed in 2017. Collection and analysis of qualitative data in part 2 of the first phase will be completed soon. The results are expected to be submitted for publication in 2019. Then, the second phase-the quantitative study-will be conducted.
The results of this study will provide valuable information about the empirical validity of the Roy Adaptation Model as a conceptual framework for explaining and predicting adherence to treatment in patients with HF, which, to date, have received little attention. The results can be used as a guide for nursing practice and care provision to patients with HF and also to design and implement effective interventions to improve treatment adherence in these patients.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/13317.
坚持治疗是减少因心力衰竭（HF）导致的反复住院及高昂费用的重要因素。在包括HF在内的慢性病中，对药物依从性及其他生活方式建议的解释和预测很复杂。理论有助于更好地理解复杂情况以及行为改变的过程，并解释问题存在的原因。
本研究旨在报告一项混合方法研究方案，该方案旨在调查罗伊适应模式作为解释和预测伊朗HF患者治疗依从性的概念框架的实证有效性。
这项混合方法研究采用探索性序列设计，分两个阶段进行。第一阶段包括通过文献内容分析确定与HF患者治疗依从性相关的因素，并在伊朗医疗保健背景下阐明参与者的看法，在该背景下，治疗依从性模型是基于罗伊适应模式设计的。第二阶段通过使用结构方程模型的描述性研究来探讨模型中变量之间的相互关系。最后，在对定性研究结果和定量结果进行总结和分别解释之后，决定定量阶段的结果在多大程度上以及以何种方式可以推广或用于检验定性研究结果。
第一阶段第1部分的文献内容分析于2017年完成。第一阶段第2部分的定性数据收集和分析即将完成。预计结果将于2019年提交发表。然后将进行第二阶段——定量研究。
本研究结果将提供有关罗伊适应模式作为解释和预测HF患者治疗依从性的概念框架的实证有效性的有价值信息，而迄今为止，这方面很少受到关注。这些结果可作为HF患者护理实践和护理提供的指南，也可用于设计和实施有效的干预措施，以提高这些患者的治疗依从性。
国际注册报告识别码（IRRID）：DERR1-10.2196/13317
