Abstract:PurposeLittle is known about predictors of adherence to diabetes medication in Saudi Arabia. This study aimed to investigate whether illness perceptions, beliefs about medicine, and God locus of health control beliefs were associated with adherence to medication and glycaemic control (HbA1c) in Saudi patients with type 2 diabetes (T2D).Patients and methodsA convenience sample of 115 adults with T2D were recruited from a diabetes outpatient clinic. Validated self-reported measures of adherence to medication, il… Show more
“…25 In another study conducted by Alyami et al in KSA, only two-thirds (69%) of the adult participants reported good adherence to medication. 26 Based on the EQ-5D-5L, the participants in the current study were relatively healthy in terms of mobility, selfcare, and anxiety/depression. However, approximately one-third of the participants reported at least some problems with pain and discomfort and/or usual care.…”
Section: Discussionmentioning
confidence: 99%
“… 25 In another study conducted by Alyami et al in KSA, only two-thirds (69%) of the adult participants reported good adherence to medication. 26 …”
Background
The Kingdom of Saudi Arabia (KSA) has the second highest prevalence of type 2 diabetes mellitus (T2DM) in the Middle East. There is a paucity of research on the experiences and treatment preferences of patients with T2DM in KSA. This study explored Saudi patients’ health-related quality of life, eating habits, experiences during Ramadan, and preference between two glucagon-like peptide-1 receptor agonist (GLP-1 RA) treatment devices.
Methods
A cross-sectional, observational study was conducted in three cities in KSA. Participants completed sociodemographic and clinical forms, EQ-5D-5L, Impact of Weight on Self-Perceptions, and a diabetes treatment survey. Participants also viewed instructional videos on GLP-1 RA injection devices and indicated their device preference.
Results
Of the 310 participants, 53% were male. The mean age was 43 years (range: 30.0–75.0), duration since diabetes diagnosis was 6.3 years (range: 0.2–27.1), the most commonly reported last HbA1c level was between ≥7.1% and 8% (45%). The mean EQ-5D-5L index score was 0.90, with some participants reporting problems with pain/discomfort (34.5%) and usual activities (33.2%). Patients reported a low-to-moderate impact of weight on self-perception. In preparation for Ramadan, participants sought physician advice on diabetes management (37%) and/or increased checks of their blood glucose (37%). After watching the videos, 89% (n=277) of participants indicated a device preference, with significantly more preferring the dulaglutide device (n=186, 67%) over the semaglutide device (n=91, 33%) (p<0.0001).
Conclusion
This study indicates that T2DM has a significant social, emotional, and behavioral impact on the lives of patients in KSA.
“…25 In another study conducted by Alyami et al in KSA, only two-thirds (69%) of the adult participants reported good adherence to medication. 26 Based on the EQ-5D-5L, the participants in the current study were relatively healthy in terms of mobility, selfcare, and anxiety/depression. However, approximately one-third of the participants reported at least some problems with pain and discomfort and/or usual care.…”
Section: Discussionmentioning
confidence: 99%
“… 25 In another study conducted by Alyami et al in KSA, only two-thirds (69%) of the adult participants reported good adherence to medication. 26 …”
Background
The Kingdom of Saudi Arabia (KSA) has the second highest prevalence of type 2 diabetes mellitus (T2DM) in the Middle East. There is a paucity of research on the experiences and treatment preferences of patients with T2DM in KSA. This study explored Saudi patients’ health-related quality of life, eating habits, experiences during Ramadan, and preference between two glucagon-like peptide-1 receptor agonist (GLP-1 RA) treatment devices.
Methods
A cross-sectional, observational study was conducted in three cities in KSA. Participants completed sociodemographic and clinical forms, EQ-5D-5L, Impact of Weight on Self-Perceptions, and a diabetes treatment survey. Participants also viewed instructional videos on GLP-1 RA injection devices and indicated their device preference.
Results
Of the 310 participants, 53% were male. The mean age was 43 years (range: 30.0–75.0), duration since diabetes diagnosis was 6.3 years (range: 0.2–27.1), the most commonly reported last HbA1c level was between ≥7.1% and 8% (45%). The mean EQ-5D-5L index score was 0.90, with some participants reporting problems with pain/discomfort (34.5%) and usual activities (33.2%). Patients reported a low-to-moderate impact of weight on self-perception. In preparation for Ramadan, participants sought physician advice on diabetes management (37%) and/or increased checks of their blood glucose (37%). After watching the videos, 89% (n=277) of participants indicated a device preference, with significantly more preferring the dulaglutide device (n=186, 67%) over the semaglutide device (n=91, 33%) (p<0.0001).
Conclusion
This study indicates that T2DM has a significant social, emotional, and behavioral impact on the lives of patients in KSA.
“…These findings have been supported by subsequent research that found lower HbA 1c was associated with perceived personal control over diabetes 12,13 and more chronic timeline perceptions 14 . Illness perceptions associated with higher HbA 1c include greater consequences, 13 stronger illness identity, 13,15 more cyclical timeline beliefs 4,16 and greater emotional distress 13 …”
Section: Introductionmentioning
confidence: 62%
“…Research has shown that individuals’ illness perceptions are related to health outcomes across a number of chronic conditions 1,2 . In diabetes, illness perceptions have been associated with adherence to self‐care behaviours, 3 glycaemic control as assessed by glycated haemoglobin (HbA 1c ), 4,5 clinic attendance, 6 quality of life, 7 depression, anxiety 8 and mortality 9 …”
Aims
This systematic review sought to synthesize the evidence regarding the effectiveness of illness perception interventions compared with control conditions at changing illness perceptions and improving glycaemic control in individuals with type 2 diabetes.
Methods
Seven electronic databases were searched between October 2018 and May 2020. Randomized controlled trials that tested interventions informed by the Common‐Sense Model in adults with type 2 diabetes, and measured illness perceptions and glycaemic control at pre‐ and post‐intervention were included. The Cochrane risk of bias tool was used to assess risk of bias.
Results
A total of 4095 articles were identified, of which nine randomized control trials (2561 participants) across 12 publications were included in this review. Findings showed that all the illness perception domains were modified in at least one trial, with the exception of cyclical timeline perceptions. Coherence, personal control, treatment control and chronic timeline perceptions were the most frequently modified perceptions. Glycaemic control demonstrated an improvement in the intervention group compared to the control group at 3 and 6 months post‐intervention in two trials. Risk of bias assessment showed high risk of bias especially for the blinding of participants and the personnel domain.
Conclusions
There is limited evidence that interventions informed by the Common‐Sense Model can improve glycaemic control in individuals with type 2 diabetes through changing inaccurate illness perceptions. Recommendations for future research are to tailor intervention content based on baseline perceptions, measure the emotional and causal domains, and involve family members in the intervention. (PROSPERO registration: CRD42019114532).
“…Findings from this study will help inform future interventions aimed at improving adherence to self-care behaviours among Saudi patients with T2D. Associations with medication adherence and glycaemic control have been reported in a separate paper (Alyami, Serlachius, Mokhtar, & Broadbent, 2019).…”
Objective: To investigate the associations between illness perceptions, God locus of health control (GLHC) beliefs, and selfcare behaviours in Saudi patients with type 2 diabetes (T2D). Design: A cross-sectional study was conducted with 115 adults with T2D in a Saudi Arabian diabetes clinic. Illness perceptions, GLHC beliefs, and self-care behaviours were assessed using the Arabic versions of the Brief Illness Perception Questionnaire, God Locus of Health Control, and Summary of Diabetes Self-Care Activities. Logistic and linear regressions were conducted. Results: Greater perceptions of personal control (OR = 2.07, p = .045) and diet effectiveness (OR = 2.73, p = .037) were associated with higher odds of adhering to general diet. Greater perceptions of diet effectiveness (β = 0.27, p = .034) and better understanding of T2D (β = 0.54, p < .001) were significant independent predictors of fruit and vegetables intake and exercise respectively. Patients with lower GLHC beliefs (OR = 4.40, p = .004) had higher odds of adhering to foot care than those with higher GLHC beliefs. Illness perceptions and GLHC beliefs did not predict adherence to a low-fat diet, self-monitoring of blood glucose, or not smoking. Conclusion: Greater perceptions of personal control, coherence, diet effectiveness, and lower GLHC beliefs were associated with higher adherence to self-care behaviours in Saudi patients with T2D. Interventions designed to promote self-care behaviours in Saudi patients with T2D could focus on addressing these perceptions.
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