Understanding the Subjective Experience of Medication Adherence for Older Urban African Americans With Type 2 Diabetes and a History of Illicit Drug Addiction

Wallace, Brandy Harris; Reese, Ashanté M.; Chard, Sarah; Roth, Erin G.; Quinn, Charlene C.; Eckert, Jochen

doi:10.1177/0898264316636840

Cited by 5 publications

(12 citation statements)

References 23 publications

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“…Related concepts are concepts that share relationships but not the same attributes as the medication experience. These include "Medication-related needs" [66], "Medication taking behavior" [69], and "Medication adherence" [55].…”

Section: Surrogate Terms and Related Conceptsmentioning

confidence: 99%

“…For example, different medications hold different importance depending on one's own evaluation and experience [29,54]. There may also be the perception of taking too many medications [44,55], the burden of polypharmacy [62], or one's past experiences with medication use and side effects [57], all of which influence the medication experience. In addition, how one experiences health and illness influences how the use of medication is situated in the overall health and wellness process [11,14,35,36,54,55].…”

Section: Attributesmentioning

confidence: 99%

“…There may also be the perception of taking too many medications [44,55], the burden of polypharmacy [62], or one's past experiences with medication use and side effects [57], all of which influence the medication experience. In addition, how one experiences health and illness influences how the use of medication is situated in the overall health and wellness process [11,14,35,36,54,55]. The context in which one receives health assessment and information may differ when more than one provider is involved [22] while clinic wait times, the type of environment, and attitudes of providers also have an influence on patients' perspectives [32,36,44], as does one's relationship with providers [12,59].…”

Section: Attributesmentioning

confidence: 99%

“…Social and daily life circumstances as well as personal beliefs and preferences are additional contexts in which medication-taking occurs that impact one's medication experience. Daily life circumstances that can change regularly or over one's life are important contexts that account for variation between individuals taking medications [32,55] but can also vary within the same individual over a period of time [20,53,61]. For example, one may have stresses in life [47], such as caring for others, financial constraints [59,68], or of being cared for oneself by a caregiver [50,60].…”

Section: Attributesmentioning

confidence: 99%

“…The medication experience is a series of actions that occurs over time and requires effort. The medication experience is a process of resistance and acceptance of one's need to take medications, which may or may not be a struggle [18,43,44,52,55,68]. Patients may have an emotional response to illness or medications that can be strong at first but may lessen over time with acceptance [34,50,67].…”

Section: Attributesmentioning

confidence: 99%

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The Medication Experience: A Concept Analysis

et al. 2020

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This is a concept analysis of the medication experience with a focus on how it applies to the pharmaceutical care practice framework used by pharmacist practitioners. The medication experience is a vital component of pharmaceutical care practice and of patient-centered care. Although the experience of taking medication has been studied across disciplines for decades, a concept analysis of the medication experience is lacking. Rodgers’ evolutionary concept analysis method was utilized. Ovid Medline, CINAHL, PsycINFO, Sociological Abstracts and Google Scholar databases, references and hand searches were used to compile an international dataset of 66 papers published from 1982 to 2020. As a result of the available literature, the medication experience is defined as one of ambivalence and vulnerability in which the patient is actively engaged in an ongoing process or negotiation, which is pragmatic to the ways in which they live and experience life, contextualized and nuanced within the social construction of their individual realities. The concept of medication experience is an important addition to the scientific literature. The definition of medication experience from the perspective of the patient will help to better explain the concept for future research and theory development to move the discipline of pharmaceutical care practice forward.

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Section: Surrogate Terms and Related Conceptsmentioning

confidence: 99%

Section: Attributesmentioning

confidence: 99%

Section: Attributesmentioning

confidence: 99%

Section: Attributesmentioning

confidence: 99%

Section: Attributesmentioning

confidence: 99%

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The Medication Experience: A Concept Analysis

et al. 2020

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The Graying of the Cool Pose: Examining Active Care Strategies Among Older African-American Men With Type 2 Diabetes Mellitus

Wallace

Chard

Roth³

2022

The Journals of Gerontology: Series B

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Objectives The influence of masculinity norms on disparate health outcomes has been established in the literature. What is less understood are the specific ways in which African- American men ‘do health’ by engaging in strategies promoting positive health outcomes. This paper reframes what has been previously examined through a health deficit perspective by reporting the experiences and positive health maintenance strategies of older, African-American men with Type 2 Diabetes Mellitus (diabetes). Methods We employed an intersectional framework to thematically analyze qualitative interviews with African-American male participants (N=15) in our NIA-funded study of diabetes among older adults in Baltimore. Interviews consisted of a modified version of the McGill Illness Narrative Interview, which included discussions of diabetes experiences and self-management strategies. Findings The majority of African-American men in our study link their successful diabetes management to purposeful self-care activities, despite structural and personal limitations. These activities include proactively seeking diabetes education, healthy eating, medication management and engaging in supportive relationships. Discussion Active pursuit of a healthy lifestyle often requires redefining Black manhood, defying negative gender stereotypes of what it means to be a Black male. Results are described in the context of the “Cool Pose,” a framework for understanding how African-American men and boys cope with systemic racial oppression and the unachievable dominant standards of masculinity in the U.S. The results suggest that this framework may be less applicable for older African-American men who promote well-being in the wake of chronic disease as they age.

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Individual-, Community-, and Health System–Level Barriers to Optimal Type 2 Diabetes Care for Inner-City African Americans: An Integrative Review and Model Development

Campbell

Egede

2019

Diabetes Educ

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Purpose The purpose of this integrative review is (1) to elucidate the unique barriers faced by inner-city African Americans for type 2 diabetes (T2DM) care; (2) to identify effective interventions/programs for optimal T2DM care at the individual, community, and health systems levels; and (3) to integrate 2 behavioral models and 1 social ecological model for framing interventions for inner-city African American to optimize T2DM care. Methods PRISMA guidelines were followed to systematically search PubMed, PsychInfo, and CINAHL. Integration of models was based on underlying principles of social ecological models. Results The search returned 1183 articles. Forty-six articles were synthesized after applying inclusion criteria. Multiple barriers for the individual level, community level, and health system level were identified. Major barriers include lack of knowledge, lack of social support, and self-management support. Interventions identified in this review show that among inner-city African Americans with T2DM, the focus is placed at the health systems level, with very limited focus toward addressing individual- and community-level barriers. Final synthesis includes development of a new integrated model that explains barriers to care across multiple levels. Conclusions These findings highlight the fragmentation that may be occurring between policy, research, and practice for achieving health equity and addressing health disparities for T2DM care among inner-city African Americans. The new model is an important step in the pursuit of equity in T2DM by specifying the complex barriers that occur across multiple levels. The application of this model using the 2017 National Standards for Diabetes–Self Management Education and Support are discussed.

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Understanding the Subjective Experience of Medication Adherence for Older Urban African Americans With Type 2 Diabetes and a History of Illicit Drug Addiction

Abstract: Previous drug abuse not only complicates medication adherence but is also a significant part of how older African Americans who are former drug users frame their understanding of T2D more broadly.

Cited by 5 publications

References 23 publications

The Medication Experience: A Concept Analysis

The Medication Experience: A Concept Analysis

The Graying of the Cool Pose: Examining Active Care Strategies Among Older African-American Men With Type 2 Diabetes Mellitus

Individual-, Community-, and Health System–Level Barriers to Optimal Type 2 Diabetes Care for Inner-City African Americans: An Integrative Review and Model Development

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