The
Impact of Attitudes on Medication Adherence in Patients with Type 1 and
Type 2 Diabetes Mellitus in Serbia
Mina Karaman1,
Mirjana Bogavac2,3, Dragan Stajić2,3
1University of Novi Sad, Faculty of
Medicine, Department of Psychology, Novi Sad, Serbia
2University of Novi Sad, Faculty of
Medicine, Department of Gynaecology and Obstetrics, Novi Sad, Serbia
3Clinical Center of Vojvodina, Clinic for
Gynaecology and Obstetrics, Novi Sad, Serbia
SUMMARY
Introduction. Managing diabetes mellitus requires
significant lifestyle changes and medication adherence. It
has been shown that varying attitudes towards diabetes
treatment can significantly impact self-care and health
outcomes. This study investigated attitudes toward diabetes
treatment among type 1 and type 2 diabetes mellitus patients
in Serbia and its impact on treatment adherence.
Method. An online survey was distributed via social media
groups for diabetics in Serbia (June-August 2023), measuring
self-care behaviors, treatment adherence attitudes, and
patient-reported HbA1c levels.
Results. Overall, participants showed positive attitudes
towards medications for diabetes treatment. However, type 2
patients were more likely to believe that feeling well
justifies the cessation of treatment. A weak positive
correlation was found between HbA1c levels and the belief
that the cessation of treatment leads to complications.
Self-care activities were weakly linked to the belief that
family involvement helps with medication adherence.
Conclusion. These findings highlight the importance of
addressing misconceptions about diabetes treatment,
particularly among type 2 patients. Open communication
between patients and healthcare providers, along with family
involvement, could be crucial for improving adherence and
health outcomes.
Keywords: diabetes management,
attitudes, beliefs, type 1 diabetes, type 2 diabetes
Corresponding
author:
Mina
Karaman
e-mail:
mina.karaman@mf.uns.ac.rs