Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study
Aims. To examine the association between Type D personality and HbA1c level and to explore the mediating role of medication adherence between them in patients with type 2 diabetes mellitus (T2DM). Methods. 330 patients went on to complete a self-report measure of medication adherence and the HbA1c t...
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doaj-7df41ba5836f4766990a3c21a126be922020-11-24T23:28:24ZengHindawi LimitedJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/75891847589184Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up StudyXuemei Li0Min Gao1Shengfa Zhang2Huiwen Xu3Huixuan Zhou4Xiaohua Wang5Zhiyong Qu6Jing Guo7Weijun Zhang8Donghua Tian9School of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaSchool of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaSchool of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaDepartment of Public Health Sciences, University of Rochester School of Medicine & Dentistry, Rochester, NY 14642, USASchool of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaSchool of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaSchool of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaDepartment of Sociology, Huazhong University of Science and Technology, Wuhan, Hubei 430074, ChinaSchool of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaSchool of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing 100875, ChinaAims. To examine the association between Type D personality and HbA1c level and to explore the mediating role of medication adherence between them in patients with type 2 diabetes mellitus (T2DM). Methods. 330 patients went on to complete a self-report measure of medication adherence and the HbA1c tests. Chi-square test, T test, Ordinary Least Square Regression (OLS), and Recentered Influence Function Regression (RIF) were employed. Results. Patients with Type D personality had significantly higher HbA1c value (P<0.01). When Type D personality was operationalized as a categorical variable, SI was associated with HbA1c (P<0.01). When NA, SI, and their interaction term were entered into regression, all of them were no longer associated with HbA1c level (P>0.1). On the other hand, when Type D personality was operationalized as a continuous variable, only SI trait was associated with HbA1c level (P<0.01). When NA, SI, and NA×SI term together were entered into regression, only SI was not related to HbA1c level. Furthermore, medication adherence had a significant mediation effect between Type D personality and HbA1c, accounting for 54.43% of the total effect. Conclusion. Type D personality was associated with HbA1c in direct and indirect ways, and medication adherence acted as a mediator role.http://dx.doi.org/10.1155/2017/7589184 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Xuemei Li Min Gao Shengfa Zhang Huiwen Xu Huixuan Zhou Xiaohua Wang Zhiyong Qu Jing Guo Weijun Zhang Donghua Tian |
spellingShingle |
Xuemei Li Min Gao Shengfa Zhang Huiwen Xu Huixuan Zhou Xiaohua Wang Zhiyong Qu Jing Guo Weijun Zhang Donghua Tian Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study Journal of Diabetes Research |
author_facet |
Xuemei Li Min Gao Shengfa Zhang Huiwen Xu Huixuan Zhou Xiaohua Wang Zhiyong Qu Jing Guo Weijun Zhang Donghua Tian |
author_sort |
Xuemei Li |
title |
Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study |
title_short |
Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study |
title_full |
Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study |
title_fullStr |
Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study |
title_full_unstemmed |
Medication Adherence Mediates the Association between Type D Personality and High HbA1c Level in Chinese Patients with Type 2 Diabetes Mellitus: A Six-Month Follow-Up Study |
title_sort |
medication adherence mediates the association between type d personality and high hba1c level in chinese patients with type 2 diabetes mellitus: a six-month follow-up study |
publisher |
Hindawi Limited |
series |
Journal of Diabetes Research |
issn |
2314-6745 2314-6753 |
publishDate |
2017-01-01 |
description |
Aims. To examine the association between Type D personality and HbA1c level and to explore the mediating role of medication adherence between them in patients with type 2 diabetes mellitus (T2DM). Methods. 330 patients went on to complete a self-report measure of medication adherence and the HbA1c tests. Chi-square test, T test, Ordinary Least Square Regression (OLS), and Recentered Influence Function Regression (RIF) were employed. Results. Patients with Type D personality had significantly higher HbA1c value (P<0.01). When Type D personality was operationalized as a categorical variable, SI was associated with HbA1c (P<0.01). When NA, SI, and their interaction term were entered into regression, all of them were no longer associated with HbA1c level (P>0.1). On the other hand, when Type D personality was operationalized as a continuous variable, only SI trait was associated with HbA1c level (P<0.01). When NA, SI, and NA×SI term together were entered into regression, only SI was not related to HbA1c level. Furthermore, medication adherence had a significant mediation effect between Type D personality and HbA1c, accounting for 54.43% of the total effect. Conclusion. Type D personality was associated with HbA1c in direct and indirect ways, and medication adherence acted as a mediator role. |
url |
http://dx.doi.org/10.1155/2017/7589184 |
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