Factors of interpersonal communication and behavioral health on medication self-efficacy and medication adherence

Archiopoli, Ashley; Ginossar, Tamar; Wilcox, Bryan; Avila, Magdalena; Hill, Ricky; Oetzel, John

doi:10.1080/09540121.2016.1192577

Cited by 38 publications

(32 citation statements)

References 37 publications

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“…This study is among the first to examine the mediational influence of self-efficacy on the relationship between depression and stigma with ART adherence among youth particularly in SSA. The current findings are consistent with previous studies among adult samples that found that self-efficacy mediates the relationship between depression and stigma with ART adherence (Cha, Erlen, Kim, Sereika, & Caruthers, 2008;Archiopoli, et al, 2016;Seghatol-Eslami, 2017). Depression and stigma appear to influence ART adherence through their effect on youth's self-efficacy with respect to medication.…”

Section: Discussionsupporting

confidence: 92%

The Influence of Self-Efficacy on the Relationship Between Depression and Hiv-Related Stigma With Art Adherence Among the Youth in Malawi

Umar

Levy

Donenberg

et al. 2019

Jurnal Keperawatan Indonesia

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Depression and HIV-related stigma, among other factors, have been inversely linked independently with adherence to antiretroviral therapy (ART) among the youth. However, the processes through which the various factors influence this relationship is not fully known. Guided by Social Action Theory, we examined the interactive mechanisms through which depression, HIV-related stigma, and self-efficacy influenced ART adherence and whether or not these relationships are moderated by gender. A total of 450 HIV-positive youth (13–24 years) in Malawi receiving ART participated in this cross-sectional study. Moderated mediation analyses were conducted using Hayes’ PROCESS macro 2.11 in SPSS. ART adherence was measured by pill count. Findings showed that self-efficacy mediated the effects of depression and stigma on ART adherence. The analyses also revealed that gender moderated both the direct and indirect influence of depression and stigma (via self-efficacy) on ART adherence. Furthermore, self-efficacy simultaneously mediated and moderated the relationship between stigma and ART adherence. The interactive mechanisms through which various factors influence ART nonadherence must be considered to design effective interventions. To reduce the impact of depression and stigma on ART adherence, medication self-efficacy should be bolstered while taking gender in consideration. Keywords: Adolescent, Antiretroviral adherence, Malawi, Moderated mediation, Social action theory, Youth Abstrak Pengaruh Efikasi Diri Terhadap Hubungan antara Depresi dan Stigma HIV dengan Kepatuhan Terapi ART pada Remaja di Malawi. Depresi dan stigma HIV, di antara faktor-faktor lain, berhubungan terbalik secara independen dengan kepatuhan terapi antiretroviral (ART) pada remaja. Akan tetapi, dalam prosesnya faktor yang memengaruhi hubungan ini belum sepenuhnya diketahui. Berdasarkan Teori Perilaku Sosial, penelitian ini dilakukan bertujuan untuk mengkaji mekanisme interaktif depresi, stigma HIV, dan efikasi diri yang memengaruhi kepatuhan ART, dan untuk mengetahui apakah hubungan ini dimoderasi oleh gender atau tidak. Sebanyak 450 remaja dengan HIV-positif (13–24 tahun) di Malawi yang menerima ART ikut berpartisipasi dalam penelitian potong lintang ini. Analisis mediasi moderated dilakukan dengan menggunakan Hayes 'PROCESS macro 2.11 pada SPSS. Kepatuhan ART diukur menggunakan jumlah pil. Hasil penelitian menunjukkan bahwa efikasi diri memediasi efek depresi dan stigma pada kepatuhan ART. Hasil analisis juga mengungkapkan bahwa jenis kelamin memoderasi pengaruh langsung dan tidak langsung dari depresi dan stigma (melalui efikasi diri) terhadap kepatuhan ART. Lebih lanjut,efikasi diri secara bersamaan mediasi dan moderasi hubungan antara stigma dan kepatuhan ART. Mekanisme interaktif dengan berbagai faktor yang memengaruhi ketidakpatuhan ART harus dipertimbangkan untuk merancang intervensi yang efektif. Untuk mengurangi dampak depresi dan stigma terhadap kepatuhan ART, efikasi diri pengobatan harus didukung saat mempertimbangkan jenis kelamin. Kata kunci: Kepatuhan antiretroviral, Malawi, Mediasi tingkat menengah, Teori Perilaku Sosial, Remaja

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Section: Discussionsupporting

confidence: 92%

The Influence of Self-Efficacy on the Relationship Between Depression and Hiv-Related Stigma With Art Adherence Among the Youth in Malawi

Umar

Levy

Donenberg

et al. 2019

Jurnal Keperawatan Indonesia

View full text Add to dashboard Cite

show abstract

“…Rather than any particular disease feature, it was simply self-confidence in their own ability to take β-blockers and their belief as to how essential the medication was which were the strongest predictors of adherence. These findings are consistent with previous research across different health conditions, ages and cultures,18–21 and present a significant opportunity to intervene and improve adherence. For a start, a simple question enquiring about the patient’s own beliefs as to their ability to adhere to therapy will help to find patients who need additional support with their medication regimen.…”

Section: Discussionsupporting

confidence: 91%

Predictors of β-blocker adherence in cardiac inherited disease

et al. 2018

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ObjectiveThe cardiac inherited disease (CID) population has suboptimal adherence to long-term β-blocker therapy, which is known to be a risk for sudden cardiac death. This study aimed to identify the clinical and psychosocial variables associated with non-adherence in this population.Methods130 individuals (aged 16–81 years, median: 54) from the New Zealand Cardiac Inherited Disease Registry taking β-blockers participated: 65 (50%) long QT syndrome, 42 (32%) hypertrophic cardiomyopathy and 23 (18%) other. Participants completed one questionnaire recording self-reported adherence, anxiety, depression, confidence in taking medication, illness perceptions and medication beliefs. Demographic and clinical variables were taken from the registry.Results21 participants (16%) were classed as non-adherent. Bivariate analysis showed that self-reported adherence was worse in those who were younger (p<0.001), had a channelopathy not cardiomyopathy (p<0.01), reported lower confidence in taking β-blockers (p<0.001), had high concerns (p<0.05) and low necessity beliefs about their β-blocker (p<0.001), a poorer understanding of their CID (p<0.01), and lower treatment control beliefs (p<0.01). These variables accounted for 37% of the variance in adherence in a linear regression model. Stronger beliefs around medication necessity and higher confidence in their ability to take their medication predicted β-blocker adherence.ConclusionsFactors associated with β-blocker non-adherence in patients with CID include young age, having a channelopathy, negative medication beliefs, low confidence in taking medication and poor illness perceptions. These findings present an opportunity to develop targeted interventions to improve adherence.

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“…The reduction in complication rates seen in our study may be due to increased patient compliance to postoperative protocols, which was augmented by increased provider-patient interaction [37] , [38] . This association between patient communication and preventable adverse events has been described by Barlett et al.…”

Section: Discussionmentioning

confidence: 70%

Use of new interactive patient-provider software improves patient satisfaction and outcomes—a retrospective single-center study

et al. 2019

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Background While a number of studies have explored patient- and provider-related factors contributing to quality of care, few studies have explored the role of technology in improving quality and optimizing patient-provider communication. This study explores the use of an interactive patient-provider software platform (IPSP) at a single institution. Specifically, we compared: (1) patient satisfaction scores, (2) complication rates, and (3) readmission rates before and after the use of an IPSP on patients undergoing total hip arthroplasty and total knee arthroplasty. Material and Methods A retrospective review was performed on all total hip arthroplasty and total knee arthroplasty patients who completed a Press Ganey survey at a single institution between the years 2014 and 2017. Primary outcomes included Press Ganey patient satisfaction scores and 90-day complication and readmission rates. Mann-Whitney U testing and chi-squared analyses were conducted to assess continuous and categorical variables, respectively. Results Analysis revealed an improvement in median Clinician and Group Consumer Assessment of Healthcare Providers and Systems (89 vs 97) and Hospital for Consumer Assessment of Healthcare Providers and Systems scores (9 vs 10; P < .001) between pre-IPSP and post-IPSP. There was a decrease in 90-day complication rates (17.3 vs 11.2%; P = .035) but no decrease in readmission rates (0.30 vs 0.18%, P = .322) between the 2 time points. Conclusions The use of an IPSP proved instrumental in improving patient satisfaction and lowering 90-day complication rates at a single institution. The implementation of an IPSP may prove beneficial to arthroplasty surgeons and health-care institutions alike seeking to optimize the quality of care. Larger multicenter studies are necessary to validate the results of the present study.

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Factors of interpersonal communication and behavioral health on medication self-efficacy and medication adherence

Cited by 38 publications

References 37 publications

The Influence of Self-Efficacy on the Relationship Between Depression and Hiv-Related Stigma With Art Adherence Among the Youth in Malawi

The Influence of Self-Efficacy on the Relationship Between Depression and Hiv-Related Stigma With Art Adherence Among the Youth in Malawi

Predictors of β-blocker adherence in cardiac inherited disease

Use of new interactive patient-provider software improves patient satisfaction and outcomes—a retrospective single-center study

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