ArticlePatient preference and adherence2023
The Mediating Effect of Self-Efficacy on the Relationship Between Medication Literacy and Medication Adherence Among Patients with Type 2 Diabetes.
Article in Patient preference and adherence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 23 citations in OpenAlex.
- The role of self-efficacy and medication adherence in linking personality traits to health-related quality of life in middle-aged and older patients with chronic diseases.BMC psychology · 2026Article
- A concept analysis of patient participation in medication safety among older adults with stroke in China: a hybrid model.BMC geriatrics · 2026Article
- Development and psychometric validation of a medication literacy scale for glucose-lowering therapy in Chinese adults with type 2 diabetes mellitus.BMC public health · 2026Article
- Family Function and Medication Safety Behaviors in Older Adults with Cancer: A Serial Mediation Analysis.Patient preference and adherence · 2026Article
- A Network Analysis of Medication Literacy and Associated Psychological Factors in Patients with Coronary Heart Disease and Diabetes.Patient preference and adherence · 2026Article
- Barriers to, and enablers of, medication taking among Chinese adults living with type 2 diabetes mellitus in Australia: a qualitative study.International journal of clinical pharmacy · 2025Article
- Medication literacy and treatment adherence in people living with human immunodeficiency virus: Mediating effects of psychosocial factors.World journal of psychiatry · 2025Review
- Level of Healthcare Facility and Psychosocial Factors Influence Perceived Self-Efficacy for Appropriate Use of Hydroxyurea: Experience from Caregivers of Children with Sickle Cell Disease in Tanzania.Healthcare (Basel, Switzerland) · 2025Article
- Adherence to treatment among patients with type 2 diabetes: short communication.Journal of diabetes and metabolic disorders · 2025Article
- Investigating the relationship between social stigma and treatment adherence in type 2 diabetes patients at healthcare centers in Northwest Iran.BMC public health · 2025Article
- Assessing Medication Literacy and Its Determinants in Chinese Patients with Multimorbidity.Patient preference and adherence · 2025Article
- A Mediation Model of Medication Literacy and Adherence in Type 2 Diabetes During Hospital-Home Transition.Patient preference and adherence · 2025Article
- Health Literacy and Medication Adherence Among Patients with Type 2 Diabetes in Jordan: A Cross-Sectional Study.Patient preference and adherence · 2024Article
- Development and Testing of a Multi-Component Intervention to Improve Medication Literacy in Glaucoma Patients.Patient preference and adherence · 2024Article
- The Role of Self-Efficacy Enhancement in Improving Self-Management Behavior for Type 2 Diabetes Mellitus Patients.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024Article
- The Mediating Effect of Self-Efficacy on the Relationship Between Medication Literacy and Medication Adherence Among Patients with Type 2 Diabetes [Letter].Patient preference and adherence · 2023Article
- Relationship Between Medication Literacy and Beliefs Among Persons with Type 2 Diabetes Mellitus in Guangdong, China.Patient preference and adherence · 2023Article
- Shared Decision Making and Its Association with Antiviral Therapy Adherence in Patients with Chronic Hepatitis B: Single-Center Cross-Sectional Analysis.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Patients with type 2 diabetes have poor medication adherence. Medication literacy is one of the influencing factors of medication adherence among patients with type 2 diabetes. However, the mechanism by which medication literacy affects medication adherence among patients with type 2 diabetes is unclear. The aim of this study was to verify the mediating role of self-efficacy in the relationship between medication literacy and medication adherence. Methods: A total of 402 patients with type 2 diabetes were enrolled in this study. The Chinese versions of the Medication Literacy Scale, the Self-Efficacy for Appropriate Medication Use Scale and the Morisky Medication Adherence Scale-8 were used in the survey. Pearson correlation analysis was used to find correlations among medication literacy, self-efficacy and medication adherence. The PROCESS macro (Version 4.1) with Model 4 for SPSS was used to verify the mediating role of self-efficacy. Results: Twenty-four percent of the participants had poor medication adherence. Self-efficacy and medication literacy (r=0.499, p < 0.01) and medication adherence (r=0.499, p < 0.01) were significantly and positively correlated. Self-efficacy partially mediated the relationship between medication knowledge and medication adherence among patients with type 2 diabetes, accounting for 36.7% of the total effect. Conclusion: Self-efficacy had a partial mediating effect on the relationship between medication literacy and medication adherence among patients with type 2 diabetes. Self-efficacy should be improved through effective measures to increase patients' confidence in adherence to antihyperglycemic drugs.
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