Testing the health promotion model for adherence and quality of life in individuals with multiple sclerosis

Lauren Penwell-Waines, Kimberly Lewis, Abbey Valvano, Suzanne Smith, Rebecca Rahn, Lara Stepleman

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


The nature of multiple sclerosis (MS) presents challenges to health-promoting behaviors (e.g. adherence) and quality of life. The Health Promotion Model (HPM) proposes that these outcomes are explained by individual characteristics (i.e. biological, social, psychological) and behavior-specific cognitions (e.g. self-efficacy). The current study sought to test the HPM in explaining self-reported adherence and MS quality of life among 121 MS patients receiving care in an MS clinic in the southeastern United States. Hierarchical regression models partially supported the HPM for adherence (R2 =.27) and more fully for quality of life (QoL) (R2 =.64). Depression and stigma were among the variables most strongly related to both adherence and QoL; contrary to HPM theory, self-efficacy was not significantly related to adherence but was to QoL. Thus, the HPM may help to guide strategies used to improve QoL among individuals living with MS; however, the model may need further refinement to be used with adherence.

Original languageEnglish (US)
Pages (from-to)205-211
Number of pages7
JournalPsychology, Health and Medicine
Issue number2
StatePublished - Feb 7 2017
Externally publishedYes


  • Health promotion
  • adherence
  • multiple sclerosis
  • quality of life

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health


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