Living with diabetes: An exploratory study of illness representation and medication adherence in Ghana

Owiredua, Christiana; Quarshie, Emmanuel Nii‐Boye; Atorkey, Prince

doi:10.1080/2331205x.2018.1463599

Cited by 8 publications

(13 citation statements)

References 32 publications

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“…Greater perceptions of consequences and illness identity were associated with a reduction in the likelihood of optimal adherence, whereas greater coherence was associated with an increased likelihood of optimal adherence. Consistent with our findings, earlier research has shown that greater perceptions of consequences,44 illness identity,40 and lower coherence39 were significant predictors of non-adherence to diabetes medication among patients with T2D.…”

Section: Discussionsupporting

confidence: 92%

“…The sample size was calculated using G*Power software 43. In the literature, associations between illness perceptions, adherence to medication, and HbA1c range between 0.60 and −0.26 respectively 23,44. Using the lower correlation (r= −0.26) with 80% power and 0.05 alpha,45 113 participants were required.…”

Section: Methodsmentioning

confidence: 99%

“…The total score ranges between 5 and 25, with higher scores indicating higher self-reported adherence. The MARS-5 was originally developed for and validated in patients with asthma, but also has been used in other long-term conditions including diabetes 44,47,48. The MARS-5 has been translated into other languages including Arabic 49.…”

Section: Methodsmentioning

confidence: 99%

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<p>Illness Perceptions, HbA1c, And Adherence In Type 2 Diabetes In Saudi Arabia</p>

Alyami¹,

Serlachius²,

Mokhtar³

et al. 2019

PPA

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PurposeLittle is known about predictors of adherence to diabetes medication in Saudi Arabia. This study aimed to investigate whether illness perceptions, beliefs about medicine, and God locus of health control beliefs were associated with adherence to medication and glycaemic control (HbA1c) in Saudi patients with type 2 diabetes (T2D).Patients and methodsA convenience sample of 115 adults with T2D were recruited from a diabetes outpatient clinic. Validated self-reported measures of adherence to medication, illness perceptions, beliefs about medicine, and God locus of health control were administered. Patients’ most recent HbA1c levels were extracted from medical records. Multivariable logistic and linear regressions were used to examine the association between illness perceptions, beliefs about medicine and adherence to medication and HbA1c.ResultsMore than two thirds of patients (69%) reported poor adherence to medication. All illness perceptions domains, beliefs about medicine, and God locus of health control beliefs were associated with adherence. Multivariable logistic regression revealed that older age (OR= 3.76, p= 0.023), worse consequences perceptions (OR= 0.21, p= 0.011), worse illness identity (OR= 0.23, p= 0.010), and greater illness coherence (OR= 3.24, p= 0.022) were independent predictors of adherence. Two thirds of patients (67%) had suboptimal HbA1c; and perceptions of a cyclical timeline and lower insulin effectiveness were associated with higher HbA1c. In multiple linear regression, perceptions of a cyclical timeline (β= 0.19, p= 0.040) were an independent significant predictor of HbA1c.ConclusionIn Saudi Arabia, patients’ perceptions of T2D, beliefs about medicine, and God locus of control beliefs are associated with adherence. These results inform the development of interventions based on the Common-Sense Model (CSM) to encourage improved adherence and glycaemic control among Saudi patients with T2D. Further research with larger and more diverse samples is warranted to expand the generalizability of these findings.

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

<p>Illness Perceptions, HbA1c, And Adherence In Type 2 Diabetes In Saudi Arabia</p>

Alyami¹,

Serlachius²,

Mokhtar³

et al. 2019

PPA

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“…The common-sense model of illness perceptions/representations has been used successfully to predict medication and treatment adherence in various patient populations, including diabetes (Nie et al, 2018;Owiredua et al, 2018), hypertension (Chen et al, 2011) and cancer populations (Llewellyn et al, 2007). For example, Leone et al (2016) examined the association of illness perceptions with virologic success amongst patients who were HIV-positive in Italy.…”

mentioning

confidence: 99%

Illness perceptions, social support and antiretroviral medication adherence in people living with HIV in the greater Accra region, Ghana

2021

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“…The CSM framework explains the role of emotional, perceptual, behavioral, and cognitive processes in shaping an individual's illness representation and guiding their response to the illness, including adherence to self-care behaviors. Hence, this model helps predict health outcomes and adherence behavior among people with chronic illness (Cameron & Leventhal, 2003;Leventhal et al, 2016;Owiredua et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Illness Perception, Coping, and Self-Care Adherence Among Adults With Type 2 Diabetes

Veena Chindankutty,

Devineni

2024

JPSS

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Understanding the key factors in managing type 2 diabetes over the long term has become necessary. This study aims to explore the association between illness perception, coping, and self-care adherence among adults with type 2 diabetes and find the influence of illness perception and coping on self-care adherence. A cross-sectional survey design was used to collect data from 123 adults with type 2 diabetes aged between 30 and 55 years. The questionnaires included the Brief Illness Perception Questionnaire (BIPQ), Brief COPE, Self-Care Inventory-Revised (SCI-R), and a personal information sheet. A significant correlation was found between illness perception, maladaptive and adaptive coping strategies, and self-care adherence. Adaptive coping, illness perception, and maladaptive coping strategies together explained a 59.9% variance in self-care adherence (F(3, 119) = 59.29, p < .001). The study highlights the importance of developing a less threatening perception of the illness and enhancing the practice of adaptive coping strategies for achieving better self-care adherence among people with type 2 diabetes. This study signifies the need for a collaborative approach by healthcare professionals, mental health providers, and policymakers to provide accurate diabetes self-management knowledge and develop interventions tailored to individuals’ needs.

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Living with diabetes: An exploratory study of illness representation and medication adherence in Ghana

Cited by 8 publications

References 32 publications

<p>Illness Perceptions, HbA1c, And Adherence In Type 2 Diabetes In Saudi Arabia</p>

<p>Illness Perceptions, HbA1c, And Adherence In Type 2 Diabetes In Saudi Arabia</p>

Illness perceptions, social support and antiretroviral medication adherence in people living with HIV in the greater Accra region, Ghana

Illness Perception, Coping, and Self-Care Adherence Among Adults With Type 2 Diabetes

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