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The role of religious coping and social support on medication adherence and quality of life among the elderly with type 2 diabetes
Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
School of Life Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, Australia.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.ORCID iD: 0000-0002-8798-5345
2019 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 28, no 8, p. 2183-2193Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Type 2 diabetes is a major public health issue particularly in the elderly. Religion may affect the Health Related Quality of Life (HRQoL) in such patients, mediated by factors such as religious coping and social support. This study aimed to investigate the impact of religiosity on medication adherence and HRQoL.

METHODS: 793 adults (> 65 years old, 45% females) were recruited from 4 diabetes care centers and followed for 1 year. Duke University Religion Index, Spiritual Coping Strategies, Multidimensional Perceived Social Support, Medication Adherence Report Scale, WHOQOL-BREF and Diabetes-specific Quality of Life Questionnaire Module were used for assessment, as well as HbA1c and fasting blood glucose level. Using structural equation modeling, the potential paths were tested between religiosity, medication adherence and HRQoL; social support, religious coping and medication adherence served as the mediators.

RESULTS: Religious coping and social support were recognized as the significant mediators between religiosity and medication adherence (CFI = 0.983, TLI = 0.985, and RMSEA = 0.021). The relationships between religiosity and HRQoL were considerably mediated by social support, religious coping and medication adherence and these variables explained 12% and 33% of variances of generic and specific HRQoL, respectively. There was no significant direct effect of religiosity on HRQoL. HbA1c and fasting blood glucose level were successfully loaded on the latent construct of medication adherence (factor loading = 0.51 and 0.44, respectively).

CONCLUSIONS: The impact of religiosity on medication adherence and HRQoL occurs through the mediators such as religious coping and social support. Therefore, to improve the adherence to treatment and quality of life, interventions may be designed based on these mediators.

Place, publisher, year, edition, pages
Springer, 2019. Vol. 28, no 8, p. 2183-2193
Keywords [en]
Medication adherence, Quality of life, Religious coping, The elderly, Type 2 diabetes
National Category
Psychology Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:hj:diva-44173DOI: 10.1007/s11136-019-02183-zISI: 000475577200016PubMedID: 31037591Scopus ID: 2-s2.0-85065178011Local ID: ;HHJÖvrigtISOAI: oai:DiVA.org:hj-44173DiVA, id: diva2:1321204
Available from: 2019-06-07 Created: 2019-06-07 Last updated: 2020-01-20Bibliographically approved

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Pakpour, Amir H.

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