Psychological predictors of treatment adherence among patients with diabetes (types I and II): Modified information–motivation–behavioural skills model.

Non‐adherence to medical regimens among patients with diabetes is a well‐recognized concern in health care. Modified information, motivation, behavioural skills (IMB) model by adding an emotion component to it was tested to explore predictors of treatment adherence among 1,125 Iranian patients with...

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Publicado en:Clinical Psychology & Psychotherapy Vol. 29; no. 6; pp. 1854 - 1867
Autores principales: Akbari, Mehdi, Seydavi, Mohammad, Rowhani, Nayyereh S., Nouri, Naemeh
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2022
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/cpp.2746
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        atl: Psychological predictors of treatment adherence among patients with diabetes (types I and II): Modified information–motivation–behavioural skills model.
      aug:
        au:
          Akbari, Mehdi
          Seydavi, Mohammad
          Rowhani, Nayyereh S.
          Nouri, Naemeh
        affil: Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran
      sug:
        subj:
          Medication Compliance Evaluation
          Diabetic Patients Psychosocial Factors
          Diabetes Mellitus Drug Therapy
          Attitude to Medical Treatment Evaluation
          Psychological Tests
          Human
          Diabetes Mellitus, Type 1
          Diabetes Mellitus, Type 2
          Descriptive Statistics
          Male
          Female
          Physician-Patient Relations
          Support, Psychosocial
          Attitude to Illness
          Male
          Female
      ab: Non‐adherence to medical regimens among patients with diabetes is a well‐recognized concern in health care. Modified information, motivation, behavioural skills (IMB) model by adding an emotion component to it was tested to explore predictors of treatment adherence among 1,125 Iranian patients with diabetes type I (T1D) and type II (T2D) and due to other medical conditions. The modified IMB model explained 35% of the treatment adherence with large effect‐sizes f2 = 0.56 to 0.69. Self‐compassion and interpersonal communication between staff and patients (ICSP) were significant predictors of treatment adherence among patients with T1D, T2D and diabetes due to other medical conditions, while both outperformed the other significant predictors of treatment adherence, i.e., illness perception and social support in all groups. Distress intolerance was a significant predictor of treatment adherence only in patients with T2D. In addition, patients, based on their type of diabetes, exhibited different patterns of illness perception in predicting treatment adherence. Among T2D patients and those with diabetes due to other medical conditions, gender (male; only in T2D) and being single were significant predictors of treatment adherence, while age and diabetes duration were not. Finally, the model demonstrated that above and beyond demographic features, self‐compassion, interpersonal communication between patients and health care staff, distress intolerance, perceived social support and illness perception were significant predictors of treatment adherence among patients with diabetes.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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