Universität zu Köln

Petrak, Frank ORCID: 0000-0001-5985-5845, Meier, Juris J., Albus, Christian, Grewe, Petra, Dieris-Hirche, Jan, Paust, Rainer, Risse, Alexander, Roehrig, Bonnie and Herpertz, Stephan (2019). Motivation and Diabetes: Time for a Paradigm Shift? - A Position Paper -. Diabetol. Stoffwechs., 14 (3). S. 193 - 204. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1861-9010

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Abstract

Non-adherence to treatment recommendations for patients with diabetes is widespread. This applies to medication as well as recommendations for a healthy lifestyle with appropriate physical activity, a healthy diet, and, if necessary, an end to smoking and weight control. Disregard of these recommendations has been shown to increase the risk of diabetes complications, morbidity and premature mortality. Physicians ' responses to this patient behavior include increased efforts to improve adherence to therapy and often result in a feeling of resignation in the long term. Research efforts focus on an increasing number of interventions to improve therapy adherence, with the results of meta-analyses indicating only moderate success. This position paper presents a practice-oriented approach for discussion that aims to improve the problems described. We reflect on the different roles and responsibilities of patients on the one hand and physicians and other professional groups (diabetes counsellors, nurses, and psychotherapists) on the other. A new classification of different types of non-adherence to therapy is proposed. These constitute the starting point for a practice-related algorithm for the medical handling of the different types of non-adherence, in which the roles and responsibilities of practitioners and patients are explicitly clarified. Thereby no adherence to therapy of patients is pushed. Rather, the aim is for patients to make an informed and responsible decision for or against a doctor's suggestion and for this to be accepted by the physician so that frustrations on both sides are avoided. Finally, theses regarding motivation problems in diabetes will be presented for discussion.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Petrak, Frank UNSPECIFIED orcid.org/0000-0001-5985-5845 UNSPECIFIED Meier, Juris J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Albus, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Grewe, Petra UNSPECIFIED UNSPECIFIED UNSPECIFIED Dieris-Hirche, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Paust, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Risse, Alexander UNSPECIFIED UNSPECIFIED UNSPECIFIED Roehrig, Bonnie UNSPECIFIED UNSPECIFIED UNSPECIFIED Herpertz, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-138520
DOI:	10.1055/a-0868-7758
Journal or Publication Title:	Diabetol. Stoffwechs.
Volume:	14
Number:	3
Page Range:	S. 193 - 204
Date:	2019
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1861-9010
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ADHERENCE; MEDICATION; DETERMINANTS; NONADHERENCE; CONCORDANCE; THERAPY; PATIENT; WAR Multiple languages Endocrinology & Metabolism Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13852