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Title: An investigation into factors associated with compliance with the Heart Manual Cardiac Rehabilitation Programme
Author: Cormack, Elinor
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2004
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Introduction: The present study explores whether there are identifiable differences between people who comply with a home-based cardiac rehabilitation self-help programme (The Heart Manual) and those who are found to be less compliant. Hypotheses: It was hypothesised that compliance would be associated with health locus of control, specifically, internal health locus of control, and or health value and chance health locus of control. Compliance was also expected to have an association with personal beliefs regarding illness related personal control and treatment control, illness coherence and illness consequence. Finally, compliance was hypothesised to be associated with depression, anxiety and intellectual ability. Results: Statistical analysis confirmed that there was a significant negative association between chance health locus of control and compliance, and a significant positive relationship between illness coherence and compliance. An association was also indicated between number of years of education and compliance, and level of education and compliance, however, this was complex and was strongest for predicting compliance levels of those who had spent a greater number of years being educated and those who had studied at university level. Conclusion: Individuals with high chance locus of control scores were found to be less compliant, while individuals with high illness coherence scores were found to be more compliant. Furthermore, subjects who had spent most years in education, and those who had attended university were also found to have enhanced adherence. Future Directions: Further research using a prospective design would be necessary to establish whether the two subscales of chance health locus of control and illness coherence will predict compliance.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available