The association of health literacy with illness perceptions, medication beliefs, and medication adherence among individuals with type 2 diabetes

Shiyanbola, Olayinka O.; Unni, Elizabeth J.; Huang, Yen-Ming; Lanier, Cameron

doi:10.1016/j.sapharm.2017.12.005

Cited by 55 publications

(57 citation statements)

References 32 publications

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“…Among patients with T2D who initiate a fixed-dose combination of DPP-4 inhibitor plus metformin following switch from dual therapy, the resulting improvements in glycaemic control and/or reductions in gastrointestinal side effects are speculated as being related to improved adherence post-switch [ 23 , 24 ]. Other factors associated with adherence to oral medications include family support among children and adolescents with T2D [ 25 ], and self-efficacy and perceptions of illness among adults with T2D [ 26 ].…”

Section: Persistence With and Adherence To Antidiabetes Therapiesmentioning

confidence: 99%

Lack of Treatment Persistence and Treatment Nonadherence as Barriers to Glycaemic Control in Patients with Type 2 Diabetes

et al. 2019

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Treatment persistence (continuing to take medication for the prescribed period) and treatment adherence (complying with the prescription in terms of drug schedules and dosage) are both important when treating chronic diseases such as type 2 diabetes (T2D). They can be indicators of patient satisfaction with treatment. In T2D, the achievement of optimal outcomes requires both persistence with and adherence to prescribed therapy. Poor persistence with and adherence to T2D medication can have profound consequences for the patient, including non-achievement of glycaemic goals and an increased risk of long-term complications and mortality. Therefore, poor treatment persistence and adherence may also have economic consequences, including increased healthcare resource utilization and healthcare costs. Treatment persistence and adherence are affected by several factors, including the mode of administration, administration frequency/regimen complexity, and patient expectations. The aims of this review are as follows: to provide an overview of persistence with and adherence to different antidiabetes therapies for patients with T2D in the real-world setting; examine factors contributing to poor treatment persistence and adherence; and assess available data on the impact of poor treatment persistence and/or adherence on clinical and economic outcomes. Numerous potential targets for improving treatment persistence and/or adherence are identified, including developing less complex treatment regimens with lower pill burdens or less frequent injections, improving the convenience of drug-delivery systems, such as the use of insulin pen devices rather than the conventional vial and syringe, and developing therapies with an improved safety profile to alleviate patient fears of adverse effects, such as weight gain and risk of hypoglycaemia. Funding : Sanofi.

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Section: Persistence With and Adherence To Antidiabetes Therapiesmentioning

confidence: 99%

Lack of Treatment Persistence and Treatment Nonadherence as Barriers to Glycaemic Control in Patients with Type 2 Diabetes

et al. 2019

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“…Several studies in chronic disease state populations have established a link between low health literacy and erroneous or suboptimal health and/or medication beliefs and attitudes. 43 – 48 For example, asthma and chronic obstructive pulmonary disease patients with low health literacy were more likely to express erroneous beliefs, misconceptions, or concerns about their illness and/or related medications. 44 – 46 Soones et al and Kale et al noted a link between low health literacy, illness/medication beliefs and concerns, and medication nonadherence, and recommended developing interventions to address both low health literacy and disease/medication beliefs to facilitate better medication adherence.…”

Section: Patient-level Factors Associated With Health Literacymentioning

confidence: 99%

Health literacy in solid-organ transplantation: a model to improve understanding

Chisholm-Burns

Spivey

Pickett

2018

PPA

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Optimizing wellness and health are the most critical goals for patients post solid-organ transplantation. Low health literacy has important implications for wellness and health, increasing patient risk for negative health outcomes. More than 30% of the general US patient population has low health literacy, and solid-organ transplant recipients (SOTRs) may be especially vulnerable to low health literacy and its adverse impact on health outcomes. A comprehensive literature review was conducted and a model was adapted to better depict factors associated with low health literacy. Based on the Paasche-Orlow and Wolf model of health literacy, the Health Literacy Model in Transplantation (HeaL-T) provides a foundation to visually demonstrate the relationships among variables associated with low health literacy and to develop evidence-based strategies to improve care. The model depicts a number of patient and healthcare level factors associated with health literacy, several of which have bi-directional or reciprocal relationships, including access and utilization of healthcare, provider-patient interaction, and self-management/adherence. The impact of these factors and their relationships to SOTR outcomes are reviewed. The HeaL-T represents an important step in developing holistic understanding of the complexity of health literacy in SOTRs and offers clinicians a base from which to design strategies to mitigate adverse health effects including increased hospitalizations, graft failure, and mortality.

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“…Health literacy (HL) refers to the cognitive and social skills which determine the ability of individuals to gain access to, understand, remember and use information in ways which promote and maintain good health [18]. HL has been linked to numerous health indicators and outcomes [19] and is a potential key component of health perceptions and practices [20][21][22]. In diabetes, HL has been mainly assessed through functional tests of reading ability, understanding, and/or numeracy and has been linked to numerous outcomes [23].…”

Section: Introductionmentioning

confidence: 99%

Health literacy in context: struggling to self-manage diabetes. A longitudinal qualitative study

Debussche

Balcou-Debussche²,

Ballet³

et al. 2020

Preprint

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ObjectiveConsidering health literacy is a key element for health service responsiveness to self-management needs in diabetes. This qualitative study aimed to provide a detailed analysis of the health literacy of people with type 2 diabetes in relation to their daily self-care practices.MethodsInterviews (n=86) were conducted as part of the qualitative study ERMIES-ethnosocio, at the beginning and at the end of a structured educational care. The interviews focused on food practices, exercise, treatment, relationship to health information and professionals.ResultsThree poles structured into eight themes characterized practices in context: health knowledge, disease management, expertise and social support. The relationships of participants in each of the eight themes were differentiated, ranging from functional to interactive and critical. Treatment and follow-up were essentially functional, while diet and exercise remained more interactive. Social support and relationship to health professionals were important determinants of disease management. Conclusion and Practice implicationsTreatment management and disease monitoring remain primarily the job of health professionals, as opposed to diet, physical activity and social support being part of ordinary practice. Decision-making, as a shared social task, as well as resources for participation in health services, should be considered for relevant interventions in type 2 diabetes.

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The association of health literacy with illness perceptions, medication beliefs, and medication adherence among individuals with type 2 diabetes

Cited by 55 publications

References 32 publications

Lack of Treatment Persistence and Treatment Nonadherence as Barriers to Glycaemic Control in Patients with Type 2 Diabetes

Lack of Treatment Persistence and Treatment Nonadherence as Barriers to Glycaemic Control in Patients with Type 2 Diabetes

Health literacy in solid-organ transplantation: a model to improve understanding

Health literacy in context: struggling to self-manage diabetes. A longitudinal qualitative study

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