Motivational Factors in Adherence among Elderly with Diabetes and Hypertension

Rong Liu; Akehsan Dahlan; Nur Islami Mohd Fahmi Teng; Xingxin Zhan

doi:10.21834/e-bpj.v9i28.5835

Authors

Rong Liu Faculty of Health Sciences, Universiti Teknologi MARA, Campus of Selangor, 42300 Puncak Alam, Selangor, Malaysia
Akehsan Dahlan Centre Of Occupational Therapy, Faculty of Health Sciences, Universiti Teknologi MARA, Campus of Selangor, 42300 Puncak Alam
Nur Islami Mohd Fahmi Teng Centre For Dietetics Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Campus of Selangor, 42300 Puncak Alam, Selangor, Malaysia
Xingxin Zhan School of Public Health, Xinyu University,338000, Xinyu City, Jiangxi Province, China

DOI:

https://doi.org/10.21834/e-bpj.v9i28.5835

Keywords:

Motivations, Health Management, Hypertension, Diabetes

Abstract

This qualitative study aims to explore the motivational factors in adherence among the elderly with diabetes and hypertension from the perspectives of patients and health professionals in China. Semi-structured face-to-face interviews were conducted. Thematic analysis of the interview transcripts unveiled eight master themes, including vicarious experiences, health beliefs, self-efficacy, feedback on health outcomes, the desire for improved health and longevity, understanding of diseases, perceived personal deterioration in health conditions, external regulation, and support. This study emphasizes the need for comprehensive strategies that align with the motivations of older individuals facing the dual challenges of diabetes and hypertension in China.

References

Alatawi, Y., Kavookjian, J., Ekong, G., & Alrayees, M. M. (2016). The association between health beliefs and medication adherence among patients with type 2 diabetes. Research in Social and Administrative Pharmacy, 12(6), 914–925.

Booth, A., Lowis, C., Dean, M., Hunter, S., & McKinley, M. C. (2012). Diet and physical activity in the self-management of type 2 diabetes: barriers and facilitators identified by patients and health professionals. Primary Health Care Research & Development, 14(03), 293–306.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101.

Carroll, R., Antigua, J., Taichman, D. B., Palevsky, H. I., Forfia, P. R., Kawut, S. M., & Halpern, S. D. (2012). Motivations of patients with pulmonary arterial hypertension to participate in randomized clinical trials. Clinical Trials, 9(3), 348–357.

Champion, V. L., & Skinner, C. S. (2008). The health belief model. Health behavior and health education: Theory, research, and practice, 4, 45–65.

De Boer, I. H., Bangalore, S., Bénétos, A., Davis, A. M., Michos, E. D., Muntner, P., Rossing, P., Zoungas, S., & Bakris, G. L. (2017). Diabetes and Hypertension: A position statement by the American Diabetes Association. Diabetes Care, 40(9), 1273–1284.

Deci, E. L., & Ryan, R. M. (2012). Self-determination theory. Handbook of theories of social psychology, 1(20), 416-436.

Hill, A., Ellis, M. J., & Gillison, F. (2022). Qualitative exploration of patient and healthcare professional perspectives on barriers and facilitators to foot self-care behaviors in diabetes. BMJ Open Diabetes Research & Care, 10(6), e003034.

Korkiakangas, E., Alahuhta, M., Husman, P., Keinänen‐Kiukaanniemi, S., Taanila, A., & Laitinen, J. (2011). Motivators and barriers to exercise among adult https://doi.org/10.1111/j.1471-6712.2010.00791.x

Lidegaard, L. P., Schwennesen, N., Willaing, I., & Færch, K. (2016). Barriers to and motivators for physical activity among people with Type 2 diabetes: patients’ perspectives. Diabetic Medicine, 33(12), 1677–1685.

Liu, J., Zhao, D., Liu, J., Qi, Y., Sun, J., & Wang, W. (2013). Prevalence of diabetes mellitus in outpatients with essential hypertension in China: a cross-sectional study. BMJ Open, 3(11), e003798.

Luszczynska, A., & Schwarzer, R. (2015). Social cognitive theory. Fac Health Sci Publ, 225-51.

Mogre, V., Johnson, N., Tzelepis, F., Shaw, J. E., & Paul, C. (2017). Adherence to self-care behaviours and associated barriers in type 2 diabetes patients of low-and middle-income countries: a systematic review protocol. Systematic Reviews, 6(1).

Nelson, L. A., Wallston, K. A., LeStourgeon, L. M., Williamson, S., & Mayberry, L. S. (2018). Assessing barriers to diabetes medication adherence using the Information-Motivation-Behavioral skills model. Diabetes Research and Clinical Practice, pp. 142, 374–384.

Pinho, S., Cruz, M., Ferreira, F., Ramalho, A., & Sampaio, R. (2021). Improving medication adherence in hypertensive patients: A scoping review. Preventive Medicine, 146, 106467.

Poulter, N. R., Borghi, C., Parati, G., Pathak, A., Toli, D., Williams, B., & Schmieder, R. E. (2020). Medication adherence in hypertension. Journal of hypertension, 38(4), 579-587.

Poolsup, N., Suksomboon, N., & Kyaw, A. M. (2013). Systematic review and meta-analysis of the effectiveness of continuous glucose monitoring (CGM) on glucose control in diabetes. Diabetology & Metabolic Syndrome, 5(1).

Ried‐Larsen, M., Johansen, M. Y., MacDonald, C. J., Hansen, K. B., Christensen, R., Wedell-Neergaard, A. S., Pilmark, N. S., Langberg, H., Vaag, A., Pedersen, B. K., & Karstoft, K. (2019). Type 2 diabetes remission 1 year after an intensive lifestyle intervention: A secondary analysis of a randomized clinical trial. Diabetes, Obesity and Metabolism, 21(10), 2257–2266.