PMID- 32019658
OWN - NLM
STAT- MEDLINE
DCOM- 20210125
LR  - 20221207
IS  - 1945-7359 (Electronic)
IS  - 1087-3244 (Linking)
VI  - 44
IP  - 2
DP  - 2020 Mar 1
TI  - Medication Adherence Changes in Blacks with Diabetes: A Mixed Methods Study.
PG  - 257-270
LID - 10.5993/AJHB.44.2.13 [doi]
AB  - Objectives: In this study, we conducted a longitudinal evaluation of changes in 
      medication adherence and the role of psychosocial and interpersonal factors in 
      these changes among Blacks with type 2 diabetes mellitus (T2DM), and determined 
      barriers and facilitators of T2DM medication adherence. Methods: We used an 
      explanatory sequential mixed methods design for a sample of 287 black adult 
      patients with T2DM in Wisconsin. Two surveys quantitatively evaluated changes in 
      medication adherence, psychosocial factors, and interpersonal factors over time. 
      We conducted 10 semi-structured qualitative interviews to explore participants' 
      perceptions of these changes. Data integration of the quantitative and 
      qualitative findings elucidated barriers and facilitators of medication 
      adherence. Results: Increased adherence was significantly correlated with less 
      concerns about medicines (r = -0.31), higher self-efficacy (r = 0.47), lesser 
      depressive symptoms (r = -0.26), and lesser negative illness perceptions (r = 
      -0.26) at both baseline and follow-up. Patient perceptions of adherence changes 
      included adherence motivators, social support, and complex medication regimens. 
      Integration showed that barriers and facilitators both existed in individuals who 
      had an increase or a decrease in adherence over time. Conclusions: Specific 
      beliefs of Blacks towards T2DM medications must be addressed to improve their 
      adherence. Interventions must be tailored using interpersonal factors.
FAU - Rao, Deepika
AU  - Rao D
AD  - Social and Administrative Sciences, School of Pharmacy, University of 
      Wisconsin-Madison.
FAU - Maurer, Martha
AU  - Maurer M
AD  - Associate Scientist, Sonderegger Research Center, School of Pharmacy, University 
      of Wisconsin-Madison.
FAU - Meyer, Jodi
AU  - Meyer J
AD  - School of Pharmacy, University of Wisconsin-Madison.
FAU - Zhang, Jiaying
AU  - Zhang J
AD  - School of Pharmacy, University of Wisconsin-Madison.
FAU - Shiyanbola, Olayinka O
AU  - Shiyanbola OO
AD  - Associate Professor, Social and Administrative Sciences, School of Pharmacy, 
      University of Wisconsin-Madison, Madison WI., Email: shiyanbola@wisc.edu.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Am J Health Behav
JT  - American journal of health behavior
JID - 9602338
SB  - IM
MH  - Black or African American/*psychology
MH  - Diabetes Mellitus, Type 2/*psychology
MH  - Female
MH  - Humans
MH  - Interpersonal Relations
MH  - Male
MH  - Medication Adherence/*psychology
MH  - Middle Aged
MH  - Qualitative Research
MH  - Social Support
EDAT- 2020/02/06 06:00
MHDA- 2021/01/26 06:00
CRDT- 2020/02/06 06:00
PHST- 2020/02/06 06:00 [entrez]
PHST- 2020/02/06 06:00 [pubmed]
PHST- 2021/01/26 06:00 [medline]
AID - 10.5993/AJHB.44.2.13 [doi]
PST - ppublish
SO  - Am J Health Behav. 2020 Mar 1;44(2):257-270. doi: 10.5993/AJHB.44.2.13.