| How Are Adherent People More Likely to Think? A Meta-Analysis of Health Beliefs and Diabetes Self-Care. | |
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MedLine Citation:
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PMID: 21478378 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: Diabetes is increasingly prevalent, and nonadherence with diabetes treatment regimens is associated with physical and social costs. Psychological predictors of adherence have been investigated in the literature, including cognitive factors. The present meta-analysis was conducted to investigate the association between beliefs related to diabetes and adherence to diabetes regimens. METHODS: Studies that measured both (a) beliefs, perceptions, or cognitions about diabetes and (b) the relationship between such cognitive factors and blood glucose levels or other adherence behaviors were included. This research focused on adults with any type of diabetes, reaching a final sample of 48 studies. The effect size r was calculated for all types of beliefs and outcomes. RESULTS: The types of beliefs most strongly associated with adherence were self-efficacy, perceiving a positive relationship with physician, and beliefs about the personal consequences of adherence. A few limitations of this metaanalysis are that studies were only retrieved through databases and other sources were not searched, only articles in English were included, and only adult participants were included. CONCLUSIONS: People who are more adherent have a higher level of confidence in their ability to follow medical recommendations, expect more meaningful positive consequences form adherence, and perceive a more positive relationship with their health care provider. Educators and clinicians could use cognitive restructuring techniques to facilitate these types of beliefs and perceptions in people with diabetes. |
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Authors:
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Amfiana Gherman; Julie Schnur; Guy Montgomery; Raluca Sassu; Ioan Veresiu; Daniel David |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-4-8 |
Journal Detail:
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Title: The Diabetes educator Volume: - ISSN: 1554-6063 ISO Abbreviation: - Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-4-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7701401 Medline TA: Diabetes Educ Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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