Time-of-Day Differences in Treatment-Related Habit Strength and Adherence.
Medication adherence
Habit strength
Habitual behavior
Medication Event Monitoring Systems
Objective data
Journal
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
ISSN: 1532-4796
Titre abrégé: Ann Behav Med
Pays: England
ID NLM: 8510246
Informations de publication
Date de publication:
20 03 2021
20 03 2021
Historique:
pubmed:
17
6
2020
medline:
30
10
2021
entrez:
17
6
2020
Statut:
ppublish
Résumé
Many of our daily behaviors are habitual, occurring automatically in response to learned contextual cues, and with minimal need for cognitive and self-regulatory resources. Behavioral habit strength predicts adherence to actions, including to medications. The time of day (morning vs. evening) may influence adherence and habit strength to the degree that stability of contexts/routines varies throughout the day. The current study evaluates whether patients are more adherent to morning versus evening doses of medication and if morning doses show evidence of greater habit strength than evening doses. Objective adherence data (exact timing of pill dosing) were collected in an observational study by electronic monitoring pill bottles in a sample of patients on twice-daily pills for Type 2 diabetes (N = 51) over the course of 1 month. Data supported the hypothesis that patients would miss fewer morning than evening pills. However, counter to the hypothesis, variability in dose timing (an indicator of habit strength) was not significantly different for morning versus evening pills. Findings suggest that medication adherence may be greater in the morning than in the evening. However, more research is needed to evaluate the role of habitual action in this greater adherence. Furthermore, future research should evaluate the validity of behavioral timing consistency as an indicator of habit strength.
Sections du résumé
BACKGROUND
Many of our daily behaviors are habitual, occurring automatically in response to learned contextual cues, and with minimal need for cognitive and self-regulatory resources. Behavioral habit strength predicts adherence to actions, including to medications. The time of day (morning vs. evening) may influence adherence and habit strength to the degree that stability of contexts/routines varies throughout the day.
PURPOSE
The current study evaluates whether patients are more adherent to morning versus evening doses of medication and if morning doses show evidence of greater habit strength than evening doses.
METHODS
Objective adherence data (exact timing of pill dosing) were collected in an observational study by electronic monitoring pill bottles in a sample of patients on twice-daily pills for Type 2 diabetes (N = 51) over the course of 1 month.
RESULTS
Data supported the hypothesis that patients would miss fewer morning than evening pills. However, counter to the hypothesis, variability in dose timing (an indicator of habit strength) was not significantly different for morning versus evening pills.
CONCLUSIONS
Findings suggest that medication adherence may be greater in the morning than in the evening. However, more research is needed to evaluate the role of habitual action in this greater adherence. Furthermore, future research should evaluate the validity of behavioral timing consistency as an indicator of habit strength.
Identifiants
pubmed: 32542355
pii: 5857734
doi: 10.1093/abm/kaaa042
pmc: PMC7980763
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
280-285Informations de copyright
© The Author(s) 2020. Published by Oxford University Press on behalf of the Society of Behavioral Medicine.
Références
Pers Individ Dif. 2017 Oct 1;116:73-85
pubmed: 28974825
Br J Health Psychol. 2018 Nov;23(4):949-966
pubmed: 30014548
J Pers Soc Psychol. 2002 Dec;83(6):1281-97
pubmed: 12500811
J Pers Soc Psychol. 1998 May;74(5):1252-65
pubmed: 9599441
J Behav Med. 2016 Dec;39(6):1076-1091
pubmed: 26980098
BMC Health Serv Res. 2007 Apr 17;7:55
pubmed: 17439645
Br J Soc Psychol. 2006 Sep;45(Pt 3):639-56
pubmed: 16984725
Clin Ophthalmol. 2007 Mar;1(1):79-83
pubmed: 19668470
Psychol Health Med. 2013;18(5):601-11
pubmed: 23384089
Health Psychol Rev. 2015;9(3):277-95
pubmed: 25207647
Heart Lung. 2011 Jan-Feb;40(1):63-75
pubmed: 20561874
J Gen Intern Med. 2014 Nov;29(11):1506-12
pubmed: 25092003
Health Psychol. 2017 Nov;36(11):1059-1064
pubmed: 28650196
Perspect Psychol Sci. 2016 Sep;11(5):702-712
pubmed: 27694465
Psychol Health. 2013;28(10):1135-51
pubmed: 23627524
J Invest Dermatol. 2018 Apr;138(4):785-794
pubmed: 29183731
Appl Psychol Health Well Being. 2014 Mar;6(1):1-47
pubmed: 24591064
Int J Obes (Lond). 2017 Feb;41(2):246-254
pubmed: 27867204
Int J Behav Nutr Phys Act. 2012 Aug 30;9:102
pubmed: 22935297
Annu Rev Psychol. 2016;67:289-314
pubmed: 26361052
Patient Prefer Adherence. 2019 Feb 13;13:283-294
pubmed: 30863018
Ann Behav Med. 2017 Jun;51(3):391-401
pubmed: 27909945
Med Care. 2004 Mar;42(3):197-9
pubmed: 15076818
Br J Health Psychol. 2013 May;18(2):338-53
pubmed: 22989272
J Glaucoma. 2013 Jan;22(1):1-4
pubmed: 21946541
Appetite. 2019 Nov 1;142:104351
pubmed: 31279822