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.
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