ArticleHeliyon2020
Determinants of medication adherence among Iranian patients with type 2 diabetes: An application of health action process approach.
Article in Heliyon, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- From Diagnosis to Behaviour Change: Applying the Health Action Process Approach to Smoking Cessation After Head and Neck Cancer.Behavioral sciences (Basel, Switzerland) · 2026Article
- Perceived Barriers as Key Behavioral Predictors of Medication Adherence in Older Adults with Diabetes in Northern Iran: Insights from the Health Action Process Approach.Patient preference and adherence · 2026Article
- Effect of depression and empowerment on medication adherence in patients with breast cancer: a descriptive survey.BMC nursing · 2025Article
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- Self-care behaviors, medication adherence status, and associated factors among elderly individuals with type 2 diabetes.Scientific reports · 2024Article
- Application of an Adapted Health Action Process Approach Model to Predict Engagement With a Digital Mental Health Website: Cross-Sectional Study.JMIR human factors · 2024Article
- A health promotion model-based intervention to enhance treatment adherence in patients with type 2 diabetes.BMC public health · 2024Article
- Development and validation of a healthy diet and physical activity tool based on health action process approach among patients undergone bariatric surgery.Journal of diabetes and metabolic disorders · 2024Article
- The mediating effect of self-efficacy on the relationship between social support and medication adherence in adults with type 2 diabetes.SAGE open medicine · 2024Article
- Impact of health literacy and illness perception on medication adherence among older adults with hypertension in Iran: a cross-sectional study.Frontiers in public health · 2024Article
- Influencing factors of health screening among retirees: an extended TPB approach.Frontiers in public health · 2024Article
- Effects of Educational Interventions on Dietary Adherence among Type 2 Diabetics in Zahedan: Using the Health Action Process Approach.Ethiopian journal of health sciences · 2023Article
- Medication Adherence and Its Associated Factors among Patients with Type 2 Diabetes Mellitus Attending Primary Health Centers of Eastern Province, Saudi Arabia.Medicina (Kaunas, Lithuania) · 2023Article
- Covariates of a healthy diet and physical activity self-management one year after Bariatric surgery: A cross-sectional study.PloS one · 2023Article
- An exploration of status of chronic diseases and its influencing factors of older people in Chinese home care and long-term care facilities: a cross-sectional study.Frontiers in public health · 2023Article
- Medications Non-adherence Reasoning Scale (MedNARS): Development and psychometric properties appraisal.Health promotion perspectives · 2023Article
- The relationship between glucose intolerance status and risk of hospitalization during two decades of follow-up: Tehran lipid and glucose study.Annals of medicine · 2022Article
- Population-based pattern of medication use and prevalence of polypharmacy among patients with cardiovascular diseases: results of the Pars cohort study from Iran.BMC cardiovascular disorders · 2022Article
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Authors and funding
5 authors.
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Abstract
To identify determinants of medication adherence among patients with type 2 diabetes based on the health action process approach. This cross-sectional study was conducted among 734 patients with type 2 diabetes attending to south Tehran health centers during June to December 2018. Data were gathered using the Morisky Medication Adherence Scale (MMAS-8-Item) and the health action process approach questionnaire. We used Mann-Whitney, Pearson Chi-Squared, Fisher's Exact and Independent Samples Tests for comparison of adherence medication by demographic characteristics; and linear regression analysis to predict factors related to medication adherence based on HAPA. P-value less than 0.05 considered statistically significant. A total of 232 men and 502 women participated in the study, Mean age was 61.61 ± 9.74. Most participants (82.3%) reported low medication adherence (females: 68.4%). Medication adherence was significantly associated with gender (p = 0.03). Medication adherence was significantly predicted by intention (β = 0.172, p = 0.0001), task self-efficacy (β = 0.172, p = 0.01), copping planning (β = 0.6, p = 0.0001) and copping self-efficacy (β = -0.244, p = 0.001). The level of adherence to medications among type 2 diabetes patients was low. The behavior intention, task self-efficacy, copping planning and copping self-efficacy were significant determinants contributed to the medication adherence. HAPA inventory includes various factors, especially types of self-efficacy. Thus, utilization of this comprehensive model in interventional studies is suggested. These determinants should be considered in developing interventional programs to improve adherence.
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