Multidimensional factors associated with treatment adherence in Type II diabetes: The roles of spiritual well-being and mindfulness
Complementary Therapies in Medicine, cilt.94, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 94
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.ctim.2025.103251
- Dergi Adı: Complementary Therapies in Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals
- Anahtar Kelimeler: Mindfulness, Multidimensional Adherence Model, Nursing, Spiritual Well-being, Treatment Adherence, Type II Diabetes Mellitus
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background and purpose: Type II Diabetes Mellitus (DM) is a multifaceted, chronic metabolic condition requiring persistent adherence to treatment for effective management. Previous research has largely emphasized medical and behavioral determinants of adherence, while psychological and spiritual factors remain underexplored. Addressing this gap, the present study examines multidimensional factors associated with treatment adherence among individuals with Type II DM, within the framework of the Multidimensional Adherence Model (MAM), with a particular focus on the roles of mindfulness and spiritual well-being. Materials and methods: A cross-sectional design was employed, involving 125 patients with Type II DM. Data were collected based on five dimensions within the MAM framework. The study utilized validated instruments, including the Patient Information Form, Mindful Attention Awareness Scale, Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being Scale, Treatment Adherence in Type II DM Scale. The data were analysed using descriptive and correlational statistics and structural equation modelling. In this hypothesized model, the independent variable was mindfulness, the mediator was spiritual well-being, and the dependent variable was treatment adherence. Results: Treatment adherence was significantly related to patient-related, socio-economic, healthcare system, and condition-related factors. Higher levels of mindfulness and spiritual well-being were positively associated with improved adherence behaviors. Notably, spiritual well-being demonstrated statistically significant indirect association in the link between mindfulness and treatment adherence. Conclusion: This study highlights the need for a patient-centered approach to Type II DM care, integrating psychological and spiritual dimensions alongside medical management. Mindfulness and spiritual well-being emerged as key correlates of adherence, emphasizing the importance of holistic care in diabetes treatment.