Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in Oman

Huda Al-Noumani,1 Omar Al Omari,2 Zakariya Al-Naamani3 1Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, Muscat, Oman; 2Fundamental and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman; 3Armed Forces Medical Services, Minis...

Full description

Bibliographic Details
Main Authors: Al-Noumani H, Al Omari O, Al-Naamani Z
Format: Article
Language:English
Published: Dove Medical Press 2023-03-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/role-of-health-literacy-social-support-patient-physician-relationship--peer-reviewed-fulltext-article-PPA
_version_ 1797870945496465408
author Al-Noumani H
Al Omari O
Al-Naamani Z
author_facet Al-Noumani H
Al Omari O
Al-Naamani Z
author_sort Al-Noumani H
collection DOAJ
description Huda Al-Noumani,1 Omar Al Omari,2 Zakariya Al-Naamani3 1Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, Muscat, Oman; 2Fundamental and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman; 3Armed Forces Medical Services, Ministry of Defense, Muscat, OmanCorrespondence: Huda Al-Noumani, Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, P.O.Box 66, P.C. 123, Alkhoud, Muscat, Oman, Tel +968 2414 5400, Fax +968 2441 3536, Email hudasn@squ.edu.omPurpose: Cardiovascular diseases (CVDs) remain a global health threat, and medication adherence remains low. Medication adherence is a complex phenomenon and is affected by many factors that require investigation. Oman has limited literature examining medication adherence and influencing factors among patients with CVDs. This study examined the influence of health literacy, social support, the patient-physician relationship, and health-related quality of life on medication adherence among patients with cardiovascular diseases.Patients and Methods: This cross-sectional study used a correlation design. The study included 360 participants with CVDs. Descriptive statistics, independent t-test, one-way ANOVA, and multiple regression analysis were utilized for data analyses.Results: Findings revealed that higher social support (B=0.117; p=0.033), good patient-physician relationship (B=0.124; p < 0.01), better mental health (B=0.045; p < 0.01), more bodily pain (B=0.030; p < 0.01), and unemployment (B=1.297; p < 0.01) were predictors of higher adherence. High school education and above predicted lower medication adherence (B= − 1.255; p= 0.019), while health literacy was not a significant predictor of medication adherence (B= 0.061; p= 0.289).Conclusion: To improve medication adherence, healthcare providers and researchers should consider improving patients’ social support, mental health, and the patient-physician relationship. In addition, patients’ socioeconomic status should always be considered and examined as an influencing factor of medication adherence.Keywords: social support, health literacy, adherence, physician-patient relations, cardiovascular diseases
first_indexed 2024-04-10T00:35:21Z
format Article
id doaj.art-82b8666a8de448e088473d81b09f5728
institution Directory Open Access Journal
issn 1177-889X
language English
last_indexed 2024-04-10T00:35:21Z
publishDate 2023-03-01
publisher Dove Medical Press
record_format Article
series Patient Preference and Adherence
spelling doaj.art-82b8666a8de448e088473d81b09f57282023-03-14T18:21:58ZengDove Medical PressPatient Preference and Adherence1177-889X2023-03-01Volume 1764365282235Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in OmanAl-Noumani HAl Omari OAl-Naamani ZHuda Al-Noumani,1 Omar Al Omari,2 Zakariya Al-Naamani3 1Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, Muscat, Oman; 2Fundamental and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman; 3Armed Forces Medical Services, Ministry of Defense, Muscat, OmanCorrespondence: Huda Al-Noumani, Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, P.O.Box 66, P.C. 123, Alkhoud, Muscat, Oman, Tel +968 2414 5400, Fax +968 2441 3536, Email hudasn@squ.edu.omPurpose: Cardiovascular diseases (CVDs) remain a global health threat, and medication adherence remains low. Medication adherence is a complex phenomenon and is affected by many factors that require investigation. Oman has limited literature examining medication adherence and influencing factors among patients with CVDs. This study examined the influence of health literacy, social support, the patient-physician relationship, and health-related quality of life on medication adherence among patients with cardiovascular diseases.Patients and Methods: This cross-sectional study used a correlation design. The study included 360 participants with CVDs. Descriptive statistics, independent t-test, one-way ANOVA, and multiple regression analysis were utilized for data analyses.Results: Findings revealed that higher social support (B=0.117; p=0.033), good patient-physician relationship (B=0.124; p < 0.01), better mental health (B=0.045; p < 0.01), more bodily pain (B=0.030; p < 0.01), and unemployment (B=1.297; p < 0.01) were predictors of higher adherence. High school education and above predicted lower medication adherence (B= − 1.255; p= 0.019), while health literacy was not a significant predictor of medication adherence (B= 0.061; p= 0.289).Conclusion: To improve medication adherence, healthcare providers and researchers should consider improving patients’ social support, mental health, and the patient-physician relationship. In addition, patients’ socioeconomic status should always be considered and examined as an influencing factor of medication adherence.Keywords: social support, health literacy, adherence, physician-patient relations, cardiovascular diseaseshttps://www.dovepress.com/role-of-health-literacy-social-support-patient-physician-relationship--peer-reviewed-fulltext-article-PPAsocial supporthealth literacyadherencephysician-patient relationscardiovascular diseases.
spellingShingle Al-Noumani H
Al Omari O
Al-Naamani Z
Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in Oman
Patient Preference and Adherence
social support
health literacy
adherence
physician-patient relations
cardiovascular diseases.
title Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in Oman
title_full Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in Oman
title_fullStr Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in Oman
title_full_unstemmed Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in Oman
title_short Role of Health Literacy, Social Support, Patient-Physician Relationship, and Health-Related Quality of Life in Predicting Medication Adherence in Cardiovascular Diseases in Oman
title_sort role of health literacy social support patient physician relationship and health related quality of life in predicting medication adherence in cardiovascular diseases in oman
topic social support
health literacy
adherence
physician-patient relations
cardiovascular diseases.
url https://www.dovepress.com/role-of-health-literacy-social-support-patient-physician-relationship--peer-reviewed-fulltext-article-PPA
work_keys_str_mv AT alnoumanih roleofhealthliteracysocialsupportpatientphysicianrelationshipandhealthrelatedqualityoflifeinpredictingmedicationadherenceincardiovasculardiseasesinoman
AT alomario roleofhealthliteracysocialsupportpatientphysicianrelationshipandhealthrelatedqualityoflifeinpredictingmedicationadherenceincardiovasculardiseasesinoman
AT alnaamaniz roleofhealthliteracysocialsupportpatientphysicianrelationshipandhealthrelatedqualityoflifeinpredictingmedicationadherenceincardiovasculardiseasesinoman