Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence
This review examined the current problem of low adherence to treatment in patients with chronic diseases, particularly type 2 diabetes mellitus. According to the definition of the World Health Organization, ‘adherence to treatment’ is the degree to which a patient’s beh...
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| Format: | Article |
| Language: | English |
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Endocrinology Research Centre
2018-03-01
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| Series: | Сахарный диабет |
| Subjects: | |
| Online Access: | https://www.dia-endojournals.ru/jour/article/view/8781 |
| _version_ | 1797255153048354816 |
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| author | Natalia V. Likhodey Marina F. Kalashnikova Elena M. Likhodey Valentin V. Fadeyev |
| author_facet | Natalia V. Likhodey Marina F. Kalashnikova Elena M. Likhodey Valentin V. Fadeyev |
| author_sort | Natalia V. Likhodey |
| collection | DOAJ |
| description | This review examined the current problem of low adherence to treatment in patients with chronic diseases, particularly type 2 diabetes mellitus. According to the definition of the World Health Organization, ‘adherence to treatment’ is the degree to which a patient’s behaviour corresponds to the doctor’s recommendations with respect to medications and implementation of dietary advice and/or lifestyle changes. The current medical literature includes a large number of scientific publications devoted to the study of various factors that lead to low adherence to treatment. The term ‘barriers’ is most often used to designate these factors. The first part of this work contains an analysis of the main factors that impede compliance to the doctor’s recommendations, such as socioeconomic and psychological (personal) barriers related to the disease itself, the peculiarities of its treatment and the organisation of medical care (the health care system). The second part of this review examines the different theoretical models of patient behaviour and strategies that improve adherence to treatment. Most researchers believe that there is an unsatisfactory (low) adherence to treatment and that none of the existing intervention strategies can improve adherence to treatment among all patients. The cornerstone of the entire diabetes management system is the training of patients within the framework of developed structured programmes. Conversely,, success depends on the individual approach, the course of the disease and the mandatory consideration of the individual psychological characteristics of each person. Establishment of a partnership built on trust between a doctor and a patient contributes to greater patient satisfaction with treatment and improved adherence, and this relationship ultimately affects the treatment efficacy and clinical outcomes. |
| first_indexed | 2024-03-08T15:20:15Z |
| format | Article |
| id | doaj.art-724422fd3dc147fc8691a8c50916964f |
| institution | Directory Open Access Journal |
| issn | 2072-0351 2072-0378 |
| language | English |
| last_indexed | 2024-04-24T22:01:19Z |
| publishDate | 2018-03-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Сахарный диабет |
| spelling | doaj.art-724422fd3dc147fc8691a8c50916964f2024-03-20T11:48:01ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782018-03-0121151410.14341/DM87818425Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherenceNatalia V. Likhodey0Marina F. Kalashnikova1Elena M. Likhodey2Valentin V. Fadeyev3<p>I.M. Sechenov First Moscow State Medical University</p><p>I.M. Sechenov First Moscow State Medical University</p><p>Pirogov Russian National Research Medical University</p><p>I.M. Sechenov First Moscow State Medical University</p>This review examined the current problem of low adherence to treatment in patients with chronic diseases, particularly type 2 diabetes mellitus. According to the definition of the World Health Organization, ‘adherence to treatment’ is the degree to which a patient’s behaviour corresponds to the doctor’s recommendations with respect to medications and implementation of dietary advice and/or lifestyle changes. The current medical literature includes a large number of scientific publications devoted to the study of various factors that lead to low adherence to treatment. The term ‘barriers’ is most often used to designate these factors. The first part of this work contains an analysis of the main factors that impede compliance to the doctor’s recommendations, such as socioeconomic and psychological (personal) barriers related to the disease itself, the peculiarities of its treatment and the organisation of medical care (the health care system). The second part of this review examines the different theoretical models of patient behaviour and strategies that improve adherence to treatment. Most researchers believe that there is an unsatisfactory (low) adherence to treatment and that none of the existing intervention strategies can improve adherence to treatment among all patients. The cornerstone of the entire diabetes management system is the training of patients within the framework of developed structured programmes. Conversely,, success depends on the individual approach, the course of the disease and the mandatory consideration of the individual psychological characteristics of each person. Establishment of a partnership built on trust between a doctor and a patient contributes to greater patient satisfaction with treatment and improved adherence, and this relationship ultimately affects the treatment efficacy and clinical outcomes.https://www.dia-endojournals.ru/jour/article/view/8781type 2 diabetes mellitusbarrierspatient compliancetheoretical models |
| spellingShingle | Natalia V. Likhodey Marina F. Kalashnikova Elena M. Likhodey Valentin V. Fadeyev Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence Сахарный диабет type 2 diabetes mellitus barriers patient compliance theoretical models |
| title | Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence |
| title_full | Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence |
| title_fullStr | Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence |
| title_full_unstemmed | Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence |
| title_short | Analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence |
| title_sort | analysis of the factors that prevent adherence to treatment in patients with diabetes mellitus and the strategies that contribute to the improvement in adherence |
| topic | type 2 diabetes mellitus barriers patient compliance theoretical models |
| url | https://www.dia-endojournals.ru/jour/article/view/8781 |
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