Medication Adherence And Determinants Of Non-adherence Among South Indian Diabetes Patients Medi Rk, Mateti Uv, Kanduri Kr, Konda Ss - J Soc Health Diabetes
Objectives: The objective of the study is to determine the adherence and determinants of non-adherence among diabetes patients. Materials and Methods: A cross-sectional observation study was conducted for a period of six months in both inpatients and outpatients of diabetic clinic at a super speciality hospital. The structured medication adherence questionnaire (MAQ) was administered to the eligible diabetic patients to assess the adherence rate and determinants of non-adherence. Results: During the study period, a total of 140 patients were enrolled. Out of 140 patients, most of them were females (n = 79, 56.57%), than males (n = 61, 43.57%). Among them (n = 49, 35%) patients were in the age group greater than or equal to 61 years followed by (n = 42, 30%) patients between 51-60 years and others. The overall medication adherence rate was found to be 47.85%. The main factors for non-adherence were lack of finance (n = 43, 55.84%), forgetfulness (n = 36, 46.75%), being busy (n = 34, 44.15%), medicines inaccessibility (n = 15, 19.48%) and others. Conclusion: The overall medication adherence rate was found to be unsatisfactory. The main challenging factors affecting medication adherence were lack of finance, forgetfulness, being busy, medicines inaccessibility and side effects of drugs. Keywords:Adherence, determinants, diabetes, India Medi RK, Mateti UV, Kanduri KR, Konda SS. Medication adherence and determinants of non-adherence among south Indian diabetes patients. J Soc Health Diabetes 2015;3:48-51 Medi RK, Mateti UV, Kanduri KR, Konda SS. Medication adherence and determinants of non-adherence among south Indian diabetes patients. J Soc Health Diabetes [serial online] 2015 [cited2018 Mar 28];3:48-51. Available from: Medication adherence is a leading issue and a huge b Continue reading >>
Adherence To Long-term Therapies - Evidence For Action: Section Iii - Disease-specific Reviews: Chapter Xi - Epilepsy: 4. Factors Affecting Adherence And Interventions Used To Improve It
4. Factors affecting adherence and interventions used to improve it 4. Factors affecting adherence and interventions used to improve it Nonadherence is a problem that has many determinants and the responsibility for adherence must be shared by health professionals, the health care system, the community and the patients. Many studies have identified factors affecting adherence, and these have been grouped into the five dimensions described in section II (see Table 5). - health care team/health system-related factors; Many factors, such as misunderstanding instructions about how to take the drugs (6,12,20,23,26), combined antiepileptic medication, complex medication regimens (3,12,26,30), forgetfulness (6), duration and previous treatment failures (14), fear of dependence (20), feeling stigmatized by the epilepsy (20), inadequate or nonexistent reimbursement by health insurance plans (19) and poverty (6), among many others, have been shown to be significant barriers to adherence, and should be taken into account when developing interventions. Contrary to expectations, a study by Mitchell et al. (14) found that frequency and duration of seizures and previous treatment failure, which are usually thought to be valid prognostic indicators of low adherence, did not affect adherence to treatment. Also, the severity of seizures was not significantly associated with any adherence outcome. However, families reporting less parental education, illiteracy, lower income and high levels of stressful life events were more likely to adhere to treatment. Some interventions have been designed to improve adherence to anti-epilepsy medications. Some of them target specific factors, such as: - the therapeutic relationship (increasing communication between patient and health professional) (2, Continue reading >>
Factors Affecting Adherence To Diabetes Treatments
Factors Affecting Adherence to Diabetes Treatments Factors Affecting Adherence to Diabetes Treatments Factors Affecting Adherence to Diabetes Treatments (HealthDay News) Factors associated with adherence to medications for treatment of diabetes include experience with diabetes therapy and related costs, thus efforts to reduce out-of-pocket costs may result in higher adherence, according to research findings published in Diabetes Care. M. Sue Kirkman, MD, from the University of North Carolina School of Medicine in Chapel Hill, and colleagues conducted a retrospective analysis of a pharmacy claims database to examine patient, medication and prescriber factors associated with antidiabetic medication adherence. Data were included for more than 200,000 patients treated with noninsulin medications. A modified adherence measure was used that accounted for changing therapies. The researchers found that adherence, defined as a medication possession ratio 0.8, was 69%. Independent correlations were seen for adherence with older age, male gender, higher education, higher income, use of mail order vs. retail pharmacies, primary care vs. nonendocrinology specialist prescribers, higher daily pill burden and lower out-of-pocket costs. The likelihood of adherence was significantly lower for patients who were new to diabetes therapy. "For all patients, efforts to reduce out-of-pocket costs and encourage use of mail order pharmacies may result in higher adherence," the researchers. Several authors disclosed financial ties to the pharmaceutical industry; the study was partially funded by Amylin Pharmaceuticals, Novo Nordisk and Sanofi. Continue reading >>
Frontiers | Medications Adherence And Associated Factors Among Patients With Type 2 Diabetes Mellitus In The Gaza Strip, Palestine | Endocrinology
Front. Endocrinol., 09 June 2017 | Medications Adherence and Associated Factors among Patients with Type 2 Diabetes Mellitus in the Gaza Strip, Palestine 1Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences International campus, Tehran, Iran 2Quality Improvement and Infection Control Office, Shifa Medical Complex, Gaza Strip, Palestine 3Directorate General of International Cooperation, Ministry of Health, Gaza Strip, Palestine 4Director of Chronic Diseases Department, Al Rimal Martyrs Health Center, Ministry of Health, Gaza Strip, Palestine 5Department of Research, Directorate General of Human Resources Development, Ministry of Health, Gaza Strip, Palestine Aim: The aim of this study was to evaluate the adherence to anti-diabetic medications among patients with type 2 diabetes mellitus (DM) seeking medical care in the Gaza Strip, Palestine. Methods: A cross-sectional study was conducted among 369 primary care patients with type 2 DM from October to December 2016. Adherence to medications was measured using the Morisky Medication Adherence Scale (MMAS-4). Socio-demographic and clinical variables, providerpatient relationship, health literacy, and health belief were examined for each patient. Univariate, binary logistic regression and multiple linear regression were applied to determine the independent factors influencing adherence to anti-diabetic medications using SPSS version 22. Results: Of all the respondents, 214 (58%), 146 (39.5%), and nine (2.5%) had high (MMAS score = 0), medium (MMAS score = 1 + 2), and low (MMAS score 3) adherence to anti-diabetic medications, respectively. Factors that were independently associated with adherence to anti-diabetic medications were as follows: female gender [odds ratio ( Continue reading >>
Antidiabetic Medication Adherence And Associated Factors Among Patients In Botswana; Implications For The Future
Volume 54, Issue 2 , June 2018, Pages 103-109 Antidiabetic medication adherence and associated factors among patients in Botswana; implications for the future Author links open overlay panel Godfrey MutashambaraRwegereraa Open Access funded by Alexandria University Faculty of Medicine Diabetes mellitus (DM) is a major global public health problem. Lack of adherence to medication causes suboptimal glycemic control increasing complication rates, costs and mortality. The objective of the study was to determine current antidiabetic medication adherence in Botswana and assess associated factors so as to direct potential future interventions. A cross-sectional study among 376 randomly selected diabetic patients attending a leading clinic in Gaborone, Botswana. Eight item Morisky Medication adherence questionnaire was used to assess antidiabetic medication adherence. A structured questionnaire was also used to collect information on factors influencing adherence including age, gender, education, type and duration of diabetes, treatment, complications and HIV status. Data were entered and analyzed using STATA Version 14, and logistic regression performed. Over forty percent (41.8%) of patients were non-adherent to antidiabetic medications. Studied sociodemographic characteristics and clinical variables did not affect adherence. HIV positive status was associated with a statistically significant better adherence at multivariate analysis. Adherence to antidiabetic medication was found to be suboptimal in a setting where medicines are provided free of charge. Only HIV positivity was found to be significantly associated with better adherence, probably due to effect of greater psychosocial support and counselling as part of HIV treatment. There is a need to carry out studies to fur Continue reading >>
Non-adherence And Associated Factors Among Type 2 Diabetic Patients At Jimma University Specialized Hospital, Southwest Ethiopia
Non-adherence and Associated Factors among Type 2 Diabetic Patients at Jimma University Specialized Hospital, Southwest Ethiopia Treatment non-adherence for chronic illnesses such as diabetes is a common problem. The aim of the study was to assess the pattern of non-adherence to diabetic therapy and associated factors among type 2 diabetic patients. A cross sectional study was conducted from February 01 to April 30, 2011, at Jimma University Specialized Hospital diabetic clinic. Data on Socio-demographic characteristics, disease related and medication related factors, complexity of regimen and drug side effects were collected. Medication non-adherence was measured using a self-reported 4-item Morisky scale. Patient characteristics, number and dosing of all prescribed medications, glycemic control levels, diabetes related complications, co-morbid conditions and diabetes related admissions were reviewed from patient records. Univariate and multivariate logistic regression model was used to identify the factors related to non-adherence. Among the total of 267 type 2 diabetic patients (mean age 52.411.9), the prevalence of non-adherence was 24.3% (n = 267). About half of the patients 140 (52.4%) were on Metformin/Glibenclamide based combination therapy. Patients with depressive symptoms (AOR = 2.404, 95% CI = 1.323-4.366, p = 0.004) and who experienced side effects (AOR = 1.868, 95% CI = 1.012-3.446, p = 0.046) were twice more likely to be non adherent than without depressive symptoms and without manifesting side effects, respectively. Similarly, diabetic patients on complex regimen were three times non adherent (AOR = 3.413, 95% CI = 1.652-7.050, p = 0.001) than those with simple regimen. In conclusion, non-adherence in the current study was high particularly among patien Continue reading >>
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Factors Related To Patient Adherence To Antidiabetic Drug Therapy
Factors related to patient adherence to antidiabetic drug therapy 1 Heloisa Turcatto GimenesI; Maria Lcia ZanettiII; Vanderlei Jos HaasIII IEscola de Enfermagem de Ribeiro Preto, da Universidade de So Paulo, Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeiro, Brazil:RN, Master's student, e-mail: [email protected] IIEscola de Enfermagem de Ribeiro Preto, da Universidade de So Paulo, Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeiro, Brazil:Associate Professor, e-mail: [email protected] IIIEscola de Enfermagem de Ribeiro Preto, da Universidade de So Paulo, Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeiro, Brazil:Scholarship holder PRODOC/CAPES, e-mail [email protected] The objective of the present study was to assess patient adherence to antidiabetic drug therapy and its association with factors related to the patient, patient-provider relationship, therapeutic regimen and the disease itself. The study comprised 46 diabetic patients enrolled in a research and extension education center in the State of Sao Paulo, southeastern Brazil, in 2007. Data was collected through interviews using a questionnaire and the Treatment Adherence Measure (TAM). The patient adherence level to antidiabetic drug therapy was 78.3%. In conclusion, since prevalence of adherence is below that recommended in the literature, and in the light of poor blood glucose control and alleged failure of therapeutic regimen, health providers are urged to measure diabetic patient treatment adherence, because it is key to adequate diabetes management with drugs. Descriptors: nursing; diabetes mellitus; patient acceptance of health care It has been shown in clinical practice that patients have difficulty Continue reading >>
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Nonadherence And Factors Affecting Adherence Of Diabetic Patients To Anti-diabetic Medication In Assela General Hospital, Oromia Region, Ethiopia
Nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital, Oromia Region, Ethiopia We are experimenting with display styles that make it easier to read articles in PMC. The ePub format uses eBook readers, which have several "ease of reading" features already built in. The ePub format is best viewed in the iBooks reader. You may notice problems with the display of certain parts of an article in other eReaders. Generating an ePub file may take a long time, please be patient. Nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital, Oromia Region, Ethiopia Ashebir Kassahun, Fanta Gashe, [...], and Wote Amelo Rike Diabetes mellitus is a major global health problem covering approximately 347 million persons worldwide. Glycemic control has a main role in its management which mainly depends upon patient adherence to the treatment plan. Accurate assessment of medication adherence is necessary for effective management of diabetes. To assess nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in Assela General Hospital (AGH), Oromia Region, Ethiopia. A descriptive cross-sectional study was conducted on patients seeking anti-diabetic drug treatment and follow-up at AGH using structured questionnaire and reviewing the patient record card using check list from January 24, 2014 to February 7, 2014. Descriptive analysis was used to describe the percentages and number of distributions of the variables in the study; and association was identified for categorical data. P 0.05 was considered as statistically significant. Of all respondents, 149 (52.3%) and 136 (47.7%) were female and male, respectively. The majority of th Continue reading >>
Factors Affecting Medication Non Adherence In Type 2 Sudanese Diabetic Patients
Factors Affecting Medication Non Adherence in Type 2 Sudanese Diabetic Patients Download as PDF (Size:397KB) PP. 141-146 DOI: 10.4236/pp.2016.74018 1,663 Downloads 2,358 Views Citations Background: Medications non-adherence is responsible for treatment failure and a reason of higher cost of medical care. It had been proved that, in general, diabetic patients are non-adherent to their treatment and only a small number of them were found to be adhering with all aspects of diabetic care. Objectives: To assess and evaluate the most common factors associated with medications adherence among Type 2 Diabetes Mellitus (DM) patients attending Ribat University Hospital Diabetic Clinic (RUHDC) Khartoum state, Sudan. Methods: Single Centre Descriptive cross sectional hospital based study was carried out among 351 patients using structured questionnaire and patients cards. Results: A total of 351 patients were recruited in the study; 65.8% were females. About 64.4% were on oral medications and 35.6% on insulin. Adherence to medications among total Type 2 DM patients was 45%. Main barriers to medication adherence were drugs unavailability (34.3%) and forgetfulness (30.7%). Medications knowledge was 41.2% for patients on oral medications and 38.4% for insulin users. Conclusion: Adherence to anti-diabetic drugs in this study was found to be sub-optimal but considered reasonable in comparison with that reported by many African countries. Poor medications knowledge, drug brand unavailability and forgetfulness were the main reasons for medications non adherence. Family support, improving healthcare system and changing patents behavior will be needed to improve medications adherence. Received 22 February 2016; accepted 11 April 2016; published 14 April 2016 Treatment of Type 2 Diabetes Me Continue reading >>
Factors Influencing Patient Acceptability Of Diabetes Treatment Regimens
Factors Influencing Patient Acceptability of Diabetes Treatment Regimens Jayant Dey, MD, Lawrence Blonde, MD, and Richard Guthrie, Jr., MD Helping patients adhere to often complex treatment regimens and achieve tight blood glucose control can be a challenge. With the appearance during the past few years of several new antidiabetic agents, the task of choosing the most appropriate therapy for patients has become more complex. Various aspects of medication regimens can influence diabetic patients long-term adherence to treatment programs. These include side effects, hypoglycemia, and frequency of administration. This paper attempts to assess oral antidiabetic agents with respect to features that can directly or indirectly affect therapy adherence. Editor's note: This article includes a discussion of the thiazolidinedione troglitazone (Rezulin). Rezulin was withdrawn from the U.S. market as this issue was going to press. The linkage between hyperglycemia and complications of diabetes has firmly established the need for maintenance of blood glucose within a recommended range in individuals with diabetes. Helping patients adhere to often complex treatment regimens and achieve tight blood glucose control is a challenge that must be addressed during all phases of diabetes treatment.1 Complications of diabetes, including diabetic eye disease, nephropathy, neuropathy, and peripheral vascular disease, are common in patients with type 2 diabetes. Moreover, type 2 diabetes is a major risk factor for cardiovascular disease. Two landmark studies, the Diabetes Control and Complications Trial2 and the United Kingdom Prospective Diabetes Study (UKPDS),3 have clearly established that tight blood glucose control in both type 1 and type 2 diabetes can decrease the risk of developing secon Continue reading >>
Factors Contributing To Non-compliance Among Diabetics Attending Primary Health Centers In The Al Hasa District Of Saudi Arabia Khan Ar, Al-abdul Lateef Zn, Al Aithan Ma, Bu-khamseen Ma, Al Ibrahim I, Khan Sa - J Fam Community Med
Compliance in healthcare is defined as the extent to which a patient's behavior (in terms of taking medication, executing the lifestyle changes, undergoing medical tests or keeping appointments with the physicians) coincides with the healthcare provider's recommendations for health and medical advice. [1] Non-compliant patients are those whose health-seeking or maintenance behaviors lack congruence with the recommendations prescribed by a healthcare provider. [2] Patient non-compliance is a serious healthcare concern that poses a great challenge to the successful delivery of healthcare. This is widespread and has been reported from all over the world. [3] According to a study by the New England Health Care Institute, one-third to one-half of the American patients are non-compliant. [3] Patient non-compliance is not only limited to the failure to take medication , but also the failure to make lifestyle changes, undergo tests or keep appointments with physicians. The non-compliant patients especially with chronic diseases are more prone to encountering serious difficulties. [4] The rate of non-compliance in patients with chronic diseases in developed countries, on long-term treatment, is on the order of 50%This could be even higher in developing countries (WHO) [5] One study showed that while diabetic and cardiac patients who take medication correctly have a 7% death rate; for those who are non-compliant the death rate is 12%. In another study, the rate of non-compliance ranged between 16.7 and 80% among the patients suffering from tuberculosis, hypertension, asthma, diabetes, epilepsy, and congestive cardiac failure. [6] A compliance study conducted in Saudi Arabia for those on short-term medication found 67.8% compliance. However, compliance of patients tend to decreas Continue reading >>
Assessment Of Factors Influencing Poor Medication Adherence In Diabetic And Hypertensive Patients | 73765
Introduction & Aim: Diabetes and hypertension are the two most prevalent chronic diseases in the United States of America. Non- adherence to prescribed medications that are otherwise effective in treating these diseases can lead to significant morbidity, mortality, and staggering by high healthcare cost. The purpose of this study was to determine modifiable factors influencing adherence to diabetic and hypertensive medications in an ethnically diverse populations. Methodology: A crosssectional survey was administered to 253 patients with diabetes and hypertension at Richmond University Medical Center. Adherence was measured using the standardized Morrisky medication compliance questionnaire, with 12 additional questions to assess demographic and socio-economic factors. Data on age, sex, race, marital status, education level, feeling of depression on last month, psychological stress level, the means of commute from home to clinic, utilization of food stamps, type of residence, financial stress, and number of dependents in the house were collected. Chi-squared, and Kruskal-Waillis ANOVA tests were used, and a binary logistic regression model was created for statistical analysis. When Kruskal-Waillis test yielded a significant result we utilized Dunns test to achieve more granularity. Statistical significance was considered at P<0.05 Results: Out of a total 253 participants, 226 fully completed the survey. 60% were female. Mean age of the participants were 56 years; ranging from 22 to 86. From the surveyed patient population, from the surveyed patient population, the majority self-identified as African American (43%), Hispanic (25%), Caucasian (17%), Asian (10%), Native American (1%), and other (3 %). Data analysis showed factors influencing adherence were depression (P=0 Continue reading >>
Factors That Affect Medication Adherence In Elderly Patients With Diabetes Mellitus - Sciencecentral
(open-access, ): This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in ScienceCentral. This study was conducted to evaluate the factors affecting medication adherence in geriatric diabetic patients treated at private clinics and tertiary hospitals. We compared the factors affecting medication adherence between these two patient groups. We included 108 diabetic patients older than 65 years treated at one tertiary hospital and 157 patients older than 65 years treated at two private clinics. We conducted an interview survey based on the Health Belief Model, and used a questionnaire that included the self-efficacy variable. For the medication adherence, Morisky's self-report was used. The medication adherence based on Morisky's self-report was significantly higher in tertiary hospital patients (61.1%) compared to private clinic patients (43.2%) (P < 0.01). The results showed that drug storage and self-efficacy were factors affecting adherence to medication in tertiary hospital patients (P < 0.05). The adherence was high in cases of proper drug storage (odds ratio [OR], 5.401) and in cases with high self-efficacy (OR, 13.114). In private clinic patients, financial level (P < 0.05), recognition of the seriousness of diabetes complications (P < 0.05) and self-efficacy (P < 0.01) were associated with medication adherence. The medication adherence was significantly lower in patients whose financial state were moderate than those with lower (OR, 0.410), and medication adherence was significantly higher in patients who had highe Continue reading >>
![[full Text] Factors Affecting Medication Adherence In Elderly People | Ppa](https://diabetestalk.net/images/NYlAIOcyUohZJavR.jpg)
[full Text] Factors Affecting Medication Adherence In Elderly People | Ppa
Editor who approved publication: Dr Johnny Chen Hyekyung Jin,1 Yeonhee Kim,2 Sandy Jeong Rhie1,3 1College of Pharmacy, 2Center for Excellence in Teaching & Learning, 3Division of Life and Pharmaceutical Sciences, Ewha Womans University, Seoul, Republic of Korea Background: Little is known about the functional health literacy (FHL) associated with medication adherence in elderly patients. The aim of this study was to examine the FHL among older adults and identify influencing factors that can predict medication adherence. Methods: This was a cross-sectional survey. Participants (n=160) aged 65 years and older were selected from outpatient clinics of 3 tertiary care hospitals, 6 community pharmacies, and 2 senior centers between November 1 and 30, 2014. The participants FHL was measured using the Korean Functional Health Literacy Test, which consists of 15 items including 8 numeracy and 7 reading comprehension items. Medication adherence was measured by the Adherence to Refills and Medication Scale. Descriptive statistics, chi-square or Fishers exact test, and multiple regression analyses were used to analyze the data. Results: The mean score of the total FHL was 7.723.51 (range 015). The percentage of the total number of correct answers for the reading comprehension subtest and numeracy subtest were 48.1% and 54.4%, respectively. Among 160 participants, 52.5% showed low adherence to medication. The factors affecting medication adherence included the patients degree of satisfaction with the service (=-0.215, P=0.022), sufficient explanation of medication counseling (=-0.335, P=0.000), education level (=-0.153, P=0.045), health-related problems (=-0.239, P=0.004), and dosing frequency (=0.189, P=0.018). Conclusion: In this study, we found medication adherence of elderly p Continue reading >>
Patterns And Obstacles To Oral Antidiabetic Medications Adherence Among Type 2 Diabetics In Ismailia, Egypt: A Cross Section Study
1Family Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt &Corresponding author Khaled Heissam, Family Medicine Department, Faculty of Medicine, Suez Canal University, Ring road, Ismailia, Egypt Introduction: diabetes is a costly and increasingly common chronic disease.Effective management of diabetes to achieve glycemic control improves patient quality of life. Adherence rates to drug regimens in patients with type 2 diabetes are relatively low and vary widely between populations.There are many factors that could affect patient adherence to drug therapy.The aim of the present study was assessing patterns and obstacles to adherence of type 2 diabetic patients to their oral hypoglycemic drugs. Methods: the present work is a descriptive cross section study, carried on type 2 diabetic patients who were on oral hypoglycemic drugs. Data concerning adherence to drugs was assessed using measure treatment adherence scale (MTA). Results: a total of 372 (55.59 % males and 44.41% females) patients with type-2 diabetes fulfilled the inclusion criteria and included in the study. Among the participants, 26.1% were found to have good adherence, 47.9% had a fair adherence, and 26% had poor adherence. Conclusion: the overall rate of medication adherence among the diabetic patients population was suboptimal and non-acceptable. Evaluation of adherence is vital for patients with diabetes in order to determine factors and barriers affecting the adherence and to manage them. Diabetes is a costly and increasingly common chronic disease. The data from the Egyptian Demographic and Health Survey in 2008 showed the crude prevalence rate of physician-diagnosed diabetes among the adult population of Egypt aged 15-59 to be 4.07% [1]. Despite the clinical and economic v Continue reading >>
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