Lyndsay A. Nelson|Kenneth A. Wallston|Lyndsay A. Nelson|Lauren M. LeStourgeon|Sarah E. Williamson|Lindsay S. Mayberry
Assessing barriers to diabetes medication adherence using the Information-Motivation-Behavioral skills model
Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center
h2abstracth2h3aimsh3 medication nonadherence prevalent costly problem among patients type 2 diabetes applications theory inform improve adherence promotion interventions used new assessment based informationmotivationbehavioral skills imb model adherence assess patientreported barriers test theoretical model h3methodsh3 participants n 237 completed card sorting task identify barriers adherence survey hemoglobin a1c hba1c test identified commonly reported adherence barriers examined associations patient characteristics barriers mapped onto imb constructs used structural equation modeling test imb model determine barriers reported measure predict patients selfreported diabetes medication adherence turn hba1c levels h3resultsh3 frequently reported barriers forgetting doses thinking brand name medicine works better generic medicine seeing immediate benefit feeling burned taking diabetes medicine younger age lower health literacy associated higher barrier scores imb model constructs information social motivation barriers affected adherence via behavioral skills barriers indirect effects 019 ci 033 009 024 ci 037 014 respectively imb barrier constructs explained 44 variance diabetes medication adherence turn significantly associated explained 8 variance hba1c ipi 001 h3conclusionsh3 results suggest assessment task identify patientspecific barriers diabetes medication adherence interventions targeting patientspecific barriers using assessment could improve adherence hba1c