Themes about medication-taking coded into higher order themes and super-ordinate categories
Super-ordinate categories | Higher order themes | Themes |
Beliefs about medication | Negative effects | Side effects212423 |
Beliefs about consequences (negative outcomes)19 | ||
Medicine perceived as a barrier to recovery22 | ||
Positive effects | Beliefs about consequences (positive outcomes)19 | |
Balancing pros and cons | Beliefs about consequences2018 | |
Necessity versus concerns23 | ||
Preference for natural therapy | Use of ‘natural’ lifestyle measures in cholesterol lowering therapy discontinuers, not reported with clopidogrel24 | |
Beliefs about illness | Believe to be in good health | Considered as not serious21 |
Believe health is good21 | ||
Neutral health | Personal health feelings and beliefs21 | |
Believe to be in bad health | Worsening condition21 | |
Poor perception | Failure to recognise signs and symptoms of disease21 | |
Future threat | Reduced sense of threat of disease with cholesterol lowering therapy discontinuers, higher with clopidogrel24 | |
Recurrent event26 | ||
Personal adherence factors | Memory, attention, decision processes | Memory/attention/decision processes192018 |
Lack of continuity21 | ||
Reinforcement19 | ||
Forgetfulness23 | ||
Self-regulation | Behavioural regulation192018 | |
Self-medicating21 | ||
Unhealthy lifestyle choices21 | ||
Beliefs about capabilities19 | ||
Social influences (pre-existing beliefs)19 | ||
Identity19 | ||
Willpower26 | ||
A sense of competency26 | ||
Personal preferences26 | ||
Poor perception | Missed general cues21 | |
Inaccurate perception21 | ||
Prescription confusion24 | ||
Determinism | Family history/fatalism21 | |
Emotion | Denial21 | |
Mistrust21 | ||
Emotional toll19 | ||
Distrust of doctors24 | ||
Economic | Economic burden21 | |
Cost24 | ||
Living in areas of deprivation23 | ||
Interpersonal adherence factors | General social | Social influence2018 |
Social/professional role and identity2018 | ||
Communication | Lack of/poor communication2125 | |
Lack of effective communication21 | ||
Education | Inadequate patient education21 | |
Knowledge | Lack of knowledge2125 | |
Knowledge1923 | ||
Social influence (having knowledge)19 | ||
Cholesterol lowering therapy patient knowledgeable yet discontinued24 | ||
Clopidogrel less knowledge24 | ||
Family | Lack of prompts from family and friends21 | |
Family and relatives26 | ||
Family support23 | ||
Healthcare professionals | Unaware of cardiac rehabilitation21 | |
Healthcare providers26 | ||
Relying on health practitioner23 | ||
Cardiac rehabilitation23 |