ArticlePatient preference and adherence2011
Obedience and motivation as mechanisms for adherence to medication: a study in obese type 2 diabetic patients.
Article in Patient preference and adherence, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Achieving HbA1c targets in clinical trials and in the real world: a systematic review and meta-analysis.Journal of endocrinological investigation · 2014Pooled it
- Predicting and understanding non-adherence in chronic disease: cross-cohort validation and structural equation modeling of the SPUR 6/24 tool.Scientific reports · 2025Article
- Phenylketonuria as an Adherence Disease.Patient preference and adherence · 2025Review
- How is Patient Adherence Possible? A Novel Mechanistic Model of Adherence Based on Humanities.Patient preference and adherence · 2023Review
- An Unsafe/Safe Typology in People with Type 2 Diabetes: Bridging Patients' Expectations, Personality Traits, Medication Adherence, and Clinical Outcomes.Patient preference and adherence · 2022Article
- Factors Influencing Treatment Adherence Among Drug-Sensitive Tuberculosis (DS-TB) Patients in Armenia: A Qualitative Study.Patient preference and adherence · 2022Article
- Intentionality in adherence to long-term therapies. Results from an online survey of 3,001 patients with cardio-metabolic pathologiesPatient preference and adherence · 2021Article
- The Effect of Early Response to GLP-1 RA Therapy on Long-Term Adherence and Persistence Among Type 2 Diabetes Patients in the United States.Journal of managed care & specialty pharmacy · 2019Article
- Implication Of Character Traits In Adherence To Treatment In People With Gout: A Reason For Considering Nonadherence As A Syndrome.Patient preference and adherence · 2019Article
- Disruption in time projection and non-adherence to long-term therapies.Patient preference and adherence · 2018Article
- Patient autonomy in chronic care: solving a paradox.Patient preference and adherence · 2013Review
- Determinants and consequences of insulin initiation for type 2 diabetes in France: analysis of the National Health and Wellness Survey.Patient preference and adherence · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo clarify the mechanisms of adherence.
methodsA cross-sectional, multicenter French study using a self-questionnaire administered by 116 general practitioners to 782 obese type 2 diabetic patients.
resultsThe analysis of 670 completed questionnaires revealed a strong association between the adherence to medication and the behavior of fastening the seatbelt when seated in the rear of a car. Multivariate analysis indicated that this behavior was an independent determinant of adherence to medication (odds ratio [OR] 2.3, 95% confidence interval [CI] 1.4-3.6, P < 0.001) with the same OR as the motivation to adhere to medical prescriptions (OR 2.2, 95% CI 1.3-3.6, P = 0.003) in a model with good accuracy (area under the receiver operating characteristic curve 0.774). A multiple correspondence analysis suggested that adherence to medication and seatbelt behavior are "homologous" behaviors, with homology between phenomena defined by the fact that they share a common etiology.
conclusionADHERENCE MAY HAVE TWO DIMENSIONS: passive (obedience, the main determinant of seatbelt behavior) and active (motivation). This conclusion has theoretical and practical implications. Firstly, empowerment through patient education can be defined as a process that replaces the passive mechanism of adherence in patients' minds with an active, conscious choice. Secondly, recognizing these two dimensions may help to establish a tailored patient-physician relationship to prevent nonadherence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.