The effect of loneliness and perceived social support on medication adherence self-efficacy in hypertensive patients: An example of Turkey

Aşılar, Rabia Hacıhasanoğlu; Yıldırım, Arzu; Sağlam, Rabia; SELÇUK, Ezgi DEMİRTÜRK; Erduran, Yeliz; Sarihan, Ozlem

doi:10.1016/j.jvn.2020.07.003

Cited by 14 publications

(20 citation statements)

References 32 publications

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“…Further, analyses showed that medication adherence declined the lonelier patients felt. This is in line with the results of previous research [53][54][55] that focused on specific chronic conditions. Mondesir et al [31] found a small association between medication adherence and frequent contact with either family members or friends in patients with risk factors for coronary heart disease.…”

Section: Loneliness In Relation To Medication-related Beliefs and Behavior And Number Of Medicationssupporting

confidence: 92%

“…Therefore, Eriksen et al [56] recommended to involve patients' social networks as they might facilitate medication adherence by strengthening patients' self-efficacy. In fact, Hacihasanoglu Asilar et al [54] found that with increased social support, patients' perceived medication adherence increased too, whereas loneliness decreased.…”

Section: Loneliness In Relation To Medication-related Beliefs and Behavior And Number Of Medicationsmentioning

confidence: 99%

“…Given the results, one might also hypothesize that loneliness may nurture a more skeptical attitude towards medication and negatively affect medication adherence. Being able to identify those patients who feel lonely could be beneficial for both the patient and the prescriber, as there is evidence that loneliness does not only influence health outcomes, but it might also be a direct or indirect result of patients' current treatment or condition [54]. When reviewing patients' medications, one could consider that lonely patients might grow lonely because of the medication they require, e.g., due to the type of medication or its application that limits spontaneity and free time to spend with others, thereby increasing the risk of nonadherence [56,58].…”

Section: Loneliness In Relation To Medication-related Beliefs and Behavior And Number Of Medicationsmentioning

confidence: 99%

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Self-Efficacy, Social Activity, and Spirituality in the Care of Elderly Patients with Polypharmacy in Germany—A Multicentric Cross-Sectional Study within the HoPES3 Trial

Sturm

Stolz²,

Schalhorn³

et al. 2021

Healthcare

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About one third of Europe’s elderly population takes ≥5 drugs. Polypharmacy increases their risk of adverse drug reactions. To ensure drug safety, innovative approaches are needed. The aim of this cross-sectional study was to explore the relationship between psychosocial factors and medication-related beliefs and behaviors. Medication lists of 297 patients were recorded according to the ATC classification. Correlations between the dependent variables, Medication Adherence (MARS) and Beliefs about Medicines (BMQ), and independent variables, General Self-Efficacy (GSE), self-efficacy for managing chronic diseases (SES6G), spiritual needs (SpNQ), patient activity (PAM), loneliness (DJG), and social networks (LSNS), were measured. Patients with higher self-efficacy (OR: 1.113; 95% CI [1.056–1.174]; p < 0.001) or self-confidence in managing their chronic condition (OR: 1.188; 95% CI [1.048–1.346]; p <0.007) also showed higher adherence. Lonely patients (OR: 0.420; 95% CI [0.267–0.660]; p <0.001) and those with a need for inner peace (OR: 0.613; 95% CI [0.444–0.846], p = 0.003) were more likely nonadherent. Stronger positive beliefs about medications’ usefulness weakly correlated with higher scores on the SES6G (ρ = 0.178, p = 0.003) and GSES scale (ρ = 0.121, p = 0.042), patient activity (ρ = 0.155, p = 0.010) and functioning social networks scale (ρ = 0.159, p = 0.008). A weak positive correlation was found between loneliness and the belief that drugs were harmful (ρ = 0.194, p = 0.001). Furthermore, interesting correlations were detected regarding the number of medications and overuse beliefs. Psychosocial factors, such as self-efficacy, loneliness, and spiritual needs and medication-related beliefs and behaviors seem to interrelate. Addressing these factors may improve medication management and drug safety.

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Section: Loneliness In Relation To Medication-related Beliefs and Behavior And Number Of Medicationssupporting

confidence: 92%

Section: Loneliness In Relation To Medication-related Beliefs and Behavior And Number Of Medicationsmentioning

confidence: 99%

Section: Loneliness In Relation To Medication-related Beliefs and Behavior And Number Of Medicationsmentioning

confidence: 99%

See 1 more Smart Citation

Self-Efficacy, Social Activity, and Spirituality in the Care of Elderly Patients with Polypharmacy in Germany—A Multicentric Cross-Sectional Study within the HoPES3 Trial

Sturm

Stolz²,

Schalhorn³

et al. 2021

Healthcare

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“…The impact of peer support groups on medication adherence was reported in three studies; two cross sectional studies carried out in Turkey and one interventional study conducted in Iran. 8,23,25 The findings of three studies consistently showed that peer support positively influenced medication adherence (Table 4).…”

Section: 29mentioning

confidence: 81%

“…Fourteen studies evaluated the impact of social support on medication adherence; ten cross-sectional studies and four interventional studies. 8,10,[22][23][24][25][26][27][28][29][30][31][32] The cross-sectional studies included in this study used different scales and questionnaires to measure social support as shown in Table 3, while in the interventional studies, family members, friends or pharmacists were designated as supervisors of hypertensive patients. Family members or friends educated patients about the illness and medications, reminded them Figure 1.…”

Section: Resultsmentioning

confidence: 99%

The association between social support and medication adherence in patients with hypertension: A systematic review

Shahin¹,

Kennedy²,

Stupans³

2021

Pharm Pract (Granada)

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Background: Medication adherence is a primary determinant of treatment success in hypertensive patients. One of the challenges for healthcare providers that has received little attention is the impact of patients’ social supports on medication adherence. Objective: This review evaluates the impact of patients’ social supports on medication adherence in hypertensive patients. Methods: A systematic review methodology was used. Pubmed, CINAHL, Embase, and PsycINFO databases were searched systematically for relevant articles. The outcome measure in the studies was medication adherence in hypertension. Results: From 1155 articles, 238 were retained for further assessment, and finally, 14 met the inclusion criteria. Statistically significant positive associations between medication adherence and social support were found in nine studies (p<0.05). Conclusions: This review evaluated the impact of social support on medication adherence and highlighted gaps in the literature regarding the impact of social support on adherence. Family members or peer support may promote better adherence in some patient groups. This review suggests that healthcare providers may need to consider whether patients have appropriate social supports in place which will assist them adhering to and benefiting from treatment recommendations.

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Associations of gender with sexual functioning, loneliness, depression, fatigue and physical function amongst patients suffering from rheumatoid arthritis with a particular focus on methotrexate usage

Bay,

Nielsen,

Flurey

et al. 2024

Rheumatol Int

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There is a lack of knowledge regarding methotrexate (MTX) usage in patients with rheumatoid arthritis (RA) and its possible links with gender, disease characterization and sexual functioning, loneliness, fatigue and depression. We, therefore, investigated the associations of gender with physical function, fatigue, depression, loneliness and sexual functioning with a particular focus on MTX usage. A cross-sectional study design was used. Inclusion criteria were RA diagnosis, age above 18 years and available data on MTX treatment 1 year after diagnosis. Data consisted of responses from validated questionnaires regarding physical function, fatigue, depression, loneliness and sexual functioning combined with evaluations from medical records. Data were analysed with linear regression models comparing numerical outcome measures between male and female patients and between MTX users and MTX non-users. Amongst 286 patients with RA (69 men and 217 women), 67.8% were MTX users 1 year after diagnosis. Comparing women and men, both overall and within subgroups of MTX usage, we found significantly more adverse outcomes for women than men in physical functioning at diagnosis and in sexual function, depression, fatigue and physical functioning at enrolment in the study. Gender differences were also present when comparing MTX users with MTX non-users divided by gender. There were only significant differences in the HAQ and loneliness scores when comparing MTX users with MTX non-users. Women with RA had more negative outcomes measured by the selected PROMs compared to men with RA, both overall and in subgroups of users and non-users of MTX. These findings call for sharpened attention to the importance of gender in the treatment and care of patients with RA, as well as in future clinical research.

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The effect of loneliness and perceived social support on medication adherence self-efficacy in hypertensive patients: An example of Turkey

Cited by 14 publications

References 32 publications

Self-Efficacy, Social Activity, and Spirituality in the Care of Elderly Patients with Polypharmacy in Germany—A Multicentric Cross-Sectional Study within the HoPES3 Trial

Self-Efficacy, Social Activity, and Spirituality in the Care of Elderly Patients with Polypharmacy in Germany—A Multicentric Cross-Sectional Study within the HoPES3 Trial

The association between social support and medication adherence in patients with hypertension: A systematic review

Associations of gender with sexual functioning, loneliness, depression, fatigue and physical function amongst patients suffering from rheumatoid arthritis with a particular focus on methotrexate usage

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