Psychosocial and behavioral correlates of self-efficacy in treatment adherence 
in older patients with comorbid hypertension and type 2 diabetes

Pierobon, Antonia; Zanatta, Francesco; Granata, Nicolò; Nissanova, Ekaterina; Polański, J; Tański, Wojciech; Callegari, Giovanna; Caporotondi, Angelo; Ferretti, Chiara; Jankowska-Polańska, Beata

doi:10.5114/hpr/159284

Cited by 3 publications

(3 citation statements)

References 51 publications

(72 reference statements)

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“… N/A 31 Prolong duration of time for consultation Complications Frequently changed medications N/A N/A 28 Community health worker intervention N/A N/A N/A N/A 34 N/A Glycemic and blood pressure control N/A N/A N/A 32 People caring for them respond to their concerns and difficulties with respect to their treatment N/A N/A knowing about their health condition. economic resources to travel for consultation, Have support from their families or close acquaintances, 43 N/A N/A N/A Positive beliefs about medication, stronger perceived medication-specific social support N/A 38 Pharmacist N/A Medication Therapy management None N/A 29 Provider patient relationship, frequency of visits, availability of medicine, medication cost N/A number of medicines, side effects, therapy duration inadequate knowledge about therapy. social support 30 Outpatient clinic visits, phone calls and emails, N/A Number of medications smoking status insurance product 39 N/A N/A N/A Male low income and employment 44 N /A N/A N/A Forgetfulness of therapy Family support through reminders 49 Attendance to a Health center Presence of comorbidities N/A Substance...…”

Section: Resultsmentioning

confidence: 99%

“…Patient related factors that impacted on medication adherence included sex of patient 36 , 37 , 39 , 40 , age of patient, 24 , 35 , 37 level of education, 13 , 36 , 37 , 40 , 41 mental health factors 42 , 43 , previous hospitalization 27 , belief of medication 14 , 43 ,substance and tobacco use, 13 , 30 , 41 forgetfulness of therapy 44 ,level of knowledge about their health condition and therapy 29 , 32 and perception of quality of life. 45 …”

Section: Resultsmentioning

confidence: 99%

“… 75 34 Medication Adherence and its Association with Glycemic Control, Blood Pressure Control, Glycosuria and Proteinuria Among People Living with Diabetes (PLWD) in the Ho Municipality, Ghana Ghana Cross-sectional study Self-report Morisky, Green and Levine Adherence Scale 60.67% N/A Patient counselling to attain optimal medication adherence should, therefore, be intensified. 75 32 Influential Factors in Adherence to the Therapeutic Regime in Hypertension and Diabetes Columbia Cross-sectional study Nursing outcomes classification Nursing Outcomes Classification N/A N/A Health services providers and for health professionals, it is important to know the factors that influence on the behavior of adherence of individuals with processes of chronic disease, like arterial hypertension and T2DM, given that these affect people's behaviors, leading them to not complying strictly with the therapeutic regime prescribed and, thereby, not complying with the therapeutic objectives 87.5 43 Psychosocial and behavioral correlates of self-efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetes Italy and Poland Cross-sectional study Adherence to refill medication MGLS (Morisky Green Levine Scale),AMR(Adherence to refill medication scale),INAS(Intentional non-adherence) N/A N/A Adopting a patient-reported adherence approach, future clinical research and practice may consider these associations in order to develop further empirical assessments and psychosocial and behavioral interventions with the purpose of fostering adherence to clinical prescriptions, and consequently, increasing health-related quality of life of this chronic population. 75 38 Evaluation of a hypertension medication therapy management program in patients with diabetes United states of America Randomized control trial Adherence was calculated using the continuous measure of medication acquisition method, in which the days' supply of a medication is compared with the dates the medication is filled prescription claims data 7% A community pharmacy–based hypertension MTM program Community pharmacists are strategically positioned to provide MTM services and effectively communicate with providers to help maximize patient outcomes and improve quality of care.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Factors influencing medication adherence in co-morbid hypertension and diabetes patients: A scoping review

Kwakye,

Kretchy,

Peprah

et al. 2024

Exploratory Research in Clinical and Social Pharmacy

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Factors influencing medication adherence in co-morbid hypertension and diabetes patients: A scoping review

Kwakye,

Kretchy,

Peprah

et al. 2024

Exploratory Research in Clinical and Social Pharmacy

View full text Add to dashboard Cite

Relationship Between Clinical, Psychological, Physiological, and Technical Parameters and the Use of Digital Tools During Cardiac Rehabilitation Including Home Training (Preprint)

Wiesmüller,

Haag,

Sareban

et al. 2024

Preprint

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BACKGROUND Home and telehealth-based interventions are increasingly used in cardiac rehabilitation (CR), a multidisciplinary model of health care. Digital tools such as wearables or digital training diaries are expected to support patients to adhere to recommended lifestyle changes, including physical exercise programmes. As previously published, the EPICURE study analysed the effects of digital tools, i.e., a digital training diary, adherence monitoring, and wearables, on exercise capacity during out-patient CR phase III (OUT-III) which includes an approximately 12-week home training phase. The study encompassed 149 Austrian patients, of which 50 utilized digital tools. OBJECTIVE The present paper takes a deeper look into the EPICURE data to better understand a) the relation between the use of digital tools and various psychological, clinical, and physiological parameters, and b) the relation between these parameters and the improvement of exercise capacity during cardiac rehabilitation. METHODS For this work, we analysed questionnaires concerning the patients’ CR and data acquired by digital tools during CR. On all these parameters we performed two analyses: 1) Comparison of the two groups with and without digital tools and 2) correlation with the change in the maximum workload as achieved during the exercise stress test. If data pre and post OUT-III were available, the change in the respective parameter during OUT-III was determined and group analysis and correlation were applied on a) data pre OUT-III, b) data post OUT-III, and c) the change during OUT-III. RESULTS We found significant improvements in quality of life in both groups, with no discernible differences between patients with or without digital tools. Patients with digital tools perceived significantly higher competence during CR, and they anticipated higher cardiac risks if non-adherent to physical activity. Although, the overall subjectively reported adherence was not significantly different in the two groups, specific items differed: Patients with digital tools were significantly less likely not to do their exercises when they were tired and to forget their exercises. Concerning reasons for (non-) adherence, patients with digital tools reported significantly more often to do their exercises because they enjoyed them, whereas they were significantly less likely a) to stop exercising when pain was worse and b) to continue doing their exercises when pain improved. Finally, patients who reported a high level of concrete planning achieved significantly higher improvements in exercise capacity. CONCLUSIONS We conclude that digital tools can support adhere to exercise training recommendations during facility- as well as home-based out-patient CR. This comprehensive analysis provides valuable insights into the multifaceted impact of digital tools on outpatient cardiac rehabilitation including home training, shedding light on factors influencing patient outcomes and adherence in the evolving landscape of digital health interventions. CLINICALTRIAL ClincalTrials.gov Identifier: NCT04458727

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The impact of physician communication skills on glycemic control in patients with diabetes mellitus

Alotaibi,

Aburisheh,

Alrasheed

et al. 2024

Front. Commun.

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ObjectivesThe purpose of the study was to evaluate the impact of physicians’ communication skills on glycemic control in type I and II diabetes patients.MethodThis cross-sectional study was conducted at the diabetic center at King Saud University Medical City, Riyadh, Saudi Arabia. The Arabic version of the communication assessment tool was used to evaluate the patient’s perception of the physicians’ communication skills.ResultsA total of 348 patients were invited to participate in the study in which 332 filled the questionnaire completely and hence participation rate was 95.4%. The average age of the patients was 44.2 (±19.7) years with an almost equal gender ratio. The percentage of excellent ratings for most of the questions was varying between 70 and 80%. The overall percentage of excellent ratings was 75.3%. Glycated hemoglobin and other metabolic features except for diastolic blood pressure did not have any significant association with the overall mean communication assessment tool score and the percentage of excellent rating.ConclusionStudy findings provided high patient satisfaction with their physicians’ communication skills. However, diabetes and metabolic control were not affected by this satisfaction. Hence, improvement in the communication skills of the physicians is recommended.

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Psychosocial and behavioral correlates of self-efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetes

Cited by 3 publications

References 51 publications

Factors influencing medication adherence in co-morbid hypertension and diabetes patients: A scoping review

Factors influencing medication adherence in co-morbid hypertension and diabetes patients: A scoping review

Relationship Between Clinical, Psychological, Physiological, and Technical Parameters and the Use of Digital Tools During Cardiac Rehabilitation Including Home Training (Preprint)

The impact of physician communication skills on glycemic control in patients with diabetes mellitus

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