- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Friday, February 15, 2019

c/o BMJ Open: Mapping of modifiable barriers and facilitators of medication adherence in bipolar disorder to the Theoretical Domains Framework

Finding this item on twitter c/o @Stuart__Maddock its interest and relevance to me is explicit in the title, but also as a protocol, with more to follow. The range and application of the domains listed and the four themes also have significance here. The abstract includes:

"This systematic review aims to identify modifiable barriers and facilitators (determinants) of medication adherence in bipolar disorder. We also plan to report determinants of medication adherence from perspectives of patients, carers, healthcare professionals and other third parties. A unique feature of this systematic review in the context of mental health is the use of the Theoretical Domains Framework (TDF) to organise the literature identified determinants of medication adherence."
Of course there are many potential overlaps. For example, knowledge; the decision processes - to what extent are they collaborative - studies with patient involvement, also concerned with concordance not just adherence? Are they supported through the use of digital technology? Goals can be multiple as in person - patient centred, to support carers, policy development or an assessment instrument. That 'emotion' is all too readily experienced by families too in the event of relapse.

humanistic ----------------------------------------------- mechanistic
(1) Knowledge

(4) Memory, Attention and ...
(7) Beliefs about Capabilities,
(8) Belief about Consequences
(9) Optimism, (10) Intentions
(11) Goals, (12) Emotion

... Decision Processes (4)

(13) [Physical] Environmental Context and Resources

(2) Skills
(3) Social Influences

(5) Behavioural Regulation
(6) Professional/Social Role and Identity
(13) [Social] Environmental Context and Resources
(14) [Social] Reinforcement

(13) [Political] Environmental Context and Resources

(14) [Political] Reinforcement. 

"Within Nvivo V.12, we will create four themes in line with the aim of this study" ...

I have mapped these themes to Hodges' model as follows:

humanistic ----------------------------------------------- mechanistic

Patient Perspective

HealthCare Professional Perspective

Carers Perspective

Others Perspectives

These themes reflect to some degree the original website (1998-2015) introductory pages for potential users (four audiences) of Hodges' model per each care domain, as follows:

INTRA- INTERPERSONAL: Patients, Service users, Clients
SCIENCES: Students, Lecturers, Health care professionals, Researchers, Social workers ...
SOCIOLOGY: Carers, the Public, Communities
POLITICAL: Managers, Policy makers, Law makers ..

See also: Elizabeth Mamo