A solution-focused approach to understanding patient motivation in diabetes self-management: Gender differences and implications for primary care

Abstract

While physicians play a vital role in motivating their patients, female patients may depend on this empathy more than males. The interdisciplinary care team can play an important role in helping patients create a support network where it may not exist.

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

“…Patients with LHL with chronic conditions often felt emotionally supported by their family. They valued their time with family members and this often served as a motivation cue for patients to manage their condition or continue treatment [23,119]. In addition, patients with LHL reported that family members are supportive in daily life activities (e.g., accompanying them on walks, buying exercise equipment, medications and dietary changes) which can facilitate establishing independence and confidence [22,23,24].…”

“…Especially family members with personal disease experience were particularly supportive and instrumental [38,119]. In contrast, patients reported family members might play a negative role in the care process (e.g., spouses whom are less supportive or counterproductive) [23]. A patient explained: “ Not at all…especially my husband.…”

“…He does not play any role [in supporting me]. Not like he don’t love me…he does…by I guess he does not know the outcome maybe [laughing] ” [23].…”

Sex-differences in factors and outcomes associated with adherence to statin therapy in primary care: Need for customisation strategies

“…The evidence of sex-based differences in factors influencing adherence can support improvement strategies, and in particular those that can be implemented by the doctor in a personalized way, for example through communication or practical approaches, [54,55] although the effectiveness of interventions aimed at improving adherence is still debated. [56] For example, our study showed that, compared to subjects aged 51-60 years, younger patients have a lower probability of being adherent, especially if women.…”

Injectable therapy in type 2 diabetes mellitus: strategies to improve therapeutic adherence

“…Таким образом, можно предположить, что обучение, безусловно, играет важную роль, но для сохранения приверженности лечению необходимо нечто, что будет вызывать и поддерживать стойкую мотивацию у пациентов на протяжении длительного времени. Глобально речь идет о расширении арсенала средств и методов, направленных на долговременную всестороннюю поддержку пациента, в том числе применение мотивационных методов [78,79]. Примером такого направления служит разработка всесторонних программ поддержки пациентов, в идеологию которых заложено одномоментное использование нескольких методов, каждый из которых уже доказал свою эффективность [80].…”