Illness acceptance and medication adherence in patients with diabetes in Poland

A cross-sectional study

Bibliographic Data

ID22091517
AuthorsAgnieszka Pluta (0000-0002-4684-1919, Nicolaus Copernicus University, corresponding author), Alicja Marzec (Nicolaus Copernicus University), Marzena Humańska (Nicolaus Copernicus University), Edyta Kobus (University of Bydgoszcz), Mariola Głowacka (0000-0002-5734-116X)
Year2025
Volume13
Pages1690434-1690434
Publication date2025-11-20
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1690434
PMID41358226
OpenAlexW4416387451
LanguageEN
References cited26

Background: Diabetes management strongly depends on patient adherence to treatment, which is influenced by psychological factors such as illness acceptance. Objective: This study aimed to assess the levels of illness acceptance and medication adherence among patients with diabetes and to examine the relationship between these factors. Methods: A cross-sectional study was conducted among 190 adult patients with type 1 or type 2 diabetes attending outpatient clinics in Poland. Patients were approached and invited to participate in the study when they attended their scheduled outpatient clinic appointments. A total of 256 patients were invited, of whom 36 declined. Out of the 220 questionnaires returned, 190 were fully completed and included in the final statistical analysis. The study was conducted between May 16, 2017, and the end of 2017. Illness acceptance was measured using the Acceptance of Illness Scale (AIS), and adherence was assessed with the Morisky Medication Adherence Scale (MMAS-8). Sociodemographic and clinical data were also collected. Results: < 0.001). Patients who reported a preference for structured education and psychological support showed higher adherence scores, emphasizing the importance of patient-centered interventions. Conclusion: The findings indicate that higher illness acceptance is associated with better adherence in patients with diabetes. In our sample, preferences for structured diabetes education and psychological support were linked with higher adherence scores, suggesting these patient-centered components may be particularly effective. Tailored education, brief psychological counselling, and shared decision-making should be incorporated into diabetes care to strengthen acceptance and support long-term self-management. Further studies are recommended to examine the effectiveness of acceptance-based interventions and to confirm these findings in larger and more diverse samples

Diabetes mellitus · Medication adherence · MEDLINE · Psychological intervention · Self-efficacy · Social support · Chronic Disease Management Strategies · Diabetes Management and Education · Medication Adherence and Compliance