Complementary and alternative medicine use decreases adherence to prescribed medication in diabetes patients

Alfian, Sofa D.; Sukandar, Hadyana; Arisanti, Nita; Abdulah, Rizky

doi:10.4103/1755-6783.179108

Cited by 29 publications

(15 citation statements)

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“…Based on our previous study, the predictors of low adherence in Indonesia were complementary and alternative medicine usage [adjusted odds ratio (ORadj) 6.16; 2.44–15.52], gender (ORadj 2.57; 1.05–6.31), and age (ORadj 4.25; 1.53–11.31) [30]. In patients, adherence to medication may be associated with relieved symptoms in the short term and managed disease in the longer term, thus resulting in better social functioning and improved QOL.…”

Section: Discussionmentioning

confidence: 99%

Medication Adherence Contributes to an Improved Quality of Life in Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study

et al. 2016

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IntroductionDiabetes mellitus is a chronic disease with a high prevalence world wide. This disease has also been reported to affect the quality of life (QOL) of the patient and their family due to its chronic nature and multi organ involvement. The aim of this study was to analyze the association between adherence to prescribed diabetes medication and diabetes-specific QOL in patients attending Secondary Health Care Facility in Bandung City, Indonesia.MethodsA cross-sectional survey was conducted in the Secondary Health Care Facility in Bandung City, Indonesia. Data were collected between February and April 2014 using consecutive sampling. Adherence was assessed using the eight-item Morisky Medication Adherence Scale while diabetes-specific-QOL was assessed using the Diabetes 39 instrument.ResultsThe results showed that among the patients, 49.4% exhibited low adherence, 29.7% exhibited medium adherence, and 20.9% exhibited high adherence to diabetes medication. Diabetes-specific QOL proved to be highly affected in the sexual functioning domain. Social-burden domain scores were better than overall QOL scores. There was a significant association between adherence and diabetes-specific QOL (p = 0.009) using The Kruskall-Wallis test of significance. The results of the post hoc Mann–Whitney tests (high vs medium adherence, p = 0.084; medium vs low adherence, p = 0.86; and high vs low adherence, p = 0.001) indicated that higher adherence to prescribed diabetes medication contributed to an improved QOL. Multiple regression analysis showed that the predictors of diabetes-specific QOL were adherence and patient income.ConclusionsAdherence to prescribed medication showed a positive effect on diabetes-specific QOL in patients. Patients with a high adherence to medication had an improved QOL. This result is important not only in developing intervention programs for patients but also in improving their QOL through sustainable health promotion.

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Section: Discussionmentioning

confidence: 99%

Medication Adherence Contributes to an Improved Quality of Life in Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study

et al. 2016

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“…Several studies have identified possible factors associated with medication non-adherence among patients with diabetes in developed 15,16 and developing countries. 17 However, these studies have explored largely non-modifiable factors with a weak association between most sociodemographic or drugrelated factors and medication non-adherence. In other settings, medication beliefs were found to be one of the important modifiable factors associated with intentional (a conscious decision after balancing the pros and cons of a medication) and unintentional (lack of understanding or forgetfulness) non-adherence.…”

Section: Introductionmentioning

confidence: 99%

Modifiable Factors Associated with Non-adherence to Antihypertensive or Antihyperlipidemic Drugs Are Dissimilar: a Multicenter Study Among Patients with Diabetes in Indonesia

et al. 2020

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BACKGROUND: To develop targeted and tailored interventions for addressing medication non-adherence, it is important to identify underlying factors. OBJECTIVE: To identify factors associated with nonadherence as well as subtypes of non-adherence to antihypertensive or antihyperlipidemic drugs among patients with type 2 diabetes in Indonesia. DESIGN: An observational multicenter cross-sectional survey. PARTICIPANTS: Patients with type 2 diabetes using either antihypertensive or antihyperlipidemic drugs in four regions in Indonesia. MAIN MEASURES: Non-adherence and its subtypes of intentional and unintentional non-adherence were assessed using the Medication Adherence Report Scale. Necessity and concern beliefs were assessed with the Beliefs about Medicines Questionnaire. We applied binary and multinomial logistic regression to assess associations of medication beliefs, sociodemographic factors, and clinical-related factors to non-adherence and report odds ratios (OR) with 95% confidence intervals (CI). KEY RESULTS: Of 571 participating patients (response rate 97%), 45.5% and 52.7% were non-adherent to antihypertensive and antihyperlipidemic drugs, respectively. Older age was associated with non-adherence to antihypertensive drugs (60-69 years) (OR, 5.65; 95% CI, 2.68-11.92), while higher necessity beliefs (OR, 0.92; 95% CI, 0.88-0.95) were associated with less non-adherence. Factors associated with non-adherence to antihyperlipidemic drugs were female gender (OR, 1.84; 95% CI, 1.03-3.27) and higher concern beliefs (OR, 1.10; 95% CI, 1.03-1.18), while higher necessity beliefs (OR, 0.89; 95% CI, 0.83-0.96) were associated with less non-adherence. CONCLUSIONS:The main factors associated with nonadherence to antihypertensive and antihyperlipidemic drugs are modifiable. In general, beliefs about the necessity of the drug are important but for antihyperlipidemic drugs concerns are important as well. Healthcare providers should pay attention to identify and address medication beliefs during patient counselling.

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“…2,3 DM patients are 1.6 times more likely to use CAM. 4 India too has many religious and spiritual beliefs and these are more likely to influence the usage of CAM. India is the birth place of one of the oldest systems of medicine, Ayurveda, which had its origin around 2000 years back and is the most commonly practiced form of CAM.…”

Section: Introductionmentioning

confidence: 99%

Complementary and alternative medicine use among type 2 diabetes patients in a tertiary care hospital

Sadiq¹,

Khajuria²,

Khajuria³

2017

Int J Basic Clin Pharmacol

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Background: Complementary and alternative medicine (CAM) use is prevalent among chronic diseases like Diabetes mellitus (DM). Therefore, the aim was to study the pattern of CAM use among Type2DM in our set up.Methods: The study was done in diabetic patients attending OPD of Government medical college hospital over a period of 2 months. Patients who gave consent were subjected to a pre-structured questionnaire which consisted of two parts pertaining to socio-demographic profile and CAM usage details.Results: Out of 280 patients enrolled in the study, 110 admitted being CAM users along with conventional Anti-Diabetic treatment. The CAM users were mostly females (56.36%) and were from rural background (70.90%). CAM was prevalent in educated patients (90.90%) more than illiterates (9.09%). Ayurveda (44.54%) was the most common type of CAM used and relatives (58.18%) provided main source of CAM information. 32.72% patients thought that CAM is safe, effective (20.90%) and less costly (19.09%). Only 16.36% patients disclosed regarding their CAM usage to the attending physician while majority (83.63%) were non-revealers. The results suggest that patients should be encouraged to reveal to their physician regarding CAM as it can avoid possibility of interactions.Conclusions: CAM is prevalent in T2DM and more so in females from rural areas. Ayurveda was the most widely type of CAM used and majority of patients did not disclose to the treating physician regarding CAM usage.

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Complementary and alternative medicine use decreases adherence to prescribed medication in diabetes patients

Cited by 29 publications

References 0 publications

Medication Adherence Contributes to an Improved Quality of Life in Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study

Medication Adherence Contributes to an Improved Quality of Life in Type 2 Diabetes Mellitus Patients: A Cross-Sectional Study

Modifiable Factors Associated with Non-adherence to Antihypertensive or Antihyperlipidemic Drugs Are Dissimilar: a Multicenter Study Among Patients with Diabetes in Indonesia

Complementary and alternative medicine use among type 2 diabetes patients in a tertiary care hospital

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