Serial multiple mediation of treatment adherence and disease activity in the relationship between continuity of care and health outcomes among rheumatoid arthritis patients


Ilgun G., ŞAHİN B.

INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 2022 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2022
  • Doi Number: 10.1002/hpm.3537
  • Journal Name: INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT
  • Journal Indexes: Social Sciences Citation Index, Scopus, ASSIA, Business Source Elite, Business Source Premier, CAB Abstracts, CINAHL, EMBASE, Geobase, MEDLINE, PAIS International
  • Keywords: continuity of care, disease activity, functionality, quality of life, rheumatoid arthritis, treatment adherence, QUALITY-OF-LIFE, MODIFYING ANTIRHEUMATIC DRUGS, CHRONIC ILLNESS MANAGEMENT, SELF-REPORTED MEASURE, MEDICATION ADHERENCE, IMPACT, VALIDITY, RELIABILITY, VALIDATION, DISABILITY

Abstract

Objective To evaluate the effect of continuity of care on health outcomes (quality of life and functionality) in patients with rheumatoid arthritis and to reveal whether treatment adherence and disease activity have a serial multiple mediator role on this relationship. Methods The study was cross-sectional on 440 rheumatoid arthritis patients who applied to a university hospital rheumatology outpatient clinic. Research data were obtained from both the questionnaire method, which is the primary data source, and the patient files, which are the secondary data source. Process analysis was used in the analysis of the data. Results It was found that the continuity of care has a direct effect on the quality of life and the functionality. In addition, it is seen that treatment adherence has a single partial mediator role on the relationship between continuity of care and quality of life; It has been determined that treatment adherence and disease activity have both partial single mediation and serial multiple mediation roles on the relationship between continuity of care and functionality. Conclusion It is thought that these findings will provide clinicians with important data and information in the management of rheumatoid arthritis.