Background: Adherence to clinical prescriptions is widely recognized as a protective factor against uncontrolled hypertension, and acute and chronic cardiovascular diseases development, including diabetes. Besides, positive correlations between self-efficacy and self-care behaviours are acknowledged in literature. The objective of the study is to observe the association between specific psychosocial and behavioural factors and self-efficacy related to treatment adherence in older patients with comorbid hypertension and type-2 diabetes mellitus. Methods: This observational, cross-sectional, and multicentre study involved the IRCCS Maugeri institute of Montescano (Italy) and the Department of Clinical Nursing of Medical University of Kroclaw (Poland). A total of 180 Italian and Polish older patients (>65) were recruited and responded to self-report standardized questionnaires measuring behavioural (pharmacological adherence, adherence to refill medicines, intentional non-adherence) and psychosocial factors (beliefs about medicines, perceived physician’s communication effectiveness, medication-specific social support, self-efficacy) related to treatment adherence. A multiple linear regression analysis was performed. Findings: The regression model showed a significant impact of age (β=-.08; p<.05), gender (β=1.03; p<.05), adherence to refill medications (β=-.07; p<.05), intentional non-adherence (β=-.03; p<.05), beliefs about medications (β=.13; p<.001), perceived physician’s communication skills (β=.09; p<.001), and perceived medication-specific social support (β=.06; p=.001) on self-efficacy related to treatment adherence. The model explained 47.1% of the variance and a significant regression equation was found (<.001). Discussion: In a secondary prevention framework, clinical research and practice should leverage psychosocial and behavioural factors to enhance self-efficacy contributing to foster adherence to clinical prescriptions, and consequently, to increase health-related quality of life of this chronic population.

Zanatta, F., Pierobon, A., Nissanova, E., Granata, N., Polanski, J., Giardini, A., et al. (2021). Psychosocial and behavioural Predictors of Self-Efficacy in Treatment Adherence among older hypertensive Patients with Diabetes. Intervento presentato a: 35th Annual Conference of the European Health Psychology Society, Online.

Psychosocial and behavioural Predictors of Self-Efficacy in Treatment Adherence among older hypertensive Patients with Diabetes

Zanatta Francesco
;
2021

Abstract

Background: Adherence to clinical prescriptions is widely recognized as a protective factor against uncontrolled hypertension, and acute and chronic cardiovascular diseases development, including diabetes. Besides, positive correlations between self-efficacy and self-care behaviours are acknowledged in literature. The objective of the study is to observe the association between specific psychosocial and behavioural factors and self-efficacy related to treatment adherence in older patients with comorbid hypertension and type-2 diabetes mellitus. Methods: This observational, cross-sectional, and multicentre study involved the IRCCS Maugeri institute of Montescano (Italy) and the Department of Clinical Nursing of Medical University of Kroclaw (Poland). A total of 180 Italian and Polish older patients (>65) were recruited and responded to self-report standardized questionnaires measuring behavioural (pharmacological adherence, adherence to refill medicines, intentional non-adherence) and psychosocial factors (beliefs about medicines, perceived physician’s communication effectiveness, medication-specific social support, self-efficacy) related to treatment adherence. A multiple linear regression analysis was performed. Findings: The regression model showed a significant impact of age (β=-.08; p<.05), gender (β=1.03; p<.05), adherence to refill medications (β=-.07; p<.05), intentional non-adherence (β=-.03; p<.05), beliefs about medications (β=.13; p<.001), perceived physician’s communication skills (β=.09; p<.001), and perceived medication-specific social support (β=.06; p=.001) on self-efficacy related to treatment adherence. The model explained 47.1% of the variance and a significant regression equation was found (<.001). Discussion: In a secondary prevention framework, clinical research and practice should leverage psychosocial and behavioural factors to enhance self-efficacy contributing to foster adherence to clinical prescriptions, and consequently, to increase health-related quality of life of this chronic population.
relazione (orale)
hypertension, diabetes, adherence, self-efficacy, chronicity, rehabilitation
English
35th Annual Conference of the European Health Psychology Society
2021
2021
49
none
Zanatta, F., Pierobon, A., Nissanova, E., Granata, N., Polanski, J., Giardini, A., et al. (2021). Psychosocial and behavioural Predictors of Self-Efficacy in Treatment Adherence among older hypertensive Patients with Diabetes. Intervento presentato a: 35th Annual Conference of the European Health Psychology Society, Online.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/420721
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