Medication Adherence Changes in Blacks with Diabetes: A Mixed Methods Study.
Am J Health Behav
; 44(2): 257-270, 2020 03 01.
Article
in En
| MEDLINE
| ID: mdl-32019658
ABSTRACT
Objectives:
In this study, we conducted a longitudinal evaluation of changes in medication adherence and the role of psychosocial and interpersonal factors in these changes among Blacks with type 2 diabetes mellitus (T2DM), and determined barriers and facilitators of T2DM medication adherence.Methods:
We used an explanatory sequential mixed methods design for a sample of 287 black adult patients with T2DM in Wisconsin. Two surveys quantitatively evaluated changes in medication adherence, psychosocial factors, and interpersonal factors over time. We conducted 10 semi-structured qualitative interviews to explore participants' perceptions of these changes. Data integration of the quantitative and qualitative findings elucidated barriers and facilitators of medication adherence.Results:
Increased adherence was significantly correlated with less concerns about medicines (r = -0.31), higher self-efficacy (r = 0.47), lesser depressive symptoms (r = -0.26), and lesser negative illness perceptions (r = -0.26) at both baseline and follow-up. Patient perceptions of adherence changes included adherence motivators, social support, and complex medication regimens. Integration showed that barriers and facilitators both existed in individuals who had an increase or a decrease in adherence over time.Conclusions:
Specific beliefs of Blacks towards T2DM medications must be addressed to improve their adherence. Interventions must be tailored using interpersonal factors.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Black or African American
/
Diabetes Mellitus, Type 2
/
Medication Adherence
Type of study:
Qualitative_research
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Am J Health Behav
Journal subject:
CIENCIAS DO COMPORTAMENTO
Year:
2020
Document type:
Article