Psychosocial and behavioral correlates of self-efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetes
Background Adhering to clinical prescriptions is known to protect against the effects of uncontrolled hypertension and of acute and chronic cardiovascular diseases, including diabetes. Contextually, positive associations between self-care behaviors and psychological constructs, such as self-efficacy...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2023-03-01
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| Series: | Health Psychology Report |
| Subjects: | |
| Online Access: | https://hpr.termedia.pl/Psychosocial-and-behavioral-correlates-nof-self-efficacy-in-treatment-adherence-nin,159284,0,2.html |
| _version_ | 1797692349139124224 |
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| author | Antonia Pierobon Francesco Zanatta Nicolò Granata Ekaterina Nissanova Jacek Polański Wojciech Tański Giovanna Callegari Angelo Caporotondi Chiara Ferretti Beata Jankowska-Polańska |
| author_facet | Antonia Pierobon Francesco Zanatta Nicolò Granata Ekaterina Nissanova Jacek Polański Wojciech Tański Giovanna Callegari Angelo Caporotondi Chiara Ferretti Beata Jankowska-Polańska |
| author_sort | Antonia Pierobon |
| collection | DOAJ |
| description | Background
Adhering to clinical prescriptions is known to protect against the effects of uncontrolled hypertension and of acute and chronic cardiovascular diseases, including diabetes. Contextually, positive associations between self-care behaviors and psychological constructs, such as self-efficacy, are widely acknowledged in the literature. However, still little is known about the psychological factors underlying the patient’s self-efficacy. This study aimed to investigate the psychosocial and behavioral correlates of self-efficacy related to treatment adherence in older patients with comorbid hypertension and type 2 diabetes mellitus.
Participants and procedure
Italian and Polish patients (≥ 65 years; N = 180) consecutively responded to self-report questionnaires measuring psycho-social (i.e., beliefs about medicines, perceived physician’s communication effectiveness, medication-specific social sup-port, self-efficacy) and behavioral factors (i.e., pharmacological adherence, medications refill adherence, intentional non-adherence) related to treatment adherence. Between-group comparisons and regression analyses were performed.
Results
Fisher’s least significant difference (LSD) test showed significant differences between the Italian and Polish groups in all questionnaires (p < .01) with the Italian patients reporting more satisfactory scores. Younger age (β = .08, p = .045), female gender (β = 1.03, p = .042), higher medication refills adherence (β = –.07, p = .024), lower intentional non-adherence (β = –.03, p = .009), positive beliefs about medications (β = .13, p < .001), better quality of communication with the physician (β = .09, p < .001), and stronger perceived medication-specific social support (β = .06, p = .001) were significantly associat-ed with self-efficacy related to treatment adherence.
Conclusions
Future research and interventions should leverage psychosocial and behavioral factors to address self-efficacy contributing to enhancing adherence to clinical prescriptions. |
| first_indexed | 2024-03-12T02:27:20Z |
| format | Article |
| id | doaj.art-c56dc6df69764787a9dbb98410a642e7 |
| institution | Directory Open Access Journal |
| issn | 2353-4184 2353-5571 |
| language | English |
| last_indexed | 2024-03-12T02:27:20Z |
| publishDate | 2023-03-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Health Psychology Report |
| spelling | doaj.art-c56dc6df69764787a9dbb98410a642e72023-09-05T11:54:08ZengTermedia Publishing HouseHealth Psychology Report2353-41842353-55712023-03-0111318819910.5114/hpr/159284159284Psychosocial and behavioral correlates of self-efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetesAntonia Pierobon0https://orcid.org/0000-0002-4678-781XFrancesco Zanatta1https://orcid.org/0000-0002-6995-4190Nicolò Granata2https://orcid.org/0000-0001-9743-6684Ekaterina Nissanova3Jacek Polański4Wojciech Tański5Giovanna Callegari6Angelo Caporotondi7Chiara Ferretti8https://orcid.org/0000-0001-8384-7060Beata Jankowska-Polańska9https://orcid.org/0000-0003-1120-3535Psychology Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano, ItalyDepartment of Psychology, University of Milano-Bicocca, Milan, ItalyDepartment of Cardiac Respiratory Rehabilitation of Tradate, Istituti Clinici Scientifici Maugeri IRCCS, Tradate, ItalyPsychology Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano, ItalyDepartment of Internal and Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, PolandIV Military Clinical Hospital of Wroclaw, Wroclaw, PolandRespiratory Rehabilitation Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano, ItalyCardiological Rehabilitation Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano, ItalyNeuromotor Rehabilitation Unit of Montescano Institute, Istituti Clinici Scientifici Maugeri IRCCS, Montescano, ItalyDepartment of Clinical Nursing, Faculty of Health Science, Wroclaw Medical University, Wroclaw, PolandBackground Adhering to clinical prescriptions is known to protect against the effects of uncontrolled hypertension and of acute and chronic cardiovascular diseases, including diabetes. Contextually, positive associations between self-care behaviors and psychological constructs, such as self-efficacy, are widely acknowledged in the literature. However, still little is known about the psychological factors underlying the patient’s self-efficacy. This study aimed to investigate the psychosocial and behavioral correlates of self-efficacy related to treatment adherence in older patients with comorbid hypertension and type 2 diabetes mellitus. Participants and procedure Italian and Polish patients (≥ 65 years; N = 180) consecutively responded to self-report questionnaires measuring psycho-social (i.e., beliefs about medicines, perceived physician’s communication effectiveness, medication-specific social sup-port, self-efficacy) and behavioral factors (i.e., pharmacological adherence, medications refill adherence, intentional non-adherence) related to treatment adherence. Between-group comparisons and regression analyses were performed. Results Fisher’s least significant difference (LSD) test showed significant differences between the Italian and Polish groups in all questionnaires (p < .01) with the Italian patients reporting more satisfactory scores. Younger age (β = .08, p = .045), female gender (β = 1.03, p = .042), higher medication refills adherence (β = –.07, p = .024), lower intentional non-adherence (β = –.03, p = .009), positive beliefs about medications (β = .13, p < .001), better quality of communication with the physician (β = .09, p < .001), and stronger perceived medication-specific social support (β = .06, p = .001) were significantly associat-ed with self-efficacy related to treatment adherence. Conclusions Future research and interventions should leverage psychosocial and behavioral factors to address self-efficacy contributing to enhancing adherence to clinical prescriptions.https://hpr.termedia.pl/Psychosocial-and-behavioral-correlates-nof-self-efficacy-in-treatment-adherence-nin,159284,0,2.htmladherenceself-efficacytype 2 diabetes mellitushypertensionchronicity |
| spellingShingle | Antonia Pierobon Francesco Zanatta Nicolò Granata Ekaterina Nissanova Jacek Polański Wojciech Tański Giovanna Callegari Angelo Caporotondi Chiara Ferretti Beata Jankowska-Polańska Psychosocial and behavioral correlates of self-efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetes Health Psychology Report adherence self-efficacy type 2 diabetes mellitus hypertension chronicity |
| title | Psychosocial and behavioral correlates
of self-efficacy in treatment adherence
in older patients with comorbid hypertension
and type 2 diabetes |
| title_full | Psychosocial and behavioral correlates
of self-efficacy in treatment adherence
in older patients with comorbid hypertension
and type 2 diabetes |
| title_fullStr | Psychosocial and behavioral correlates
of self-efficacy in treatment adherence
in older patients with comorbid hypertension
and type 2 diabetes |
| title_full_unstemmed | Psychosocial and behavioral correlates
of self-efficacy in treatment adherence
in older patients with comorbid hypertension
and type 2 diabetes |
| title_short | Psychosocial and behavioral correlates
of self-efficacy in treatment adherence
in older patients with comorbid hypertension
and type 2 diabetes |
| title_sort | psychosocial and behavioral correlates of self efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetes |
| topic | adherence self-efficacy type 2 diabetes mellitus hypertension chronicity |
| url | https://hpr.termedia.pl/Psychosocial-and-behavioral-correlates-nof-self-efficacy-in-treatment-adherence-nin,159284,0,2.html |
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