How are adherent people more likely to think? A meta-analysis of health beliefs and diabetes self-care
Abstract
Purpose Diabetes is increasingly prevalent, and nonadherence with diabetes treatment regimens is associated with physical and social costs. Psychological predictors of adherence have been investigated in the literature, including cognitive factors. The present meta-analysis was conducted to investigate the association between beliefs related to diabetes and adherence to diabetes regimens. Methods Studies that measured both (a) beliefs, perceptions, or cognitions about diabetes and (b) the relationship between such cognitive factors and blood glucose levels or other adherence behaviors were included. This research focused on adults with any type of diabetes, reaching a final sample of 48 studies. The effect size r was calculated for all types of beliefs and outcomes. Results The types of beliefs most strongly associated with adherence were self-efficacy, perceiving a positive relationship with physician, and beliefs about the personal consequences of adherence. A few limitations of this meta-analysis are that studies were only retrieved through databases and other sources were not searched, only articles in English were included, and only adult participants were included. Conclusions People who are more adherent have a higher level of confidence in their ability to follow medical recommendations, expect more meaningful positive consequences for adherence, and perceive a more positive relationship with their health care provider. Educators and clinicians could use cognitive restructuring techniques to facilitate these types of beliefs and perceptions in people with diabetes.
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Suboptimal self-management can result from functional limitations, insufficient diabetes education, forgetting and disrupted routines, or psychosocial barriers such as inadequate social support, misinformation, emotional distress, or poor problem-solving and coping skills.
“Suboptimal self-management may be due to functional limitations (e.g., blindness, problems with dexterity, low health literacy and numeracy), lack of appropriate diabetes education, forgetting and disruption in routines,”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [28]
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- Authors
- Gherman, A., Schnur, J., Montgomery, G., Sassu, R., Veresiu, I., & David, D.
- Affiliations
- Babeș-Bolyai University (RO)
- Icahn School of Medicine at Mount Sinai (US)
- Lucian Blaga University of Sibiu (RO)
- Venue
- The Diabetes Educator
- Publisher
- SAGE Publications
- Published
- 2011-04-08
- Volume
- 37
- Issue
- 3
- Pages
- 392-408
- ISSN
- 0145-7217 (ISSN-L)
- 1554-6063
- OpenAlex
- W2030350989
- Cited by
- 122
- References
- 68
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 9 · 2021: 7 · 2020: 14 · 2019: 10 · 2018: 9 · 2017: 9 · 2016: 11 · 2015: 10 · 2014: 11 · 2013: 12 · 2012: 7
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Science of Diabetes Self-Management and Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- health beliefs, self-efficacy, physician-patient relationship, cognitive restructuring, glycemic control, diabetes self-management
- MeSH terms
- Adult, Cognition, Diabetes Mellitus, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Patient Compliance, Self Care, Blood Glucose Self-Monitoring, Self Efficacy
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