Beliefs related to adherence to oral antidiabetic treatment according to the Theory of Planned Behavior

Author(s)

Jannuzzi, Fernanda Freire ; Matheus Rodrigues, Roberta Cunha ; Cornelio, Marilia Estevam ; Sao-Joao, Thais Moreira ; Bueno Jayme Gallani, Maria Cecilia

• Document type: Journal article
• Source: REVISTA LATINO-AMERICANA DE ENFERMAGEM; v. 22, n. 4, p. 9-pg., 2014-07-01.

Abstract

Objective: to identify salient behavioral, normative, control and self-efficacy beliefs related to the behavior of adherence to oral antidiabetic agents, using the Theory of Planned Behavior. Method: cross-sectional, exploratory study with 17 diabetic patients in chronic use of oral antidiabetic medication and in outpatient follow-up. Individual interviews were recorded, transcribed and content-analyzed using pre-established categories. Results: behavioral beliefs concerning advantages and disadvantages of adhering to medication emerged, such as the possibility of avoiding complications from diabetes, preventing or delaying the use of insulin, and a perception of side effects. The children of patients and physicians are seen as important social references who influence medication adherence. The factors that facilitate adherence include access to free-of-cost medication and taking medications associated with temporal markers. On the other hand, a complex therapeutic regimen was considered a factor that hinders adherence. Understanding how to use medication and forgetfulness impact the perception of patients regarding their ability to adhere to oral antidiabetic agents. Conclusion: medication adherence is a complex behavior permeated by behavioral, normative, control and self-efficacy beliefs that should be taken into account when assessing determinants of behavior. (AU)

• FAPESP's process: 12/05224-1 - Beliefs and psychosocial determinants of adherence to oral antidiabetic agents
• Grantee: Fernanda Freire Jannuzzi
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 10/10006-8 - The rehabilitation process and its interfaces with individual quality of life and culture - phase II
• Grantee: Lidia Aparecida Rossi
• Support Opportunities: Research Projects - Thematic Grants