Evidence map›Paper›PMID 31037591›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2019

The role of religious coping and social support on medication adherence and quality of life among the elderly with type 2 diabetes.

Mohsen Saffari, Chung-Ying Lin, Hui Chen, Amir H Pakpour

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

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24citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. Position Statement on Hypertension and Spirituality - 2021.Arquivos brasileiros de cardiologia · 2021
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  19. Psychosocial Determinants of Treatment Adherence in Patients with Type 2 Diabetes - A Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
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5 · Who and what money

Authors and funding

4 authors.

Mohsen SaffariHealth Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Chung-Ying LinDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Hui ChenSchool of Life Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, Australia.
Amir H PakpourSocial Determinants of Health Research Center, Qazvin University of Medical Sciences, Shahid Bahonar Blvd, 3419759811, Qazvin, Iran. Pakpour_Amir@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeType 2 diabetes is a major public health issue particularly in the elderly. Religion may affect the Health Related Quality of Life (HRQoL) in such patients, mediated by factors such as religious coping and social support. This study aimed to investigate the impact of religiosity on medication adherence and HRQoL.

methods793 adults (> 65 years old, 45% females) were recruited from 4 diabetes care centers and followed for 1 year. Duke University Religion Index, Spiritual Coping Strategies, Multidimensional Perceived Social Support, Medication Adherence Report Scale, WHOQOL-BREF and Diabetes-specific Quality of Life Questionnaire Module were used for assessment, as well as HbA1c and fasting blood glucose level. Using structural equation modeling, the potential paths were tested between religiosity, medication adherence and HRQoL; social support, religious coping and medication adherence served as the mediators.

resultsReligious coping and social support were recognized as the significant mediators between religiosity and medication adherence (CFI = 0.983, TLI = 0.985, and RMSEA = 0.021). The relationships between religiosity and HRQoL were considerably mediated by social support, religious coping and medication adherence and these variables explained 12% and 33% of variances of generic and specific HRQoL, respectively. There was no significant direct effect of religiosity on HRQoL. HbA1c and fasting blood glucose level were successfully loaded on the latent construct of medication adherence (factor loading = 0.51 and 0.44, respectively).

conclusionsThe impact of religiosity on medication adherence and HRQoL occurs through the mediators such as religious coping and social support. Therefore, to improve the adherence to treatment and quality of life, interventions may be designed based on these mediators.

Indexed as

ReligionReligion and PsychologyAdaptation, PsychologicalAdultAgedBlood GlucoseDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansHypoglycemic AgentsIranLongitudinal StudiesMaleMedication AdherenceMiddle AgedBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMedication adherenceQuality of lifeReligious copingThe elderlyType 2 diabetes

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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.