PMID- 30936685
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231006
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 13
DP  - 2019
TI  - Associations of different adherences in patients with type 2 diabetes mellitus.
PG  - 395-407
LID - 10.2147/PPA.S187080 [doi]
AB  - PURPOSE: The objective of our cross-sectional study is to explore the adherence 
      behavior of patients with type 2 diabetes mellitus (T2DM) by examining the 
      association between the various types of adherence. The success of diabetic 
      therapy partly relies on patient motivation, psych-odemographic variables 
      (self-efficacy, health literacy, and health locus of control [HLOC]), and 
      adherence. The aim of our research was to explore the attitudes of T2DM patients 
      toward medication and lifestyle therapy, thus gaining a deeper insight into the 
      role of adherence-determining parameters in disease management. PATIENTS AND 
      METHODS: The sample for the present study consisted of 113 T2DM inpatients (75 
      women and 38 men) with a mean age of 60.56 years (SD=12.94, range: 20-85 years) 
      diagnosed with T2DM for an average of 13 years (SD=8.23). Participants completed 
      the Diabetes Adherence Questionnaire conceptualized by the research team in 
      accordance with the mapping of psychological and psychosocial parameters. We 
      examined the associations between variables using Spearman's rank correlation. 
      Multivariate regression analysis was used to examine predictive variables for 
      adherent behavior. In addition, we attempted to examine factors with a negative 
      effect on adherence using factor analysis. RESULTS: Based on our results, a high 
      level of medication adherence negatively correlated with lifestyle adherence. 
      Multivariate regression analysis showed that blood glucose monitoring adherence 
      is mostly predicted by social-external HLOC, diabetes self-efficacy, and internal 
      HLOC, while dietary adherence is predicted by the patient's self-efficacy and 
      duration of the illness. Additionally, understanding and following the diabetes 
      treatment were significantly associated with dietary adherence and high levels of 
      patient self-efficacy, while health literacy was mostly predicted by internal 
      HLOC. CONCLUSION: Adherence to medication, diet, glucose monitoring, and physical 
      exercise showed different levels in T2DM patients and were in association with 
      psychodemographic factors.
FAU - Klinovszky, Andrea
AU  - Klinovszky A
AD  - Department of Health Economics, University of Szeged, Szeged, Hungary, 
      buzas.norbert@med.u-szeged.hu.
FAU - Kiss, Istvan Marton
AU  - Kiss IM
AD  - Department of Health Economics, University of Szeged, Szeged, Hungary, 
      buzas.norbert@med.u-szeged.hu.
FAU - Papp-Zipernovszky, Orsolya
AU  - Papp-Zipernovszky O
AD  - Department of Psychology, University of Szeged, Szeged, Hungary.
FAU - Lengyel, Csaba
AU  - Lengyel C
AD  - 1st Department of Internal Medicine, University of Szeged, Szeged, Hungary.
FAU - Buzas, Norbert
AU  - Buzas N
AD  - Department of Health Economics, University of Szeged, Szeged, Hungary, 
      buzas.norbert@med.u-szeged.hu.
LA  - eng
PT  - Journal Article
DEP - 20190315
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC6422420
OTO - NOTNLM
OT  - T2DM
OT  - health literacy
OT  - health locus of control
OT  - lifestyle adherence
OT  - medication adherence
OT  - self-efficacy
OT  - type 2 diabetes mellitus
COIS- Disclosure The authors report no conflicts of interest in this work.
EDAT- 2019/04/03 06:00
MHDA- 2019/04/03 06:01
PMCR- 2019/03/15
CRDT- 2019/04/03 06:00
PHST- 2019/04/03 06:00 [entrez]
PHST- 2019/04/03 06:00 [pubmed]
PHST- 2019/04/03 06:01 [medline]
PHST- 2019/03/15 00:00 [pmc-release]
AID - ppa-13-395 [pii]
AID - 10.2147/PPA.S187080 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2019 Mar 15;13:395-407. doi: 10.2147/PPA.S187080. 
      eCollection 2019.