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The role of social support on the relationship of depressive symptoms to medication adherence and self-care activities in adults with type 2 diabetes.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Sep2015, Vol. 71 Issue 9, p2164-2175, 12p, 3 Diagrams, 2 Charts
- Publication Year :
- 2015
-
Abstract
- Aim To examine the mediating role of social support on the relationship of depressive symptoms to medication adherence and self-care activities in Korean adults. Background Recent evidence suggests that higher levels of social support are associated with improved medication adherence and self-care activities; however, the role of social support on the relationship of depressive symptoms to medication adherence and self-care activities is less well understood. Design A cross-sectional survey. Methods The data were collected from 311 Korean adults with type 2 diabetes who were taking hypoglycaemic agents in the period 2012-2013. Depressive symptoms, social support, medication adherence and self-care activities were assessed using structured questionnaires. Multiple regression analysis with adjustment for covariates and the Sobel test were used to examine the mediating effect of social support on the relationship of depressive symptoms to medication adherence and self-care activities. Results There were statistically significant differences by subgroups with and without depressive symptoms in social support, medication adherence and self-care activities of diet, physical activity and stress management. The Sobel test confirmed that social support mediated the effect of depressive symptoms on medication adherence and self-care activities of diet, physical activity and stress management. Conclusion The evidence from this study suggests that social support-enhancing interventions that also manage depressive symptoms may be more timely and effective than interventions that target depressive symptoms alone in promoting adherence to medication adherence and self-care activities in this population. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
STATISTICAL correlation
MENTAL depression
DRUGS
GLYCOSYLATED hemoglobin
KOREANS
RESEARCH methodology
TYPE 2 diabetes
PATIENT compliance
RESEARCH funding
STATISTICAL sampling
HEALTH self-care
SELF-evaluation
STRESS management
SURVEYS
T-test (Statistics)
STATISTICAL power analysis
MULTIPLE regression analysis
SOCIAL support
STATISTICAL significance
EFFECT sizes (Statistics)
DIET therapy for diabetes
CROSS-sectional method
PHYSICAL activity
DATA analysis software
DESCRIPTIVE statistics
GLYCEMIC control
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 71
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 108754990
- Full Text :
- https://doi.org/10.1111/jan.12682