Rees D W
J Stud Alcohol. 1985 Nov;46(6):517-24. doi: 10.15288/jsa.1985.46.517.
This study examined the health beliefs and attitudes of patients seen in an alcoholism treatment clinic and investigated the relationship between these beliefs and attitudes and patient compliance as defined by length of time in treatment contact. Results showed that health beliefs and attitudes measured at the onset of treatment were predictive of patient adherence to treatment. Elements of the Health Belief Model found to be strongly associated with compliance included patients' perceived severity of their drinking problem, their expectations of improvement by remaining in treatment, and their levels of satisfaction with aspects of the doctor-patient relationship during the initial visit. The Health Belief Model offers a fruitful approach to understanding patients' compliance with alcoholism treatment and indicates possible areas for intervention to improve adherence.
本研究调查了一家酗酒治疗诊所中患者的健康观念和态度，并探究了这些观念和态度与患者依从性（以治疗接触时间长短来界定）之间的关系。结果显示，治疗开始时所测量的健康观念和态度能够预测患者对治疗的坚持程度。健康信念模型中被发现与依从性密切相关的因素包括患者对自身饮酒问题严重程度的认知、对继续治疗会有所改善的期望，以及初次就诊时对医患关系各方面的满意度。健康信念模型为理解患者对酗酒治疗的依从性提供了一种富有成效的方法，并指出了可能进行干预以提高依从性的领域。
