Social support and patient adherence to medical treatment: a meta-analysis.

  title={Social support and patient adherence to medical treatment: a meta-analysis.},
  author={Maryanne R. Dimatteo},
  journal={Health psychology : official journal of the Division of Health Psychology, American Psychological Association},
  volume={23 2},
  • M. Dimatteo
  • Published 1 March 2004
  • Psychology
  • Health psychology : official journal of the Division of Health Psychology, American Psychological Association
In a review of the literature from 1948 to 2001, 122 studies were found that correlated structural or functional social support with patient adherence to medical regimens. Meta-analyses establish significant average r-effect sizes between adherence and practical, emotional, and unidimensional social support; family cohesiveness and conflict; marital status; and living arrangement of adults. Substantive and methodological variables moderate these effects. Practical support bears the highest… 

Social Support and Adherence to Treatment in Hypertensive Patients: A Meta-Analysis

A meta-analysis was conducted to examine whether social support was related to adherence to healthy lifestyle and treatment medication in hypertensive patients and found functional social support, but not structuralsocial support, was associated with adherence.

Association between different types of social support and medication adherence.

This qualitative analysis found that practical social support was most consistently associated with greater medication adherence, and interventions that use existing contacts to engage patients in the mundane and practical aspects of medication purchasing and administration may be an effective approach to promoting better medication adherence.

Self-Efficacy Mediates the Associations of Social Support and Depression with Treatment Adherence in Heart Failure Patients

Self-efficacy explains the influence of social support and depression on treatment adherence and may be a key target for interventions to improve disease management and self-care behaviors in chronic heart failure patients.

The association between social support and medication adherence in patients with hypertension: A systematic review

It is suggested that healthcare providers may need to consider whether patients have appropriate social supports in place which will assist them adhering to and benefiting from treatment recommendations.

Self-efficacy mediates the relationship of depressive symptoms and social support with adherence in patients with heart failure

Tests of mediation using multiple linear regressions indicate that self-efficacy fully mediates the relationships between depression and adherence, and social support and adherence.

Family Functioning and Medical Adherence Across Children and Adolescents With Chronic Health Conditions: A Meta-Analysis

The omnibus meta-analysis showed that family functioning was significantly related to medical adherence across a variety of pediatric chronic health conditions, and lower family conflict, greater family cohesion, greaterFamily flexibility, more positive communication, and better family problem-solving were each associated with better adherence.

The influence of the significant other on treatment adherence in chronic pain management: a qualitative analysis.

The role that significant others are perceived to play in supporting or impeding treatment adherence is explored, as well as examining patient views of the impact of their adherence regimes on their significant others, to present an encouraging perspective on the interpersonal context of coping with chronic pain.

A mixed methods study of perceived social support based on the medical outcomes study social support survey in adults with repeated challenges with HIV medication adherence

Convergent qualitative data excerpts corresponded with low quantitative social support scores in every dimension, confirming that adults living with HIV who repeatedly struggle with taking life-long HIV medications lack social support in many areas of their lives.

Social Support and Self-Care of Patients with Heart Failure

It is suggested that a relatively higher level of self-care is an important correlate of social support and may explain how social support influences HF outcomes and that family members should play a greater part in clinical care focused on improving self- care.

The Relationship between Perceptions of Social Support and Adherence to Dietary Recommendations among African-American Elders with Hypertension

  • N. Schoenberg
  • Medicine
    International journal of aging & human development
  • 1998
To account for this seeming contradiction, forty-one rural-dwelling African Americans with hypertension age 65+ participated in a series of structured and semi-structured interviews, finding no statistically significant relationship existed between perceived social support and dietary adherence.

Social support and conscientiousness in hemodialysis adherence

High support among patients with low conscientiousness was associated with poorer fluid-intake adherence, while support had little effect on fluid- Intake adherence among high conscientiousness patients, and no main or interactive effects were found for support or conscientiousness on a measure of medication adherence.

Family support, physical impairment, and adherence in hemodialysis: An investigation of main and buffering effects

Results indicated that patients holding perceptions of a more supportive family environment exhibited significantly more favorable adherence to fluid-intake restrictions than did patients reporting less family support, which suggests that the influence of support on adherence is more attributable to a main or direct effect, as opposed to a buffering process in the face of increased physical impairment.

The role of social support in compliance and other health behaviors for African Americans with chronic illnesses.

The results indicated that social support was significantly associated with appointment-keeping behavior and adherence to health activities in both the sickle cell and the diabetic sample and implications for improving compliance by increasing social support are discussed.

Antecedents of adherence to medical recommendations: Results from the medical outcomes study

Patients who were distressed about their health, used avoidant coping strategies, or who reported worse physical and role functioning were less likely to adhere in general, but patient satisfaction with two features of care was positively related to adherence in some models, but satisfaction with the technical quality of carewas negatively associated with adherence to specific recommendations among heart disease patients.

Effect of spouse support and health beliefs on medication adherence.

The correlations between spouses' health beliefs and their level of support were significant for three of four health belief variables, and highly adhering men had wives who believed more strongly in the benefits of the Coronary Primary Prevention Trial.

Determinants of adherence to medical regimens by hypertensive patients

  • A. Stanton
  • Medicine, Psychology
    Journal of Behavioral Medicine
  • 2004
Structural modeling procedures revealed that greater expectancy for internal control over health and hypertension, greater knowledge of the treatment regimen, and stronger social support were significant determinants of adherence; in turn, higher levels of adherence facilitated blood-pressure reduction.

Quality of social support and associated social and psychological functioning in women with rheumatoid arthritis.

  • C. GoodenowS. ReisineK. Grady
  • Psychology, Medicine
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association
  • 1990
Qualitative dimensions of social support as measured by the Quality of Social Support Scale explained a significant proportion of the variance in home and family functioning and in depression in women with rheumatoid arthritis.

Medical condition, adherence to treatment regimens, and family functioning. Their interactions in patients receiving long-term dialysis treatment.

It is suggested that family assessment can be used for early identification of patients at risk for poor adherence to treatment or poor medical progress and it may be possible to improve medical condition and adherence by working with the family in specific areas of family functioning found to be related to medical condition or adherence.

Gender differences in social support and physical health.

  • S. ShumakerD. R. Hill
  • Psychology
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association
  • 1991
Factors that may contribute to the observed gender differences in the social support-physical health relationship are discussed and future research should include adequate numbers of women and more sophisticated measures of social support to move the field forward.