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

作者：Bowmer Grace; Latchford Gary; Duff Alistair^*; Denton Miles; Dye Louise; Lawton Clare; Lee Tim

来源：Journal of Cystic Fibrosis, 2017, 16(1): 146-150.

DOI：10.1016/j.jcf.2016.09.001

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

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 18-25 years, 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. 21.4 years [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.

• 出版日期2017-1