ArticleHealth psychology and behavioral medicine2025
Understanding immunosuppression medication adherence in kidney transplant recipients: a cross-sectional exploration of the role of illness perceptions, medication beliefs and perceived behavioural control.
Article in Health psychology and behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Non-adherence to immunosuppression medication (ISM) is common in kidney transplant recipients (KTRs), despite being associated with poor clinical outcomes. Understanding potentially modifiable contributors to non-adherence is essential for developing effective interventions. This study explored the relationship between components of the Common-Sense Model (CSM), including illness perceptions (graft-specific and of kidney disease more broadly) and beliefs about ISM, as well as perceived behavioural control (PBC), and total, intentional and unintentional ISM non-adherence in KTRs. Methods and measures: A cross-sectional observational study was conducted with Results: Over half of participants (57%) reported any indication of non-adherence. Unintentional non-adherence was reported more frequently (54%) than intentional non-adherence (14%). Combining CSM components with PBC best explained variance in total (Nagelkerke Conclusion: Enhancing PBC around taking ISM may offer a valuable intervention target, particularly when addressed alongside CSM components to reduce both intentional and unintentional non-adherence.
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