Publication :
Patients’ beliefs about adherence to oral antidiabetic treatment : a qualitative study

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Date
2015-03-10
Direction de publication
Direction de recherche
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ISSN de la revue
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Éditeur
Dovepress
Projets de recherche
Structures organisationnelles
Numéro de revue
Résumé
Purpose: The purpose of this study was to elicit patients' beliefs about taking their oral antidiabetic drugs (OADs) as prescribed to inform the development of sound adherence-enhancing interventions. Methods: A qualitative study was performed. Adults with type 2 diabetes who had been taking an OAD for >3 months were solicited to participate in one of six focus groups. Discussions were facilitated using a structured guide designed to gather beliefs related to important constructs of the theory of planned behavior. Four coders using this theory as the theoretical framework analyzed the videotaped discussions. Results: Forty-five adults participated. The most frequently mentioned advantages for OAD-taking as prescribed were to avoid long-term complications and to control glycemia. Family members were perceived as positively influential. Carrying the OAD at all times, having the OAD in sight, and having a routine were important facilitating factors. Being away from home, not accepting the disease, and not having confidence in the physician's prescription were major barriers to OAD-taking. Conclusion: This study elicited several beliefs regarding OAD-taking behavior. Awareness of these beliefs may help clinicians adjust their interventions in view of their patients' beliefs. Moreover, this knowledge is crucial to the planning, development, and evaluation of interventions that aim to improve medication adherence.
Description
Revue
Patient preference and adherence, Vol. 9, 413-420 (2015)
DOI
10.2147/PPA.S78628
URL vers la version publiée
Mots-clés
Type 2 diabetes , Medication adherence , Theory of planned behavior , Focus groups
Citation
Type de document
article de recherche