Primary care clinical pharmacists and chronic disease medication adherence

Wormall, Stephen; Abbot, Sarah C.

doi:10.3399/bjgp21x717485

Cited by 4 publications

(5 citation statements)

References 6 publications

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“…In this sense, it is important for patients to have self-efficacy and drug compliance in drug use [4]. However, in individuals with chronic diseases, non-compliance with treatment may develop on the grounds that the drugs they usually use have side effects, do not reduce the symptoms of the disease or do not cure the disease [5]. On the other hand, the perception that the drug should be used only in the presence of symptoms is reported to be the most common cause of drug non-compliance in individuals with diabetes [6].…”

Section: Introductionmentioning

confidence: 99%

Self-efficacy levels of individuals with type 2 Diabetes Mellitus in the use of diabetes drugs: The example of Gümüşhane and Bayburt province

Demirag,

Cin,

Dastan

2023

Med-Science

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This study was conducted to determine the self-efficacy levels of individuals with Type 2 Diabetes Mellitus in the use of diabetes medication. The population of the descriptive study consisted of individuals with Type 2 Diabetes Mellitus residing in Gümüşhane and Bayburt provinces. The sample size was determined with the G*Power 3.1.6.9 program. A total of 315 individuals were reached in the study using a snowball sampling method. Data were collected by “Google Form” using “Personal Information Form” and “Diabetes Medication Self-Efficacy Scale”. In the analysis of the data, independent groups t-test, one-way ANOVA test and Pearson product moments correlation test were used. The average age of the individuals with Type 2 Diabetes Mellitus participating in the study was 52.29±14.74 years, the duration of diabetes disease was 9.23±6.25 years, and 81% of them were men. The total average score of the participants from the “Diabetes Medication Self-Efficacy Scale" was determined as 38.70±12.36 points. It was found that the average total score of the” Diabetes Medication Self-Efficacy Scale" was higher for women than men, singles than married. Again, the total scale score averages were statistically different according to the occupational group (p<0.001). In addition, the average total score of the “Diabetes Drug Use Self-Efficacy Scale” was found to be higher for individuals who received training on diabetes drug use compared to individuals who did not receive it. It was found that the average scores of the participants from the "Diabetes Medication Self-Efficacy Scale" and its sub-dimensions were moderate. In order to increase the diabetes drug use self-efficacy levels of participants diagnosed with Type 2 diabetes, training on the use of diabetes drugs can be expanded.

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Section: Introductionmentioning

confidence: 99%

Self-efficacy levels of individuals with type 2 Diabetes Mellitus in the use of diabetes drugs: The example of Gümüşhane and Bayburt province

Demirag,

Cin,

Dastan

2023

Med-Science

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“…In this sense, the self-medication of individuals should be evaluated (4). It was reported that 40% of patients did not comply with the prescribed medication use, and the most cited reason for non-compliance was that they did not see any benefit from taking the medication regularly (5).…”

Section: Introductionmentioning

confidence: 99%

“…Medication incompatibility in diabetes is mostly due to the thought that there is no need for medication when there are no symptoms (6). Generally, individuals with chronic disease think that the drug does not cure the disease, state that the drug does not affect their symptoms, and experience adverse effects of the drug, causing treatment non-compliance (5). In a study conducted in Turkey, it was determined that 15% of type 2 diabetes mellitus (T2DM) discontinued drugs, 21.2% missed insulin doses, and 36.7% experienced drug incompatibility (6).…”

Section: Introductionmentioning

confidence: 99%

“…In the literature, there are studies on medication self-efficacy (3,5), self-management (17) and type D personality (12,16) among patients with diabetes. However, no study has been found in the literature aiming at determining the relationship between medication self-efficacy, self-management, and type D personality in individuals with type 2 diabetes mellitus (T2DM).…”

Section: Introductionmentioning

confidence: 99%

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The Relationship Between Medication Self-Efficacy and Self-Management in Individuals with Type 2 Diabetes and the Role of Type D Personality

GENÇ,

USLU

2023

Turk J Diab Obes

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Aim: To determine the relationship between medication self-efficacy and self-management in individuals with type 2 diabetes mellitus (T2DM), and the role of type D personality in this relationship. Material and Methods: The study was conducted with 329 individuals with T2DM between May and July 2023. The data of the study were collected using the Introductory Information Form, Diabetes Medication Self-Efficacy Scale (DMSS), Diabetes Self-Management Questionnaire (DSMQ), and Type D Personality Scale (TDPS). The data were evaluated using the Pearson Correlation and the Maximum Likelihood method, which was a structural equation modeling. Results: It was determined that 64.4% of individuals with T2DM had type D personalities. The relationship between the DMSS and the DSMQ was negative and weak, the relationship between the TDPS and the DSMQ was negative and weak, and no correlation was found between TDPS and DMSS. According to the results, it was determined that diabetes self-management had an effect on diabetes medication self-efficacy (β= -0.163, p=0.019), and diabetes self-management had an effect on TDPS (β= -0.185, p=0.013). According to the results of the structural equation modeling, it was determined that Diabetes Self-Management was associated with Diabetes Medication Self-Efficacy, but D-type personality had no mediating effect. Conclusion: According to the scale evaluation scores, it was concluded that the individuals had good medication self-efficacy, their self-management was average, and more than half had D-type personalities. In addition, it was determined that type D personality had no mediating role in the relationship between medication self-efficacy and diabetes self-management in individuals with type D personalities.

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“…Оригінальні дослідження / Original Researches the idea that the drug is not effective in quitting the drug as a result of side effects or in improving the disease and redu cing the symptoms of the disease [6]. In DM, drug mismatch is mostly due to the idea that when symptoms are not present, there is no need to use the drug [7].…”

Section: Introductionmentioning

confidence: 99%

Turkish validity and reliability of the Diabetes Medication Self-Efficacy Scale

Kavuran

Türkoğlu

2022

Mìžnarodnij endokrinologìčnij žurnal

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Background. As the problem of adaptation to diabetes management in chronic diseases prevents the success of treatment, it causes the disease process to progress negatively, other diseases and deaths to develop and the costs of the disease to increase. Type 2 diabetes mellitus treatment in Turkey concerns the rate of individuals with low compliance and continuity of the disease. In a study of 1,456 individuals with diabetes treated with insulin throughout Turkey, 29.7 % of patients reported that they did not adhere to the prescribed drug regimen. This study was designed to investigate the validity and reliability of the Diabetes Medication Self-Efficacy Scale. Materials and methods. The study was constituted with 197 individuals, who admitted to endocrinology outpatient clinic of a University Hospital between May and June 2019, and had diabetes diagnosis for at least one year and agreed to participate in the research. The descriptive and confirmatory factor analysis and Cronbach’s alpha internal consistency analysis were used during the Turkish adaptation phase of the Diabetes Medication Self-Efficacy Scale. Results. As a result of the analysis, the scale was determined to be consisted of 19 items and three sub-dimensions and explained 68.472 % of the total variance. Cronbach’s alpha values for the whole scale and its sub-scales were 0.94, 0.89, 0.85, and 0.93, respectively. Confirmatory factor analysis was performed to verify the 3-factor structure of the scale. According to the confirmatory factor analysis results, χ2/SD = 3.22 was found to be less than the acceptable reference value of 5. This finding shows that the data are compatible with the model. In addition, the other results were as follows: RMSEA = 0.070, PNFI = 0.82, CFI = 0.99, RMR = 0.27, GFI = 0.94, AGFI = 0.88 and PGFI = 0.61. When we look at these values, they are appeared to be in good alignment. Conclusions. This reliable, validated and standardized 19-item 5-point Likert type scale can be used to determine the medication self-efficacy for patients with diabetes in society.

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Primary care clinical pharmacists and chronic disease medication adherence

Cited by 4 publications

References 6 publications

Self-efficacy levels of individuals with type 2 Diabetes Mellitus in the use of diabetes drugs: The example of Gümüşhane and Bayburt province

Self-efficacy levels of individuals with type 2 Diabetes Mellitus in the use of diabetes drugs: The example of Gümüşhane and Bayburt province

The Relationship Between Medication Self-Efficacy and Self-Management in Individuals with Type 2 Diabetes and the Role of Type D Personality

Turkish validity and reliability of the Diabetes Medication Self-Efficacy Scale

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