{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T02:40:06Z","timestamp":1790131206990,"version":"4.0.1"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2007,4,5]],"date-time":"2007-04-05T00:00:00Z","timestamp":1175731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:p><jats:bold>Aims &amp; objectives.\u2002<\/jats:bold> The aim of the current study was to explore factors that hinder or promote adherence to clean intermittent self\u2010catheterization (CISC) procedures in adults.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> Clean intermittent self\u2010catherization is associated with favourable patient outcomes, but adherence to the procedure is not addressed in the international literature.<\/jats:p><jats:p><jats:bold>Methods.\u2002<\/jats:bold> Relevant factors were explored in two studies. The first study (<jats:italic>n<\/jats:italic>\u2003=\u200310) addressed mastery and short\u2010term adherence, whereas the second study (<jats:italic>n<\/jats:italic>\u2003=\u200320) addressed long\u2010term adherence in these patients. Determinants of patient adherence were derived from pre\u2010structured interviews with patients, using a content\u2010analysis procedure.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> A list of 16 determinants of mastery and short\u2010term adherence and a list of 12 determinants of long\u2010term adherence was found. Most of these determinants were found in both older (\u226565\u2003years of age) and younger patients. However, five determinants of mastery and short\u2010term adherence and six determinants of long\u2010term adherence were specific to patients under the age of 65.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold> Our findings give a first insight into CISC adherence. General determinants of adherence relate to knowledge, complexity of the procedure, misconceptions, fears, shame, motivation and quality and continuity of professional care. Furthermore integrating CISC in everyday life can be difficult. In younger patients, availability of materials, physical impairments and resistance to a sickness role can further compromise adherence.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> Issues of knowledge, fears, motivation and potential psychological impact of performing CISC should be addressed prior to deciding on CISC and instructing patients. Follow\u2010up care should be improved to include re\u2010evaluations of skills, discussing adherence, integrating CISC in daily activities and general coping issues.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2006.01893.x","type":"journal-article","created":{"date-parts":[[2007,4,5]],"date-time":"2007-04-05T23:22:34Z","timestamp":1175815354000},"page":"394-402","source":"Crossref","is-referenced-by-count":67,"title":["Adherence to clean intermittent self\u2010catheterization procedures: determinants explored"],"prefix":"10.1111","volume":"17","author":[{"given":"Theo","family":"Van Achterberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerda","family":"Holleman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanny","family":"Cobussen\u2010Boekhorst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Arts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Heesakkers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,1,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1997.30018.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2002.10.17.7.37.c3289"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00467.x"},{"key":"e_1_2_8_5_1","first-page":"369","article-title":"Urinary catheter management","volume":"61","author":"Cravens DD","year":"2000","journal-title":"American Family Physician"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.1998.7.21.5544"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.1999.8.2.6714"},{"key":"e_1_2_8_8_1","volume-title":"Promoting Continence: a Clinical and Research Resource","author":"Getliffe K","year":"2003"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7023.103"},{"key":"e_1_2_8_10_1","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/S0022-5347(17)57617-X","article-title":"Complications of permanent bladder catheter drainage in spinal cord injury patients","volume":"119","author":"Jacobs SC","year":"1978","journal-title":"Journal of Urology"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)61055-3"},{"key":"e_1_2_8_12_1","first-page":"55","article-title":"Patients\u2019 experiences of clean intermittent catheterisation","volume":"89","author":"McConville A","year":"2002","journal-title":"Nursing Times Plus"},{"key":"e_1_2_8_13_1","article-title":"Urinary catheter policies for short\u2010term bladder drainage in adults","author":"Niel\u2010Weise B","year":"2005","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2001.10.12.5302"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7272.1326"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2003.12.18.11782"},{"key":"e_1_2_8_17_1","volume-title":"Adherence to Long\u2010Term Therapies. 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