https://scholars.lib.ntu.edu.tw/handle/123456789/575965
標題: | A path model linking health literacy, medication self-efficacy, medication adherence, and glycemic control | 作者: | YEN-MING HUANG Shiyanbola, Olayinka O Chan, Hsun-Yu |
關鍵字: | Diabetes; Document literacy; Health literacy; Medication adherence; Numeracy; Self-efficacy | 公開日期: | 十一月-2018 | 卷: | 101 | 期: | 11 | 起(迄)頁: | 1906 | 來源出版物: | Patient education and counseling | 摘要: | Objective: To investigate whether medication self-efficacy moderates or mediates the relationship between health literacy and medication adherence. To propose a path model that illustrates the interrelated relationship between health literacy, medication self-efficacy, medication adherence, and hemoglobin A1c (HbA1c). Methods: This cross-sectional study was performed via a face-to-face survey. Factors that may influence medication adherence and HbA1c were identified from the literature review. One hundred and seventy-four participants included were ≥20 years old with diagnosed type 2 diabetes, understood English, and were prescribed at least one oral diabetes medicine. During clinic visits, a questionnaire was administered to evaluate health literacy, medication self-efficacy, and medication adherence. HbA1c values were obtained from electronic medical records. Path analyses were conducted for data analysis. Results: Medication self-efficacy mediated but did not moderate the relationship between numeracy and diabetes medication adherence. Participants with higher numeracy skills may develop a greater level of medication self-efficacy, which in turn may result in a higher level of diabetes medication adherence and a lower level of HbA1c. Conclusion: Enhancing patients' medication self-efficacy and numeracy skills may be imperative in intervention programs to improve diabetes medication adherence. Practice implications: An improvement in numeracy skills and medication self-efficacy is recommended to enhance diabetes medication adherence. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/575965 | ISSN: | 07383991 | DOI: | 10.1016/j.pec.2018.06.010 |
顯示於: | 臨床藥學研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。