Patient versus general practitioner perception of problems with treatment adherence in type 2 diabetes: from adherence to concordance.

Détails

ID Serval
serval:BIB_8A57D9B50247
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Patient versus general practitioner perception of problems with treatment adherence in type 2 diabetes: from adherence to concordance.
Périodique
The European Journal of General Practice
Auteur(s)
Moreau Alain, Aroles Vincent, Souweine Gilbert, Flori Marie, Erpeldinger Sylvie, Figon Sophie, Imbert Patrick, Denis Angélique, Iwaz Jean, Riou Jean-Paul, Ploin Dominique
ISSN
1751-1402[electronic]
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
15
Numéro
3
Pages
147-153
Langue
anglais
Résumé
OBJECTIVES: To determine the prevalence of problems with treatment adherence among type-2 diabetic patients with regards to medication, dietary advice, and physical activity; to identify the associated clinical and psychosocial factors; and to investigate the degree of agreement between patient-perceived and GP-perceived adherence. METHODS: Consecutive patients were solicited during visits to 39 GPs. In total, 521 patients self-reported on treatment adherence, anxiety and depression, and disease perception. The GPs reported clinical and laboratory data and patients' adherence. A multivariate analysis identified the factors associated with adherence problems. RESULTS: Problems of adherence to medication, dietary advice, and physical activity recommendations were reported by 17%, 62%, and 47% of the patients, respectively. Six independent factors were found associated with adherence problems: young age, body-mass index (BMI) > 30 kg/m(2), glycosylated haemoglobin (HbA(1c)) > 8%, single life, depression, and perception of medication as a constraint. Agreement between patients' and GPs' assessments of treatment problems reached 70%. CONCLUSION: In type 2 diabetes, problems with dietary advice or physical activity are far more frequent than problems with medication, and not all physicians are fully aware of patients' problems. More active listening and shared decision-making should enhance adherence and improve outcomes.
Pubmed
Web of science
Création de la notice
30/12/2009 13:07
Dernière modification de la notice
03/03/2018 19:09
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