Yen?Ming Huang|Olayinka O. Shiyanbola|Paul D. Smith
Association of health literacy and medication self-efficacy with medication adherence and diabetes control
University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin Health|University of Wisconsin–Madison
exact pathway linking health literacy selfefficacy medication adherence glycemic control type 2 diabetes remains unclear understanding relationship patient factors medication adherence lower glycated hemoglobin hba1c may help patients better manage disease study examined association health literacy medication selfefficacy selfreported diabetes medication adherence association health literacy medication selfefficacy selfreported diabetes medication adherence hba1c patients type 2 diabetesthis crosssectional study utilized facetoface questionnaire two family medicine clinics midwestern state among 174 patients subjects enrolled least 20 years old diagnosed type 2 diabetes prescribed least one oral diabetes medicine understood english questionnaires administered assess participants health literacy using newest vital sign sixitem questionnaire nvs selfefficacy medication use using 13item selfefficacy appropriate medication use scale selfreport medication adherence using eightitem morisky medication adherence scale hba1c values obtained participants electronic medical records multiple linear regressions used explore association health literacy medication selfefficacy medication adherence hba1c level controlling covariatesselfreported health status 017 p 0015 medication selfefficacy 053 p 0001 positively associated diabetes medication adherence health literacy neither associated diabetes medication adherence 004 p 0586 hba1c 006 p 0542 lower diabetes medication adherence 026 p 0008 higher number prescribed medications 028 p 0009 correlated higher hba1chealth literacy measured nvs correlate medication adherence glycemic control among patients type 2 diabetes interventions improve patients selfefficacy medication use may improve diabetes medication adherence