33rd International Congress of Psychology, Praha, Çek Cumhuriyeti, 21 - 26 Temmuz 2024, cilt.1, sa.3111, ss.339
Osteoporosis (OP) is a disease characterized
by decreased bone density and deterioration of
bone microarchitecture. Fracture risk is one of
the most negative disease experiences faced by
OP patients, so medication adherence is critical health behaviour to prevent the patients.
However, medication adherence is rarely investigated in former studies. The self-regulatory
model is one of the effective models in explaining medication adherence to discuss that
patients’ cognitive and emotional appraisals
regarding their illness experience and beliefs
about the medicines they use are crucial components in predicting adherence. According to
the model, beliefs about medicines indicate
a mediating role in the relationship between
illness perceptions and medication adherence.
The current study aims to investigate this
mediation hypothesis for OP patients. The
165 osteoporosis outpatients were administered the Medication Adherence Report Scale,
the Brief Illness Perception Questionnaire,
and the Beliefs about Medicines Questionnaire. Statistical analyses were done with SPSS
23. The results showed that medication adherence was correlated with cognitive and emotional perception of the illness and the level of
specific worry about the medicines (p < .05).
The specific necessity that did not obtain significance in the correlation analysis was not
included in the regression analysis. According to regression analysis, the dimension of
concern about medicines partially mediated
the relationship between cognitive (𝛽 = −.197,
p < .05) and emotional (𝛽 = −.207, p < .05)
perception of the illness and medication adherence (F(2,162) = 7,755; p < .01). Hence, the
joint effect of illness perception and concern
about medicine for medication adherence of
osteoporosis is not greater than the main effect
of the perception. Based on the study results,
it has been revealed that illness perception is
an influential and essential variable for osteoporosis. In further studies, it is thought that
there will be a requirement to determine the
psychosocial components that are effective in
shaping the illness perception of these patients.