Highlights
- •Only 50% of people diagnosed with type 2 diabetes adhere to the recommended treatment.
- •The primary cause for nonadherence is resistance to treatment.
- •Patient interactions with their physicians are key to reducing resistance to treatment.
Abstract
Aims
Resistance to treatment is prevalent among patients diagnosed with chronic conditions,
including type 2 diabetes (T2DM). The current study aimed to examine the relationship
between patient characteristics, patient-physician relationship, and resistance to
treatment in T2DM.
Methods
A sample of 120 T2DM patients were recruited by means of non-randomized sampling and
through a public post on Facebook. Participants were asked to fill-in several questionnaires
online: Rotter’s Locus of Control questionnaire (short version); the General Self-efficacy
(GSE) questionnaire; the Working Alliance Inventory - Short Revised (WAI-SR) - evaluating
patient-physician relationship; and, finally, the Resistance to Treatment Questionnaire
(RTQ) - which meant to capture the intensity of resistance to treatment and served
as the dependent variable in this study.
Results
Interestingly, better patient-physician relationship and higher sense of self-efficacy
among patients were found to negatively associate with patient’s resistance to treatment
(r = −.53, p < .001, and, r = −.26, p < .01, respectively). Patient-physician relationship explained 22% of the variance
of resistance to treatment, and self-efficacy explained 6% of the variance.
Conclusions
Stronger patient-doctor relationship and higher sense of self-efficacy are shown to
robustly associate with lower resistance to treatment among patients with T2DM. Current
findings may instructor educate physicians as to the importance of the alliance with
these chronic patients.
Keywords
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Article info
Publication history
Published online: February 10, 2023
Accepted:
January 31,
2023
Received in revised form:
October 19,
2022
Received:
November 14,
2021
Identification
Copyright
© 2023 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
