Factors associated with treatment adherence to treatment among in patients with type 2 diabetes in Iran: A cross-sectional study

Abstract

IntroductionDiabetes is a chronic metabolic disorder that affects millions of people worldwide. Adherence to treatment is a key determinant to proper management. This study aimed to assess the factors associated treatment adherence in patients with type 2 diabetes.Materials and methodsWe conducted this cross-sectional study on 704 patients with type 2 diabetes referred to three diabetes clinics in Kerman, Iran. We used treatment adherence questionnaire and functional communicative critical health literacy (FCCHL) to collect data and descriptive statistics, as well as Pearson correlation coefficient and multivariate regression analysis to analyze data. Significance level was <0.05.ResultsThe study results showed that health literacy, HbA1c, and income were main predictors of diabetes treatment adherence. The patients' adherence increased as their health literacy increased. The patients' HbA1c decreases as their adherence increased. We found a 2.54-point increase in the treatment adherence score for those with sufficient income and a 0.76-point increase in the treatment adherence score for those with relatively sufficient income compared with those with insufficient income.ConclusionWe found several factors affecting diabetes treatment adherence. Planning theory-based interventions can be helpful to improve the determinants.

Frequency of missed doses and its effects on the regulation of glucose levels in patients with type 2 diabetes: A retrospective analysis

“…According to the findings of some earlier investigations, glycemic control and medication adherence are related. [21][22][23][24] Although different from our methods, these investigations employed either the medication possession ratio or a questionnaire-based approach. Patients with poor adherence to OHAs, as determined by the percentage of medication taken on prescription for up to 365 days, had lower HbA1c reductions than those taking treatment as advised.…”

A Predictive Model for Identifying Low Medication Adherence Among Patients with Cirrhosis

“…Higher-educated people understand the complications of not taking medication and not receiving medical instructions, which explains why education affects treatment adherence. 37 Nevertheless, it is worth noticing that the medication and treatment procedure must be fully explained to these populations, preventing low adherence caused by fear of side effects. 38 Lower income was associated with low medication adherence in our study.…”

Mekanisme Koping Dan Tingkat Kepatuhan Pada Penderita Penyakit Diabetes Mellitus

“…Kepatuhan terhadap pengelolaan penyakit ini sangat penting dalam mencegah komplikasi jangka panjang dan meningkatkan kualitas hidup penderita(Alqarni et al, 2018). Salah satu faktor yang dapat mempengaruhi tingkat kepatuhan pada penderita diabetes adalah mekanisme koping atau cara individu menghadapi dan mengatasi stres atau tuntutan yang dihadapi (NasrinPourhabibi et al, 2022;Ranjbaran et al, 2020).Mekanisme koping adalah strategi psikologis yang digunakan seseorang untuk menghadapi tekanan, tantangan, atau situasi yang sulit(Bustanul Arifin et al, 2020). Ada dua jenis utama mekanisme koping:…”