Table 3.

Associations of medication adherence with the Health-related Hope score, trust in the physician, and covariatesa (n = 373)

Corresponding standardized ESMean difference, point estimate (95% CI)P-value
Health-related Hope, per 10-point increase0.120.64 (0.33, 0.95)<0.001
Trust in one’s physician, per 10-point increase0.170.88 (0.53, 1.24)<0.001
Basic health literacy, per 1-point increase−0.06−0.33 (−1.18, 0.52)0.441
Age, per 10-year increase−0.02−0.12 (−0.6, 0.36)0.624
Female vs male subjects0.291.53 (−0.2, 3.26)0.083
Marital status
 MarriedReference
 Divorced/widowed00.03 (−2.21, 2.26)0.982
 Unmarried0.221.15 (−0.16, 2.46)0.085
Education
 Junior high school or lowerReference
 High school/college0.030.16 (−2.51, 2.82)0.907
 University/graduate school0.090.46 (−2.31, 3.24)0.742
Household income
 <1 000 000 yen (very low)Reference
 1 000 000–<5 000 000 yen (low-medium)0.110.57 (−1.39, 2.52)0.569
 5 000 000–<10 000 000 yen (medium-high)0.190.98 (−1.05, 3)0.342
 >10 000 000 yen (high)0.150.78 (−1.94, 3.5)0.574
Disease duration
 <5 yearsReference
 5 to <10 years0.191.02 (−0.78, 2.82)0.267
 10 to <20 years0.180.95 (−0.7, 2.61)0.259
 >20 years0.371.93 (0.09, 3.78)0.040
SLEDAI-2K, per 1-point increase00 (−0.12, 0.11)0.967
Depressive symptom0.371.96 (0.34, 3.59)0.018
Experience of ADE within 1 month0.432.28 (0.98, 3.58)0.001
Concern for medication number−0.28−1.45 (−2.89, −0.004)0.049
Prednisolone dosage, per 1-mg increase00 (−0.07, 0.08)0.918
Other immunosuppressants−0.13−0.66 (−1.82, 0.5)0.264
HCQ0.040.24 (−0.98, 1.45)0.703
Prescription for dyslipidaemia−0.01−0.03 (−1.3, 1.24)0.965
Prescription for hypertension−0.04−0.2 (−1.37, 0.97)0.733
Prescription for diabetes0.030.16 (−2.12, 2.44)0.888
Prescription for osteoporosis prevention0.211.12 (−0.25, 2.49)0.109
Prescription for PCP prevention−0.06−0.31 (−1.59, 0.96)0.631
Corresponding standardized ESMean difference, point estimate (95% CI)P-value
Health-related Hope, per 10-point increase0.120.64 (0.33, 0.95)<0.001
Trust in one’s physician, per 10-point increase0.170.88 (0.53, 1.24)<0.001
Basic health literacy, per 1-point increase−0.06−0.33 (−1.18, 0.52)0.441
Age, per 10-year increase−0.02−0.12 (−0.6, 0.36)0.624
Female vs male subjects0.291.53 (−0.2, 3.26)0.083
Marital status
 MarriedReference
 Divorced/widowed00.03 (−2.21, 2.26)0.982
 Unmarried0.221.15 (−0.16, 2.46)0.085
Education
 Junior high school or lowerReference
 High school/college0.030.16 (−2.51, 2.82)0.907
 University/graduate school0.090.46 (−2.31, 3.24)0.742
Household income
 <1 000 000 yen (very low)Reference
 1 000 000–<5 000 000 yen (low-medium)0.110.57 (−1.39, 2.52)0.569
 5 000 000–<10 000 000 yen (medium-high)0.190.98 (−1.05, 3)0.342
 >10 000 000 yen (high)0.150.78 (−1.94, 3.5)0.574
Disease duration
 <5 yearsReference
 5 to <10 years0.191.02 (−0.78, 2.82)0.267
 10 to <20 years0.180.95 (−0.7, 2.61)0.259
 >20 years0.371.93 (0.09, 3.78)0.040
SLEDAI-2K, per 1-point increase00 (−0.12, 0.11)0.967
Depressive symptom0.371.96 (0.34, 3.59)0.018
Experience of ADE within 1 month0.432.28 (0.98, 3.58)0.001
Concern for medication number−0.28−1.45 (−2.89, −0.004)0.049
Prednisolone dosage, per 1-mg increase00 (−0.07, 0.08)0.918
Other immunosuppressants−0.13−0.66 (−1.82, 0.5)0.264
HCQ0.040.24 (−0.98, 1.45)0.703
Prescription for dyslipidaemia−0.01−0.03 (−1.3, 1.24)0.965
Prescription for hypertension−0.04−0.2 (−1.37, 0.97)0.733
Prescription for diabetes0.030.16 (−2.12, 2.44)0.888
Prescription for osteoporosis prevention0.211.12 (−0.25, 2.49)0.109
Prescription for PCP prevention−0.06−0.31 (−1.59, 0.96)0.631
a

The general linear model was fit with inclusion of all variables listed above. To calculate the corresponding standardized ES (Cohen’s d), the point estimate was divided by the s.d. of the medication adherence scale score.

Bold font indicates significance at P < 0.05 in P-value column. ES: effect size; SLEDAI-2K: SLEDAI 2000; ADE: adverse drug event; PCP: Pneumocystis jirovecii pneumonia.

Table 3.

Associations of medication adherence with the Health-related Hope score, trust in the physician, and covariatesa (n = 373)

Corresponding standardized ESMean difference, point estimate (95% CI)P-value
Health-related Hope, per 10-point increase0.120.64 (0.33, 0.95)<0.001
Trust in one’s physician, per 10-point increase0.170.88 (0.53, 1.24)<0.001
Basic health literacy, per 1-point increase−0.06−0.33 (−1.18, 0.52)0.441
Age, per 10-year increase−0.02−0.12 (−0.6, 0.36)0.624
Female vs male subjects0.291.53 (−0.2, 3.26)0.083
Marital status
 MarriedReference
 Divorced/widowed00.03 (−2.21, 2.26)0.982
 Unmarried0.221.15 (−0.16, 2.46)0.085
Education
 Junior high school or lowerReference
 High school/college0.030.16 (−2.51, 2.82)0.907
 University/graduate school0.090.46 (−2.31, 3.24)0.742
Household income
 <1 000 000 yen (very low)Reference
 1 000 000–<5 000 000 yen (low-medium)0.110.57 (−1.39, 2.52)0.569
 5 000 000–<10 000 000 yen (medium-high)0.190.98 (−1.05, 3)0.342
 >10 000 000 yen (high)0.150.78 (−1.94, 3.5)0.574
Disease duration
 <5 yearsReference
 5 to <10 years0.191.02 (−0.78, 2.82)0.267
 10 to <20 years0.180.95 (−0.7, 2.61)0.259
 >20 years0.371.93 (0.09, 3.78)0.040
SLEDAI-2K, per 1-point increase00 (−0.12, 0.11)0.967
Depressive symptom0.371.96 (0.34, 3.59)0.018
Experience of ADE within 1 month0.432.28 (0.98, 3.58)0.001
Concern for medication number−0.28−1.45 (−2.89, −0.004)0.049
Prednisolone dosage, per 1-mg increase00 (−0.07, 0.08)0.918
Other immunosuppressants−0.13−0.66 (−1.82, 0.5)0.264
HCQ0.040.24 (−0.98, 1.45)0.703
Prescription for dyslipidaemia−0.01−0.03 (−1.3, 1.24)0.965
Prescription for hypertension−0.04−0.2 (−1.37, 0.97)0.733
Prescription for diabetes0.030.16 (−2.12, 2.44)0.888
Prescription for osteoporosis prevention0.211.12 (−0.25, 2.49)0.109
Prescription for PCP prevention−0.06−0.31 (−1.59, 0.96)0.631
Corresponding standardized ESMean difference, point estimate (95% CI)P-value
Health-related Hope, per 10-point increase0.120.64 (0.33, 0.95)<0.001
Trust in one’s physician, per 10-point increase0.170.88 (0.53, 1.24)<0.001
Basic health literacy, per 1-point increase−0.06−0.33 (−1.18, 0.52)0.441
Age, per 10-year increase−0.02−0.12 (−0.6, 0.36)0.624
Female vs male subjects0.291.53 (−0.2, 3.26)0.083
Marital status
 MarriedReference
 Divorced/widowed00.03 (−2.21, 2.26)0.982
 Unmarried0.221.15 (−0.16, 2.46)0.085
Education
 Junior high school or lowerReference
 High school/college0.030.16 (−2.51, 2.82)0.907
 University/graduate school0.090.46 (−2.31, 3.24)0.742
Household income
 <1 000 000 yen (very low)Reference
 1 000 000–<5 000 000 yen (low-medium)0.110.57 (−1.39, 2.52)0.569
 5 000 000–<10 000 000 yen (medium-high)0.190.98 (−1.05, 3)0.342
 >10 000 000 yen (high)0.150.78 (−1.94, 3.5)0.574
Disease duration
 <5 yearsReference
 5 to <10 years0.191.02 (−0.78, 2.82)0.267
 10 to <20 years0.180.95 (−0.7, 2.61)0.259
 >20 years0.371.93 (0.09, 3.78)0.040
SLEDAI-2K, per 1-point increase00 (−0.12, 0.11)0.967
Depressive symptom0.371.96 (0.34, 3.59)0.018
Experience of ADE within 1 month0.432.28 (0.98, 3.58)0.001
Concern for medication number−0.28−1.45 (−2.89, −0.004)0.049
Prednisolone dosage, per 1-mg increase00 (−0.07, 0.08)0.918
Other immunosuppressants−0.13−0.66 (−1.82, 0.5)0.264
HCQ0.040.24 (−0.98, 1.45)0.703
Prescription for dyslipidaemia−0.01−0.03 (−1.3, 1.24)0.965
Prescription for hypertension−0.04−0.2 (−1.37, 0.97)0.733
Prescription for diabetes0.030.16 (−2.12, 2.44)0.888
Prescription for osteoporosis prevention0.211.12 (−0.25, 2.49)0.109
Prescription for PCP prevention−0.06−0.31 (−1.59, 0.96)0.631
a

The general linear model was fit with inclusion of all variables listed above. To calculate the corresponding standardized ES (Cohen’s d), the point estimate was divided by the s.d. of the medication adherence scale score.

Bold font indicates significance at P < 0.05 in P-value column. ES: effect size; SLEDAI-2K: SLEDAI 2000; ADE: adverse drug event; PCP: Pneumocystis jirovecii pneumonia.

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