Fai Emmanuel K, Anderson Cheryl, Ferreros Victor
University of Maryland Medical Center Midtown CampusBaltimore, Maryland, USA
Walden UniversityMinneapolis, Minnesota, USA.
Endocr Connect. 2017 Feb;6(2):63-70. doi: 10.1530/EC-16-0093. Epub 2017 Jan 13.
The purpose of this quantitative study was to investigate the extent to which patient attitudes and intentions predict adherence to the use of oral antihyperglycemic regimens in African Americans. This cross-sectional study of 115 participants used correlation analysis to establish relationships among patient attitudes, intentions and adherence. Data analyses showed significant correlations between the variables. Multiple regression analysis was used to establish predictions between the variables. A prediction model containing attitudes, subjective norms and perceived behavioral control (PBC) explained 37% of the variance to behavioral intention. Intentions accounted for 8.5% of the variance to adherence. Attitudes predicted behavioral intentions. The findings support the theory of planned behavior model and identify important correlations between attitudes, intentions and behaviors. In addition, the results underscore the need for promoting positive attitudes and positive intentions in effective adherence to the use of oral antihyperglycemic regimens. Achieving adequate adherence through behavioral counseling can effect positive social change by reducing the mortality and morbidity that are associated with inadequate adherence to the use of oral diabetic agents.
这项定量研究的目的是调查非裔美国人患者的态度和意图在多大程度上能够预测其对口服降糖方案的依从性。这项针对115名参与者的横断面研究采用相关分析来确定患者态度、意图和依从性之间的关系。数据分析显示变量之间存在显著相关性。多元回归分析用于建立变量之间的预测关系。一个包含态度、主观规范和感知行为控制（PBC）的预测模型解释了行为意图37%的方差变异。意图解释了依从性8.5%的方差变异。态度预测行为意图。研究结果支持计划行为理论模型，并确定了态度、意图和行为之间的重要相关性。此外，研究结果强调了在有效依从口服降糖方案的过程中促进积极态度和积极意图的必要性。通过行为咨询实现足够的依从性，可以通过降低与口服降糖药依从性不足相关的死亡率和发病率来实现积极的社会变革。
