Elucidating factors associated with non-adherence among Type 1 diabetes patients in primary care setting in Southeastern Brazil

Peres, Heverton Alves; Pereira, Leonardo Régis Leira; Martinez, Edson Zangiacomi; Viana, Carlos Manuel; Freitas, Maria Cristina Foss de

doi:10.1016/j.pcd.2019.06.002

Cited by 7 publications

(3 citation statements)

References 30 publications

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“…Studies also report that the technical devices increase the visibility and draw unwanted attention to the disease 13 14. Depression is also a strong predictor of non-adherence to T1DM treatment 24. As an example, less than half (43.9%) of participants adhere to the self-monitoring blood glucose recommendations of ≥four times a day.…”

Section: Discussionmentioning

confidence: 99%

“… 13 14 Depression is also a strong predictor of non-adherence to T1DM treatment. 24 As an example, less than half (43.9%) of participants adhere to the self-monitoring blood glucose recommendations of ≥four times a day. The most commonly reported reasons for not meeting the recommendations are lack of time and not remembering; reasons that associate significantly with lower age, shorter duration of T1DM, higher education, and full-time employment.…”

Section: Discussionmentioning

confidence: 99%

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‘Striving for freedom or remaining with what is well-known’: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycaemic control despite continuous subcutaneous insulin infusion

et al. 2022

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IntroductionContinuous subcutaneous insulin infusion (CSII) treatment is beneficial for obtaining glycaemic control for many persons with type 1 diabetes mellitus (T1DM). Still, some individuals do not obtain improved HbA1C levels despite CSII treatment, and there is a lack of evidence regarding how psychosocial factors may influence glycaemic control. Thus, we aimed to explore the attitudes and experiences of self-management among people with T1DM and suboptimal glycaemic control despite CSII treatment.Research design and methodsA qualitative inductive design was applied, and four FGDs were performed with 37 adult men and women of various ages and duration of T1DM. All participants had suboptimal glycaemic control despite CSII treatment. Transcripts were analysed using qualitative manifest and latent content analysis.Results and conclusionThe themes Searching for freedom and flexibility and Preferring safety and the well-known illustrated the divergent psychosocial strategies adapted, which both resulted in suboptimal glycaemic control. The technical devices and their effects on glycaemic levels may be challenging to understand and adjust to fit people’s lifestyles. The rapid advances of technology devices in diabetes care can potentially change peoples’ lives, but is the educational support developing as fast? Multifaceted web-based education of high quality, including tailored support with a person-centred focus, is more important than ever before as the need for technical knowledge and understanding may put further disease burdens to patients with T1DM on CSII treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

‘Striving for freedom or remaining with what is well-known’: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycaemic control despite continuous subcutaneous insulin infusion

et al. 2022

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“…In a study by Alves et al in southeast Brazil, adherence of 158 patients with T1DM was assessed by modified MMAS, and it was observed that 63% were adherent to overall diabetes treatment [ 22 ]. In another study in Iran in 2014, patients with T1DM were evaluated by MMAS, and 85.7% of patients had intermediate to high insulin adherence [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Associated factors to insulin adherence in type 1 diabetes in Tehran and Karaj, Iran

Fayyaz

Aghamahdi

Noorian

et al. 2022

J Diabetes Metab Disord

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Purpose Type 1 diabetes mellitus (T1DM) is a chronic metabolic disorder, and its prevalence and incidence are increasing globally. Insulin therapy is the basis of T1DM management that can prevent numerous complications. Identifying and resolving the factors involved in patients’ non-adherence can reduce complications, mortality, and economic burden. Methods In this cross-sectional study, a sample of patients with T1DM were included from Alborz and Tehran cities of Iran in 2020. Patients filled the questionnaires consisting of sociodemographic and diabetes characteristics, weight and height measurements, 8-item Morisky Medication Adherence Scale (MMAS), and barriers to insulin therapy. Patients with < six scores of MMAS were considered to have low adherence, while ≥ 6 scores showed moderate/high adherence. Data were analyzed using SPSS, and a P-value of less than 0.05 was considered statistically significant. Results 189 patients with T1DM with a mean (± SD) age of 17.95 (± 10.98) years were enrolled in the study, and 73.5% of patients had moderate/high adherence to insulin therapy. Younger age and owning insurance were significantly associated with being classified in the higher adherence group. The barriers that were significantly associated with non-adherence were forgetting to buy, physician inaccessibility, cost, exhaustion from the long-term injection, forgetfulness, injection site reaction, and rebellion against parents in the < 20 years age group. The main barriers in ≥ 20 years age group were forgetting to buy and insufficient injection instruction. Conclusion The identified barriers to insulin injection would be helpful for policymakers and clinicians to increase insulin adherence among patients with T1DM. Supplementary Information The online version contains supplementary material available at 10.1007/s40200-022-01105-0.

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Factors related to barriers and medication adherence in patients with type 2 diabetes mellitus: a cross-sectional study

Zairina

Nugraheni

Sulistyarini

et al. 2022

J Diabetes Metab Disord

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Elucidating factors associated with non-adherence among Type 1 diabetes patients in primary care setting in Southeastern Brazil

Cited by 7 publications

References 30 publications

‘Striving for freedom or remaining with what is well-known’: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycaemic control despite continuous subcutaneous insulin infusion

‘Striving for freedom or remaining with what is well-known’: a focus-group study of self-management among people with type 1 diabetes who have suboptimal glycaemic control despite continuous subcutaneous insulin infusion

Associated factors to insulin adherence in type 1 diabetes in Tehran and Karaj, Iran

Factors related to barriers and medication adherence in patients with type 2 diabetes mellitus: a cross-sectional study

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