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Beyond Therapeutic Adherence: Alternative Pathways for Understanding Medical Treatment in Type 1 Diabetes Mellitus

Author

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  • Juan José Cleves-Valencia

    (Faculty of Psychology, Universidad del Valle, Calle 13 # 100-00, Cali 760042, Colombia)

  • Mónica Roncancio-Moreno

    (Faculty of Psychology, Universidad del Valle, Calle 13 # 100-00, Cali 760042, Colombia)

  • Raffaele De Luca Picione

    (Faculty of Law, Giustino Fortunato University, Via Delcogliano 12, 82100 Benevento, Italy)

Abstract

Given the psychosocial and economic costs of behaviors of patients who seem not to benefit from the medications, technologies, and medical therapies available for chronic diseases such as Type 1 Diabetes Mellitus, therapeutic adherence has been identified as one of the main focuses in the intervention. This paper presents contributions from semiotic cultural clinical psychology for understanding problems associated with the implementation of medical treatment in patients with Type 1 Diabetes Mellitus to explore psychological dimensions not yet reported in depth. A narrative review of 24 scientific articles published between 2012 and 2023 is carried out. The information is produced through thematic analysis, and the results are presented in three themes: 1. illness characteristics, 2. adherence and associated concepts, and 3. modes of intervention. It concludes with the development of a two-axis proposal for understanding the experience of patients that privileges psychological aspects involved in the disease and its treatment, considering the approach to the goals of treatment as dynamic and fluctuating rather than as final states.

Suggested Citation

  • Juan José Cleves-Valencia & Mónica Roncancio-Moreno & Raffaele De Luca Picione, 2024. "Beyond Therapeutic Adherence: Alternative Pathways for Understanding Medical Treatment in Type 1 Diabetes Mellitus," IJERPH, MDPI, vol. 21(3), pages 1-19, March.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:3:p:320-:d:1354252
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    References listed on IDEAS

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    1. Victória Brioso Tavares & Aline Lobato de Farias & Amanda Suzane Alves da Silva & Josiel de Souza e Souza & Hilton Pereira da Silva & Maria do Socorro Castelo Branco de Oliveira Bastos & João Simão de, 2023. "Amazon Amandaba—Sociodemographic Factors, Health Literacy, Biochemical Parameters and Self-Care as Predictors in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(4), pages 1-15, February.
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