{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:10:31Z","timestamp":1791389431585,"version":"4.3.3"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,6,20]],"date-time":"2014-06-20T00:00:00Z","timestamp":1403222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Centre for Health Improvement"},{"DOI":"10.13039\/501100000873","name":"Queen's University Belfast","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000873","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Belfast Health and Social Care Trust"},{"name":"Health and Social Care Research"},{"name":"Development Division of the Public Health Agency, Northern Ireland"},{"name":"UK National Institute for Health Research Career Scientist"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Adherence to treatment is low in bronchiectasis and is associated with poorer health outcomes. Factors affecting adherence decisions have not been explored in patients with bronchiectasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to explore patients\u2019 perspectives on adherence, factors affecting adherence decision making and to develop a conceptual model explaining this decision\u2010making process in adults with bronchiectasis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Adults with bronchiectasis participated in one\u2010to\u2010one semi\u2010structured interviews. Interviews were audio\u2010recorded, transcribed verbatim and analysed independently by two researchers using thematic analysis. Data from core themes were extracted, categorized into factors affecting adherence decision making and used to develop the conceptual model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants\u2019 beliefs about treatment, the practical aspects of managing treatment, their trust in health\u2010care professionals and acceptance of disease and treatment were important aspects of treatment adherence. The conceptual model demonstrated that adherence decisions were influenced by participants\u2019 individual balance of barriers and motivating factors (treatment\u2010related, disease\u2010related, health\u2010care\u2010related, personal and social factors).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adherence decision\u2010making in bronchiectasis is complex, but there is the potential to enhance adherence by understanding patients\u2019 specific barriers and motivators to adherence and using this to tailor adherence strategies to individual patients and treatments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.12217","type":"journal-article","created":{"date-parts":[[2014,6,20]],"date-time":"2014-06-20T09:53:41Z","timestamp":1403258021000},"page":"2477-2488","source":"Crossref","is-referenced-by-count":21,"title":["\u2018All illness is personal to that individual\u2019: a qualitative study of patients\u2019 perspectives on treatment adherence in bronchiectasis"],"prefix":"10.1111","volume":"18","author":[{"given":"Amanda R.","family":"McCullough","sequence":"first","affiliation":[{"name":"Clinical &amp; Practice Research Group School of Pharmacy Queen's University Belfast Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"Tunney","sequence":"additional","affiliation":[{"name":"Clinical &amp; Practice Research Group School of Pharmacy Queen's University Belfast Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Stuart","family":"Elborn","sequence":"additional","affiliation":[{"name":"Centre for Infection and Immunity School of Medicine, Dentistry and Biomedical Sciences Queen's University Belfast Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy M.","family":"Bradley","sequence":"additional","affiliation":[{"name":"Centre for Health and Rehabilitation Technologies (CHaRT) Institute of Nursing and Health Research University of Ulster Jordanstown UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmel M.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Clinical &amp; Practice Research Group School of Pharmacy Queen's University Belfast Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2011.03.005"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2466-11-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200902-0166OC"},{"key":"e_1_2_9_5_1","first-page":"A5231","article-title":"Treatment adherence and health outcomes in patients with bronchiectasis infected with Pseudomonas aeruginosa","volume":"187","author":"McCullough A","year":"2013","journal-title":"American Journal of Respiratory and Critical Care Medicine"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2012-201983"},{"key":"e_1_2_9_7_1","volume-title":"European Lung White Book","author":"Gibson G","year":"2013"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.2290"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.1937"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00071312"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-1763"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(99)00058-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00057306"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2011.03.012"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.57.8.661"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/0887044031000141199"},{"key":"e_1_2_9_19_1","unstructured":"Medical Research Council.Developing and evaluating complex interventions: new guidance 2008. 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