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J Cyst Fibros. 2017 Jan;16(1):146-150. doi: 10.1016/j.jcf.2016.09.001. Epub 2016 Sep 22.

Adherence to infection prevention and control guidelines: A vignette-based study of decision-making and risk-taking in young adults with cystic fibrosis.

Author information

1
School of Psychology, University of Leeds, Leeds, UK; Department of Clinical and Health Psychology, Leeds Teaching Hospitals NHS Trust, Leeds, UK. Electronic address: grace.bowmer@nhs.net.
2
Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. Electronic address: g.latchford@leeds.ac.uk.
3
Department of Clinical and Health Psychology, Leeds Teaching Hospitals NHS Trust, Leeds, UK; Leeds Institute of Health Sciences, University of Leeds, Leeds, UK; Regional Paediatric Cystic Fibrosis Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK. Electronic address: alistair.duff1@nhs.net.
4
Department of Microbiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK. Electronic address: milesdenton@nhs.net.
5
School of Psychology, University of Leeds, Leeds, UK. Electronic address: l.dye@leeds.ac.uk.
6
School of Psychology, University of Leeds, Leeds, UK. Electronic address: c.l.lawton@leeds.ac.uk.
7
Regional Paediatric Cystic Fibrosis Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK. Electronic address: tim.lee1@nhs.net.

Abstract

BACKGROUND:

Balancing cystic fibrosis (CF) care with demands of normal life is associated with decreased adherence to infection prevention and control (IPC) guidelines.

METHODS:

Adults with CF, aged 18-25years, were invited to participate via UK CF Trust social media platforms. An online survey evaluated participants' decision-making in nine clinician-rated vignettes and assessed the perceived influence of infection-related information sources.

RESULTS:

Participants (n=87, mean 21.4years [SD=2.45]; 75% female) were less likely to engage in the high-risk scenarios, although demonstrated greater awareness of cross-infection than environmental risks. Associations between risk-perception and willingness to participate in five vignette-based hypothetical activities were significant (p<0.05). Thematic analysis emphasised influences of past experience and a need to achieve good quality of life. Knowledge gaps were evident.

CONCLUSIONS:

People with CF make decisions that discriminate between risk-levels but are not always based on robust knowledge. They also show some inclination towards engaging in risky behaviours.

KEYWORDS:

Adherence; Cross-infection; Cystic fibrosis; Decision-making; Infection prevention and control

PMID:
27666487
DOI:
10.1016/j.jcf.2016.09.001
[Indexed for MEDLINE]
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