Community Efficacy for Non-Communicable Disease Management and Medication Adherence: The Sequential Mediating Role of Self-Efficacy and Depressive Symptoms.
Patient Prefer Adherence
; 17: 3421-3433, 2023.
Article
in En
| MEDLINE
| ID: mdl-38111691
ABSTRACT
Purpose:
We assess whether the sequential mediating effects of self-efficacy and depressive symptoms on the relationship between community efficacy for non-communicable disease management (COEN) and medication adherence and whether these relationships differed by sex and age. Patients andMethods:
Overall, 662 individuals from 12 communities in China were interviewed twice 1 year apart. Serial mediation analysis examined whether the relationship between COEN and medication adherence was mediated by self-efficacy and depressive symptoms. Model invariance across sex and age groups was assessed using multi-group analysis.Results:
Serial mediation analysis indicated that self-efficacy and depressive symptoms sequentially mediated relationship between COEN and medication adherence. Multi-group analysis by sex showed that the path from self-efficacy to medication adherence was significant only for females and from depressive symptoms to medication adherence was significant only for males.Conclusion:
Interventions that enhance individual self-efficacy may be beneficial in decreasing depressive symptoms and improving medication adherence.
Full text:
1
Database:
MEDLINE
Language:
En
Journal:
Patient Prefer Adherence
Year:
2023
Type:
Article