The Influence of Family/Social Support on Adherence to Diabetic Therapy

Affusim, Christopher; Francis, Erah

doi:10.31695/ijasre.2018.32712

Cited by 6 publications

(12 citation statements)

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Section: Discussioncontrasting

confidence: 87%

“…Other studies have also presented differing views in contrast to what was found in this present study [38,46,47]. These studies reported prevalence of perceived high social support to be 43.3% [38], 48.8% [46] and 43.8% [47] respectively. The reasons for these differences could have been as a result of a number of factors including the consideration of younger age groups in these studies as against this present study that focused on the elderly.…”

Section: Discussioncontrasting

confidence: 87%

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Family Social Support Perceptions and Medication Adherence among Elderly Diabetics in a Tertiary Health Institution in Lagos, Nigeria

Angela¹,

Mirian²,

Nneamaka³

2022

CRDOJ

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Background: The perception of family support is pivotal in improving the health and wellbeing of elderly individuals through adherence to medication especially among diabetics. This study investigated the relationship between perceptions of family social and medication adherence among elderly diabetic patients attending the outpatient clinics of the Lagos University Teaching Hospital (LUTH). Methodology: This was a cross sectional, hospital-based study carried out among 199 randomly selected elderly diabetic patients receiving care in LUTH. Data including sociodemographic information, medication use, and procurement were obtained using an interviewer-administered semi-structured questionnaire. Perceived family social support was assessed and scored using the Perceived Social Support from Family Scale (PSS-Fa) and categorized as ‘strong’ (scores ≥ 11), ‘weak’ (scores 7-10) and ‘none’(scores≤6) while medication adherence was measured using the Morisky medication adherence scale (MMS-8). Medication adherence was rated high (score = 8), medium (scores= 6–7) and low (scores≤5). Association between perceived support and medication adherence was investigated by Chi-square test. Level of significance was p-value<0.05. Results: The mean age of the participants was 68.6 ± 6.7 years. The proportion of the participants who had strong, weak and no perceived family support were 92.5%, 3.5% and 4.0% respectively. Over two-thirds of participants (72.9%) reported family as responsible for providing funds to procure their medications while almost a quarter (23.6%) bought their medications by themselves. Only 2 (1.0%) participants relied on medical insurance to procure their medications. Almost half (49.7%) of them had high levels of medication adherence. Significant association existed between perceived family social support and medication adherence (ꭓ2 = 7.626; p-value = 0.027). Conclusion: Most participants had strong perceived family social support which was significantly associated with medication adherence. We recommend the routine assessment of family social support when dealing with geriatric patients as can improve medication adherence and ultimately better outcome of care

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Section: Discussioncontrasting

confidence: 87%

Section: Discussioncontrasting

confidence: 87%

Family Social Support Perceptions and Medication Adherence among Elderly Diabetics in a Tertiary Health Institution in Lagos, Nigeria

Angela¹,

Mirian²,

Nneamaka³

2022

CRDOJ

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“…Although there are conflicting pieces of evidence regarding the role of family on medication adherence (23 –25), this study highlighted the strategic role of the family in enhancing medication adherence and identified what constituted family/spousal support in Nigeria. Family members being conscious of the patients’ illness, spouses/or children serving as reminders to take ADMs, providing money for ADMs, meal preparation, and emotional support were the prominent spousal support peculiar to these patients.…”

Section: Discussionmentioning

confidence: 97%

Medication Adherence in Type 2 Diabetes Mellitus: A Qualitative Exploration of Barriers and Facilitators From Socioecological Perspectives

Onwuchuluba

Oyetunde

Soremekun

2021

Journal of Patient Experience

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Adherence to antidiabetic medications (ADMs) remains a serious challenge among type 2 diabetes mellitus (T2DM) patients. Factors affecting medication adherence are not fully understood in Nigeria. This qualitative study explored patients’ views on barriers and facilitators of medication adherence. Data collection was through face-to-face, semistructured, in-depth interviews conducted on 25 purposively sampled patients attending a public tertiary hospital. The interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis based on socioecological framework. NVIVO version 10 identified more codes. Most commonly identified barriers were organizational (clinic structure), personal (perception of T2DM as a dangerous illness), interpersonal (lack of spousal support), and community (concerns about taking ADMs in social gatherings). It was observed that female patients received more spousal support than the males. The facilitators of adherence include perceiving medication-taking a routine, the need to live longer, having savings for ADMs, purchasing medications to last until the next clinic visit. This study identified barriers and facilitators unique to Nigerian T2DM patients. Interventions anchored on these factors would improve medication adherence.

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“…This can help patients gain greater awareness regarding managing their own disease, including undergoing routine treatment. 33 Multivariate test results showed that complications of type 2 DM were the most significant confounding variables influencing the risk of decreased self-care activities for type 2 diabetes mellitus patients. This was in line with existing studies that used multiple logistic regression design, wherein complications were statistically the most influential factors on self-care activities.…”

Section: Discussionmentioning

confidence: 98%

“…This can help patients gain greater awareness regarding managing their own disease, including undergoing routine treatment. 33 …”

Section: Discussionmentioning

confidence: 99%

Social Support as a Mediator between Depressive Symptoms and Self-Care Activities in Adults Patient with Type 2 Diabetes Mellitus

Enggarwati

Dahlia

Maria

2022

Journal of Public Health Research

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Background: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role of social support in the relationship between depressive symptoms and self-care activities has not been studied. This study aims to determine the mediating effects of social support on the relationship between depressive symptoms and self-care activities of people with type 2 DM.Design and methods: A cross-sectional consecutive sampling approach was used with 94 respondents with type 2 diabetes in East Jakarta, Indonesia, who were undergoing diabetes treatments during May–June 2020. The instruments used were the Centre for Epidemiologic Studies-Depression Scale (CES-D), Summary of Diabetes Self Care Activities (SDSCA), and Duke-UNC Functional Social Support Questionnaire (DUFSSQ). All three questionnaires have been tested for validity and reliability. Data analysis was carried out using multiple linear regression, path analysis, and the Sobel test.Results: The results of multiple linear regression analysis on the variables age, sex, education level, socioeconomic status, duration of type 2 DM, and complications of type 2 DM showed that only complications of type 2 diabetes affected self-care activities (p = 0,000; R2 = 0.515). The results of the path analysis and Sobel test showed that social support significantly mediated the effects of the relationship between depressive symptoms and self-care activities (z = -0,162 > table 1.96; direct effect = -0,499; indirect effect = -0,0789; total effect = 40, 3%).Conclusions: Screening for depressive symptoms and interventions involving social support are strongly suggested for patients with type 2 DM who are suspected of showing a decline in self-care activities.

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The Influence of Family/Social Support on Adherence to Diabetic Therapy

Cited by 6 publications

References 0 publications

Family Social Support Perceptions and Medication Adherence among Elderly Diabetics in a Tertiary Health Institution in Lagos, Nigeria

Family Social Support Perceptions and Medication Adherence among Elderly Diabetics in a Tertiary Health Institution in Lagos, Nigeria

Medication Adherence in Type 2 Diabetes Mellitus: A Qualitative Exploration of Barriers and Facilitators From Socioecological Perspectives

Social Support as a Mediator between Depressive Symptoms and Self-Care Activities in Adults Patient with Type 2 Diabetes Mellitus

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