Holistic psychosocial determinants of adherence to medication in people with type 2 diabetes

Diabetes & Metabolism
Gérard ReachY Djoudi

Abstract

The aim of this study was to determine whether adherent and non-adherent patients with type 2 diabetes can be differentiated according to psychosocial characteristics. A total of 1214 patients were included in the analysis. Data were derived from a cross-sectional observational study of adults with diabetes of the Access Santé (Access Health) panel of Kantar Health France. Patients completed a questionnaire on adherence to medication, psychological determinants (trust in physicians, constancy of habits, patience, temporal horizon, health locus of control, obedience, psychological reactivity, prevention vs promotion, optimism vs pessimism) and social deprivation. Of these 1214 subjects, 46.2% were considered strictly adherent to antidiabetic medication, as reflected by negative answers to all six questions suggesting a non-adherent behaviours, whereas 48.9% provided 1-2 positive answers and 4.9% provided 3-6 positive answers, and were considered non-adherent. In addition to the effect of younger age (P=0.03), multivariate logistic regression analysis demonstrated the following psychosocial determinants of non-adherence: chance locus of control (P=0.02); lack of trust in physicians (P=0.010); and pessimism (P=0.021). Multiple fac...Continue Reading

Citations

Aug 9, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·K P MadsenI Willaing
Dec 9, 2020·Journal of Diabetes Science and Technology·David C KlonoffDavid Kerr
Oct 6, 2019·International Journal of Orthopaedic and Trauma Nursing·Vanessa BooysenMarike Cockeran
May 11, 2020·Joint, Bone, Spine : Revue Du Rhumatisme·Karine BriotRobert Launois

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