Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence Models
Tamás Köbling,1 Éva Katona,1 László Maroda,2 Zita Váradi,1 Sándor Somodi,3 Dénes Páll,1,2 Miklós Zrínyi2 1Department of Medicine, University of Debrecen, Debrecen, Hungary; 2Coordination Center for Drug Development, University of Debrecen, Debrecen, Hungary; 3Department of Emergency Care, University...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-06-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/discriminating-low-to-high-adherent-type-2-patients-with-diabetes-by-g-peer-reviewed-fulltext-article-PPA |
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| author | Köbling T Katona É Maroda L Váradi Z Somodi S Páll D Zrínyi M |
| author_facet | Köbling T Katona É Maroda L Váradi Z Somodi S Páll D Zrínyi M |
| author_sort | Köbling T |
| collection | DOAJ |
| description | Tamás Köbling,1 Éva Katona,1 László Maroda,2 Zita Váradi,1 Sándor Somodi,3 Dénes Páll,1,2 Miklós Zrínyi2 1Department of Medicine, University of Debrecen, Debrecen, Hungary; 2Coordination Center for Drug Development, University of Debrecen, Debrecen, Hungary; 3Department of Emergency Care, University of Debrecen, Debrecen, HungaryCorrespondence: Miklós Zrínyi, Coordination Center for Drug Development, University of Debrecen, Nagyerdei blvd. 98., Debrecen, 4032, Hungary, Email zrinyi1969@gmail.comObjective: Develop individual discriminant models using clinical and psychosocial variables for physicians and patients with diabetes based on their perceptions of patient adherence.Methods: This was a cross-sectional research design utilizing a discriminant analysis approach. Type 2 patients on treatment for diabetes for at least 2 years prior to research were selected. Clinical data were obtained from patient records, and psychosocial variables were collected by survey instruments filled out by patients. A final sample of 200 patients was recruited.Results: We found a positive correlation between patient and physician assessment of patient adherence behaviors. Greater adherence efforts were associated with lower HbA1c. Better quality of the patient-physician relationship was linked to better patient adherence. Increased HbA1c, longer therapy duration and higher BMI described low patient adherence for physicians. Lower HbA1c, female gender and fewer difficulties in marital adjustment characterized high adherence for patients. Dietary self-efficacy as well as emotional and social isolation discriminated mid-level adherers in both models.Conclusion: This research confirmed that patients and physicians perceived and judged patients’ adherence behaviors differently. Physicians and patients associated different clinical and psychological factors with low and high adherence. Further research is recommended to clarify how the quality of the physician-patient as well as the patient-spouse relationship affect dietary efficacy and patient adherence. A randomized, controlled clinical trial approach is recommended to establish the effectiveness of interventions aiming to improve dietary self-efficacy on adherence outcomes.Keywords: diabetes, adherence, dietary self-efficacy, HbA1c, physician-patient relationship, discriminant analysis |
| first_indexed | 2024-12-12T08:05:32Z |
| format | Article |
| id | doaj.art-6fd7807133dc43dca16204dcc2d1b248 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-12T08:05:32Z |
| publishDate | 2022-06-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-6fd7807133dc43dca16204dcc2d1b2482022-12-22T00:31:58ZengDove Medical PressPatient Preference and Adherence1177-889X2022-06-01Volume 161405141475695Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence ModelsKöbling TKatona ÉMaroda LVáradi ZSomodi SPáll DZrínyi MTamás Köbling,1 Éva Katona,1 László Maroda,2 Zita Váradi,1 Sándor Somodi,3 Dénes Páll,1,2 Miklós Zrínyi2 1Department of Medicine, University of Debrecen, Debrecen, Hungary; 2Coordination Center for Drug Development, University of Debrecen, Debrecen, Hungary; 3Department of Emergency Care, University of Debrecen, Debrecen, HungaryCorrespondence: Miklós Zrínyi, Coordination Center for Drug Development, University of Debrecen, Nagyerdei blvd. 98., Debrecen, 4032, Hungary, Email zrinyi1969@gmail.comObjective: Develop individual discriminant models using clinical and psychosocial variables for physicians and patients with diabetes based on their perceptions of patient adherence.Methods: This was a cross-sectional research design utilizing a discriminant analysis approach. Type 2 patients on treatment for diabetes for at least 2 years prior to research were selected. Clinical data were obtained from patient records, and psychosocial variables were collected by survey instruments filled out by patients. A final sample of 200 patients was recruited.Results: We found a positive correlation between patient and physician assessment of patient adherence behaviors. Greater adherence efforts were associated with lower HbA1c. Better quality of the patient-physician relationship was linked to better patient adherence. Increased HbA1c, longer therapy duration and higher BMI described low patient adherence for physicians. Lower HbA1c, female gender and fewer difficulties in marital adjustment characterized high adherence for patients. Dietary self-efficacy as well as emotional and social isolation discriminated mid-level adherers in both models.Conclusion: This research confirmed that patients and physicians perceived and judged patients’ adherence behaviors differently. Physicians and patients associated different clinical and psychological factors with low and high adherence. Further research is recommended to clarify how the quality of the physician-patient as well as the patient-spouse relationship affect dietary efficacy and patient adherence. A randomized, controlled clinical trial approach is recommended to establish the effectiveness of interventions aiming to improve dietary self-efficacy on adherence outcomes.Keywords: diabetes, adherence, dietary self-efficacy, HbA1c, physician-patient relationship, discriminant analysishttps://www.dovepress.com/discriminating-low-to-high-adherent-type-2-patients-with-diabetes-by-g-peer-reviewed-fulltext-article-PPAdiabetesadherencedietary self-efficacyhba1cphysician-patient relationshipdiscriminant analysis |
| spellingShingle | Köbling T Katona É Maroda L Váradi Z Somodi S Páll D Zrínyi M Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence Models Patient Preference and Adherence diabetes adherence dietary self-efficacy hba1c physician-patient relationship discriminant analysis |
| title | Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence Models |
| title_full | Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence Models |
| title_fullStr | Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence Models |
| title_full_unstemmed | Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence Models |
| title_short | Discriminating Low to High Adherent Type 2 Patients with Diabetes by Glycosylated Hemoglobin A1c, Eating Self-Efficacy and Other Psychosocial Determinants: Difference Between Patient and Physician Adherence Models |
| title_sort | discriminating low to high adherent type 2 patients with diabetes by glycosylated hemoglobin a1c eating self efficacy and other psychosocial determinants difference between patient and physician adherence models |
| topic | diabetes adherence dietary self-efficacy hba1c physician-patient relationship discriminant analysis |
| url | https://www.dovepress.com/discriminating-low-to-high-adherent-type-2-patients-with-diabetes-by-g-peer-reviewed-fulltext-article-PPA |
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