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ISSN: 2327-5146

General Medicine: Open Access
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Research Article

Effects of Physician Communication and Family Hardiness on Patient Medication Regimen Beliefs and Adherence

Todd D Molfenter* and Roger L Brown
Center for Health Enhancement Systems Studies (CHESS), Mechanical Engineering Building, University Avenue Madison, USA
Corresponding Author : Todd D Molfenter
Center for Health Enhancement Systems Studies (CHESS)
4103 Mechanical Engineering Building
1513 University Avenue, Madison, WI 53706, USA
Tel: (608) 262-1685
Fax: (608) 890-1438
E-mail: [email protected]
Received November 22, 2013; Accepted March 25, 2014; Published April 30, 2014
Citation: Molfenter TD, Brown RL (2014) Effects of Physician Communication and Family Hardiness on Patient Medication Regimen Beliefs and Adherence. Gen Med (Los Angel) 2:136. doi: 10.4172/2327-5146.1000136
Copyright: © 2014 Molfenter TD, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

This study aims to develop a model that describes how physician communication and family hardiness affect medication regimen beliefs and adherence for patients on regimens to control diabetes and hyperlipidemia (high cholesterol). Study participants (n=1356) completed self-report questionnaires on health beliefs. Pharmacy refill records from a health plan in the United States provided data on their medication adherence. Structural equation modeling was used to model variable relationships. A mediation analysis demonstrated that physician communication behaviors had a significant impact on the patients’ behavioral intention to adhere to their regimen and medication adherence when they were mediated by the patient’s medication taking health beliefs related to perceived benefit of the regimen, impact of side effects, and cost of regimen. Conversely, family hardiness had no effect on medication-taking behaviors. To improve patient medication-taking behaviors, physician communication behaviors should be targeted. The study suggests the physician’s initial regimen discussion is important to both regimen initiation and long-term adherence, and should emphasize the regimen’s benefits and how to avoid common side effects. Also, establishing a follow-up physician-patient relationship can enhance regimen adherence and reduce the likelihood that a patient will stop taking the medication due to cost concerns. The research supports the important role the physician plays in health behavior maintenance. Future research should study the effect physicians have on other recurring health behaviors.

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