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Cited by 122Diabetes Management and EducationMedication Adherence and ComplianceBehavioral Health and Interventions

The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.

How Are Adherent People More Likely to Think? A Meta-Analysis of Health Beliefs and Diabetes Self-Care

Gherman, Amfiana, Schnur, Julie, Montgomery, Guy, Sassu, Raluca, Veresiu, Ioan, David, Daniel·2011·The Diabetes Educator
DOI 10.1177/0145721711403012
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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.

Overview

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Crossref · 10.1177/0145721711403012

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69 of 69 references verified0 citation errors · 0 not checkable

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Citations

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Research works printed but not linked: 3

  1. Borenstein M, 2005, Comprehensive Meta-analysis Version 2
  2. Barnes L, 2004, N Z Med J, 117, 1
  3. Daniel M, 2002, Chronic Dis Can, 23, 130

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Metadata

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)
ORCID
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
DOI
10.1177/0145721711403012
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
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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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