DETERMINANTS OF ADHERENCE TO HEALTH REGIMENS: THE CASE OF PREGNANT WOMEN IN THAILAND.
Contributors: New York University.
Published: 1984
Number of pages: 216
Subjects: Health Sciences, Nursing.
Description: An investigation of the relationships among Self-Perceived Condition During Pregnancy (SPCP), Perceived Value of Prenatal Care Regimens (PVPR), and Adherence to Prenatal Care Regimens (APR) among pregnant women in Thailand was conducted in 1982-3. SPCP refers to the symptoms and negative feelings manifest as reported by pregnant women. PVPR refers to the pregnant woman's judgment of the benefit of the prenatal care regimens recommended by the health professional to the health and welfare of herself and her baby, and of the viewpoint of her significant others on the regimen. APR refers to the extent to which the pregnant woman follows the prenatal care regimens recommended by the health professional.

Three hypotheses were formulated based on Kleinman's Health Care System Model (Kleinman, 1978). Hypothesis 1 proposed a positive relationship between SPCP and APR. Hypothesis 2 proposed a positive relationship between PVPR and APR. Hypothesis 3 postulated that the combination of SPCP with PVPR would have a stronger positive relationship with APR than either SPCP or PVPR alone.

One hundred volunteer primigravidas who were 7-18 weeks pregnant, attending two selected prenatal units for the first time, were interviewed by the investigator at the prenatal unit. Seventy eight out of the 100 volunteers, 28-26 weeks pregnant, were visited by the investigator for the second interview at their residences.

Four measures developed by the investigator were used. They are the Personal Data Sheet, the Self-Perceived Condition During Pregnancy Questionnaire, the Perceived Value of Prenatal Care Regimens Questionnaire, and the Interview Guide on Daily Activities.

Responses from 78 pregnant subjects were compiled and analysed. Hypothesis 1 was not supported by the use of Pearson product-moment correlation coefficient. Hypothesis 2 was supported by the use of Pearson Product-moment correlation coefficient. And Hypothesis 3 was supported by the use of simple multiple regression analysis.

Results from the statistical tests of the hypotheses and auxiliary analyses of this study support the usefulness of the theoretical framework of this study. Auxiliary findings also contribute additional data for knowledge in the areas of adherence to the prenatal care regimens, perception of pregnancy, and perception of value of the prenatal care regimens.
Notes: Source: Dissertation Abstracts International, Volume: 46-03, Section: B, page: 0798.

Thesis (PH.D.)--NEW YORK UNIVERSITY, 1984.

School code: 0146.