Differences, predictors, and moderators of therapeutic adherence in patients recently diagnosed with type 2 diabetes

• Published in: Journal of health psychology Vol. 25; no. 12; pp. 1871 - 1881
• Main Authors: Pereira, M. Graça, Pedras, Carla Susana Abreu, Ferreira, Gabriela, Machado, José Cunha
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications Ltd 01.10.2020; SAGE Publications; SAGE PUBLICATIONS, INC
• Subjects: Adherence; Ciências Sociais; Diabetes; Diabetes Mellitus, Type 2 - drug therapy; Drugs; Health Knowledge, Attitudes, Practice; Humans; Longitudinal studies; Longitudinal study; Medication Adherence; Moderators; Newly diagnosed; Physicians; Portugal; Psicologia; Psychological distress; Self care; Social Sciences; Treatment Adherence and Compliance; Type 2 diabetes; Type 2 diabetes mellitus; longitudinal study; type 2 diabetes; self-care behaviors; Portugal; adherence
• ISSN: 1359-1053; 1461-7277
• DOI: 10.1177/1359105318780505

This study analyzed the differences over time in newly diagnosed type 2 diabetes patients on reported adherence. A longitudinal design with two assessment moments was used with 268 patients who were assessed on adherence to self-care behaviors and medication, beliefs about medicines, psychological distress, trust in the physician, and satisfaction with care. HbA1c and general beliefs about medicines decreased from T1 to T2 while adherence to foot care, the needs of medicines, and psychological distress increased. Beliefs about medicines, satisfaction with communication/information, and trust in physician predicted adherence. Intervention should consider these variables when promoting adherence. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work is part of a research project PTDC/SAU-ESA/67581/2006 supported by the Foundation for Science and Technology of Portugal (FCT).