Modifying factors of the health belief model associated with missed clinic appointments among individuals with sickle cell disease

Robert M. Cronin, Jane S. Hankins, Jeannie Byrd, Brandi M. Pernell, Adetola Kassim, Patricia Adams-Graves, Alexis A. Thompson, Karen Kalinyak, Michael R. DeBaun, Marsha Treadwell

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: Outpatient care is critical in the management of chronic diseases, including sickle cell disease (SCD). Risk factors for poor adherence with clinic appointments in SCD are poorly defined. This exploratory study evaluated associations between modifying variables from the Health Belief Model and missed appointments. Methods: We surveyed adults with SCD (n = 211) and caregivers of children with SCD (n = 331) between October 2014 and March 2016 in six centres across the U.S. The survey tool utilized the framework of the Health Belief Model, and included: social determinants, psychosocial variables, social support, health literacy and spirituality. Results: A majority of adults (87%) and caregivers of children (65%) reported they missed a clinic appointment. Children (as reported by caregivers) were less likely to miss appointments than adults (OR:0.22; 95% CI:(0.13,0.39)). In adults, financial insecurity (OR:4.49; 95% CI:(1.20, 20.7)), health literacy (OR:4.64; 95% CI:(1.33, 16.15)), and age (OR:0.95; 95% CI:(0.91,0.99)) were significantly associated with missed appointments. In all participants, lower spirituality was associated with missed appointments (OR:1.83; 95%CI:(1.13, 2.94)). The most common reason for missing an appointment was forgetfulness (adults: 31%, children: 26%). A majority thought reminders would help (adults: 83%, children: 71%) using phone calls (adults: 62%, children: 61%) or text messages (adults: 56%, children: 51%). Conclusions: Our findings demonstrate that modifying components of the Health Belief Model, including age, financial security, health literacy, spirituality, and lacking cues to action like reminders, are important in missed appointments and addressing these factors could improve appointment-keeping for adults and children with SCD.

Original languageEnglish (US)
Pages (from-to)683-691
Number of pages9
JournalHematology
Volume23
Issue number9
DOIs
StatePublished - Oct 21 2018

Fingerprint

Sickle Cell Anemia
Appointments and Schedules
Health
Health Literacy
Spirituality
Caregivers
Text Messaging
Ambulatory Care
Social Support
Cues
Chronic Disease

All Science Journal Classification (ASJC) codes

  • Hematology

Cite this

Modifying factors of the health belief model associated with missed clinic appointments among individuals with sickle cell disease. / Cronin, Robert M.; Hankins, Jane S.; Byrd, Jeannie; Pernell, Brandi M.; Kassim, Adetola; Adams-Graves, Patricia; Thompson, Alexis A.; Kalinyak, Karen; DeBaun, Michael R.; Treadwell, Marsha.

In: Hematology, Vol. 23, No. 9, 21.10.2018, p. 683-691.

Research output: Contribution to journalArticle

Cronin, RM, Hankins, JS, Byrd, J, Pernell, BM, Kassim, A, Adams-Graves, P, Thompson, AA, Kalinyak, K, DeBaun, MR & Treadwell, M 2018, 'Modifying factors of the health belief model associated with missed clinic appointments among individuals with sickle cell disease', Hematology, vol. 23, no. 9, pp. 683-691. https://doi.org/10.1080/10245332.2018.1457200
Cronin, Robert M. ; Hankins, Jane S. ; Byrd, Jeannie ; Pernell, Brandi M. ; Kassim, Adetola ; Adams-Graves, Patricia ; Thompson, Alexis A. ; Kalinyak, Karen ; DeBaun, Michael R. ; Treadwell, Marsha. / Modifying factors of the health belief model associated with missed clinic appointments among individuals with sickle cell disease. In: Hematology. 2018 ; Vol. 23, No. 9. pp. 683-691.
@article{f0bd47a751c04f54ad95ad7f6b6bb175,
title = "Modifying factors of the health belief model associated with missed clinic appointments among individuals with sickle cell disease",
abstract = "Objectives: Outpatient care is critical in the management of chronic diseases, including sickle cell disease (SCD). Risk factors for poor adherence with clinic appointments in SCD are poorly defined. This exploratory study evaluated associations between modifying variables from the Health Belief Model and missed appointments. Methods: We surveyed adults with SCD (n = 211) and caregivers of children with SCD (n = 331) between October 2014 and March 2016 in six centres across the U.S. The survey tool utilized the framework of the Health Belief Model, and included: social determinants, psychosocial variables, social support, health literacy and spirituality. Results: A majority of adults (87{\%}) and caregivers of children (65{\%}) reported they missed a clinic appointment. Children (as reported by caregivers) were less likely to miss appointments than adults (OR:0.22; 95{\%} CI:(0.13,0.39)). In adults, financial insecurity (OR:4.49; 95{\%} CI:(1.20, 20.7)), health literacy (OR:4.64; 95{\%} CI:(1.33, 16.15)), and age (OR:0.95; 95{\%} CI:(0.91,0.99)) were significantly associated with missed appointments. In all participants, lower spirituality was associated with missed appointments (OR:1.83; 95{\%}CI:(1.13, 2.94)). The most common reason for missing an appointment was forgetfulness (adults: 31{\%}, children: 26{\%}). A majority thought reminders would help (adults: 83{\%}, children: 71{\%}) using phone calls (adults: 62{\%}, children: 61{\%}) or text messages (adults: 56{\%}, children: 51{\%}). Conclusions: Our findings demonstrate that modifying components of the Health Belief Model, including age, financial security, health literacy, spirituality, and lacking cues to action like reminders, are important in missed appointments and addressing these factors could improve appointment-keeping for adults and children with SCD.",
author = "Cronin, {Robert M.} and Hankins, {Jane S.} and Jeannie Byrd and Pernell, {Brandi M.} and Adetola Kassim and Patricia Adams-Graves and Thompson, {Alexis A.} and Karen Kalinyak and DeBaun, {Michael R.} and Marsha Treadwell",
year = "2018",
month = "10",
day = "21",
doi = "10.1080/10245332.2018.1457200",
language = "English (US)",
volume = "23",
pages = "683--691",
journal = "Hematology",
issn = "1024-5332",
publisher = "Taylor and Francis Ltd.",
number = "9",

}

TY - JOUR

T1 - Modifying factors of the health belief model associated with missed clinic appointments among individuals with sickle cell disease

AU - Cronin, Robert M.

AU - Hankins, Jane S.

AU - Byrd, Jeannie

AU - Pernell, Brandi M.

AU - Kassim, Adetola

AU - Adams-Graves, Patricia

AU - Thompson, Alexis A.

AU - Kalinyak, Karen

AU - DeBaun, Michael R.

AU - Treadwell, Marsha

PY - 2018/10/21

Y1 - 2018/10/21

N2 - Objectives: Outpatient care is critical in the management of chronic diseases, including sickle cell disease (SCD). Risk factors for poor adherence with clinic appointments in SCD are poorly defined. This exploratory study evaluated associations between modifying variables from the Health Belief Model and missed appointments. Methods: We surveyed adults with SCD (n = 211) and caregivers of children with SCD (n = 331) between October 2014 and March 2016 in six centres across the U.S. The survey tool utilized the framework of the Health Belief Model, and included: social determinants, psychosocial variables, social support, health literacy and spirituality. Results: A majority of adults (87%) and caregivers of children (65%) reported they missed a clinic appointment. Children (as reported by caregivers) were less likely to miss appointments than adults (OR:0.22; 95% CI:(0.13,0.39)). In adults, financial insecurity (OR:4.49; 95% CI:(1.20, 20.7)), health literacy (OR:4.64; 95% CI:(1.33, 16.15)), and age (OR:0.95; 95% CI:(0.91,0.99)) were significantly associated with missed appointments. In all participants, lower spirituality was associated with missed appointments (OR:1.83; 95%CI:(1.13, 2.94)). The most common reason for missing an appointment was forgetfulness (adults: 31%, children: 26%). A majority thought reminders would help (adults: 83%, children: 71%) using phone calls (adults: 62%, children: 61%) or text messages (adults: 56%, children: 51%). Conclusions: Our findings demonstrate that modifying components of the Health Belief Model, including age, financial security, health literacy, spirituality, and lacking cues to action like reminders, are important in missed appointments and addressing these factors could improve appointment-keeping for adults and children with SCD.

AB - Objectives: Outpatient care is critical in the management of chronic diseases, including sickle cell disease (SCD). Risk factors for poor adherence with clinic appointments in SCD are poorly defined. This exploratory study evaluated associations between modifying variables from the Health Belief Model and missed appointments. Methods: We surveyed adults with SCD (n = 211) and caregivers of children with SCD (n = 331) between October 2014 and March 2016 in six centres across the U.S. The survey tool utilized the framework of the Health Belief Model, and included: social determinants, psychosocial variables, social support, health literacy and spirituality. Results: A majority of adults (87%) and caregivers of children (65%) reported they missed a clinic appointment. Children (as reported by caregivers) were less likely to miss appointments than adults (OR:0.22; 95% CI:(0.13,0.39)). In adults, financial insecurity (OR:4.49; 95% CI:(1.20, 20.7)), health literacy (OR:4.64; 95% CI:(1.33, 16.15)), and age (OR:0.95; 95% CI:(0.91,0.99)) were significantly associated with missed appointments. In all participants, lower spirituality was associated with missed appointments (OR:1.83; 95%CI:(1.13, 2.94)). The most common reason for missing an appointment was forgetfulness (adults: 31%, children: 26%). A majority thought reminders would help (adults: 83%, children: 71%) using phone calls (adults: 62%, children: 61%) or text messages (adults: 56%, children: 51%). Conclusions: Our findings demonstrate that modifying components of the Health Belief Model, including age, financial security, health literacy, spirituality, and lacking cues to action like reminders, are important in missed appointments and addressing these factors could improve appointment-keeping for adults and children with SCD.

UR - http://www.scopus.com/inward/record.url?scp=85044508561&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044508561&partnerID=8YFLogxK

U2 - 10.1080/10245332.2018.1457200

DO - 10.1080/10245332.2018.1457200

M3 - Article

VL - 23

SP - 683

EP - 691

JO - Hematology

JF - Hematology

SN - 1024-5332

IS - 9

ER -