Medication adherence and health beliefs among South Asian immigrants with diabetes in the United States: A qualitative study

Jamil, Amna; Jonkman, Lauren J.; Miller, Michelle; Jennings, Luke; Connor, Sharon E.

doi:10.1002/jac5.1668

Cited by 6 publications

(12 citation statements)

References 25 publications

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“…A specific belief brought up by participants was that Western medications were detrimental to one's health in the long-term; for this reason, participants often intentionally self-adjusted medication dose or discontinued medications without consulting their doctors. However, we did not observe cultural beliefs on the superiority of traditional medication over Western medication or concurrent intake of both Western and complementary medications, a common belief and practice found in studies of Asian patients in a Western healthcare setting (Li et al, 2006;Eh et al, 2016;Jamil et al, 2022). Our findings are also in contrast with studies in Western healthcare settings where spirituality and religious beliefs were culturally significant factors that were shown to have a considerable effect on medication adherence (Albargawi et al, 2017;McQuaid and Landier, 2018;Shahin et al, 2019).…”

Section: Implications For Research and Practicecontrasting

confidence: 99%

Factors influencing medication adherence in multi-ethnic Asian patients with chronic diseases in Singapore: A qualitative study

Yoon

Kwan²,

Yap³

et al. 2023

Front. Pharmacol.

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Background: Poor medication adherence can lead to adverse health outcomes and increased healthcare costs. Although reasons for medication adherence have been widely studied, less is explored about factors affecting medication adherence for patients in non-Western healthcare setting and from Asian cultures. This study aimed to explore cultural perspectives on factors influencing medication adherence among patients with chronic diseases in a multi-ethnic Asian healthcare setting.Methods: We conducted a qualitative study involving in-depth interviews with patients with chronic conditions purposively recruited from a community hospital in Singapore until data saturation was achieved. A total of 25 patients participated in this study. Interviews were transcribed and thematically analyzed. Themes were subsequently mapped into the World Health Organization (WHO) Framework of Medication Adherence.Results: Participants commonly perceived that sides effects (therapy-related dimension), poor understanding of medication (patient-related dimension), limited knowledge of condition (patient-related dimension), forgetfulness (patient-related dimension) and language issues within a multi-ethnic healthcare context (healthcare team and system-related dimension) as the main factors contributing to medication adherence. Importantly, medication adherence was influenced by cultural beliefs such as the notion of modern medicines as harms and fatalistic orientations towards escalation of doses and polypharmacy (patient-related dimension). Participants made various suggestions to foster adherence, including improved patient-physician communication, enhanced care coordination across providers, use of language familiar to patients, patient education and empowerment on the benefits of medication and medication adjustment.Conclusion: A wide range of factors influenced medication adherence, with therapy- and patient-related dimensions more pronounced compared to other dimensions. Findings demonstrated the importance of cultural beliefs that may influence medication adherence. Future efforts to improve medication adherence should consider a person-centered approach to foster more positive health expectations and self-efficacy on medication adherence, supplemented with routine reviews, development of pictograms and cultural competence training for healthcare professionals.

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Section: Implications For Research and Practicecontrasting

confidence: 99%

Factors influencing medication adherence in multi-ethnic Asian patients with chronic diseases in Singapore: A qualitative study

Yoon

Kwan²,

Yap³

et al. 2023

Front. Pharmacol.

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“…Medicare does not have information on these factors or if beneficiaries spoke English or medication beliefs. Qualitative research suggests beliefs about complementary and alternative medication may influence medication adherence among Asian-American adults [ 39 ]. Data were not available for younger adults and the results of the current study apply only to older US adults.…”

Section: Discussionmentioning

confidence: 99%

Antihypertensive medication persistence and adherence among non-Hispanic Asian US patients with hypertension and fee-for-service Medicare health insurance

Choi,

Mizuno,

Wang

et al. 2024

PLoS ONE

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Background Less than 50% of non-Hispanic Asian adults taking antihypertensive medication have controlled blood pressure. Methods We compared non-persistence and low adherence to antihypertensive medication between non-Hispanic Asian and other race/ethnicity groups among US adults ≥66 years who initiated antihypertensive medication between 2011 and 2018 using a 5% random sample of Medicare beneficiaries (non-Hispanic Asian, n = 2,260; non-Hispanic White, n = 56,000; non-Hispanic Black, n = 5,792; Hispanic, n = 4,212; and Other, n = 1,423). Non-persistence was defined as not having antihypertensive medication available to take in the last 90 of 365 days following treatment initiation. Low adherence was defined as having antihypertensive medication available to take on <80% of the 365 days following initiation. Results In 2011–2012, 2013–2014, 2015–2016 and 2017–2018, the proportion of non-Hispanic Asian Medicare beneficiaries with non-persistence was 29.1%, 25.6%, 25.4% and 26.7% (p-trend = 0.381), respectively, and the proportion with low adherence was 58.1%, 54.2%, 53.4% and 51.6%, respectively (p-trend = 0.020). In 2017–2018, compared with non-Hispanic Asian beneficiaries, non-persistence was less common among non-Hispanic White beneficiaries (risk ratio 0.74 [95%CI, 0.64–0.85]), non-Hispanic Black beneficiaries (0.80 [95%CI 0.68–0.94]) and those reporting Other race/ethnicity (0.68 [95%CI, 0.54–0.85]) but not among Hispanic beneficiaries (1.04 [95%CI, 0.88–1.23]). Compared to non-Hispanic Asian beneficiaries, non-Hispanic White beneficiaries and beneficiaries reporting Other race/ethnicity were less likely to have low adherence to antihypertensive medication (relative risk 0.78 [95%CI 0.72–0.84] and 0.84 [95%CI 0.74–0.95], respectively); there was no association for non-Hispanic Black or Hispanic beneficiaries. Conclusions Non-persistence and low adherence to antihypertensive medication were more common among older non-Hispanic Asian than non-Hispanic White adults.

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“…Based on articles obtained from the concepts, theories or models used, it is revealed that good self-management through lifestyle, psychosocial, cultural and spiritual changes will affect the health and quality of life of patients with diabetes mellitus (Mohebbi et al, 2019;Wildevuur et al, 2019;Gumbs, 2020;Wang, Shao and Ye, 2020;Jamil et al, 2022;Rosman et al, 2022) . Diabetes Mellitus patients feel the level of adaptation by doing selfmanagement that improves the quality of life and gets social support.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the article, it was found that good self-management through lifestyle, psychosocial, cultural and spiritual changes will affect the health and quality of life of patients with diabetes mellitus (Mohebbi et al, 2019;Wildevuur et al, 2019;Gumbs, 2020;Wang, Shao and Ye, 2020;Jamil et al, 2022;Rosman et al, 2022). Social support from both families and health workers plays an important role in improving the management of diabetes mellitus patients through new strategies in behavior change interventions (Messer, Sousa and Cook, 2019;Swarna Nantha, Haque and Swarna Nantha, 2019;Marsala-Cervasio et al, 2021;Shirey et al, 2021).…”

Section: Impact In the Management Of Patients With Diabetes Mellitusmentioning

confidence: 99%

A Literature Review on Diabetes Mellitus Management: A Nursing Philosophy

Pratiwi¹,

Pandin²,

Nursalam³

2022

Preprint

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BackgroundGood management behavior in patients with diabetes mellitus can reduce disease complications and improve quality of life. This philosophical problem is very important for nurses who are able to provide management care for diabetic patients. The purpose of this literature review is to describe the concept, model or theory that can be used in improving the management of diabetes mellitus patients.MethodsThe method used is by searching several studies published through the Scopus database, PubMed, CINAHL, SpingerLink, and web of science (WOS). The search strategy uses a combination of the terms MeSH Terms. The research questions were designed using the principles of the PICOS framework. Selected studies were published from 2017-2022.ResultsA total of 15 studies were included, with 12 using quantitative methodology and 3 were qualitative. The studies were conducted across various countries. The majority of articles used the concept of self-management intervention based on digital-based development and e-health (n=6), Dorothea Orem's self-care deficit nursing theory n=2) and the transtheoretical model (n=2). These concepts, models and theories are able to improve good self-management through lifestyle changes, psychosocial, cultural acculturation and increase in spiritual values (n=6).ConclusionTransitional change focuses on changing the modifiable factors found in the concepts, models and theories of the articles obtained. Future research can be developed to assess the existence of elaborations and modifications based on the philosophy that people with diabetes are responsible for their own health.

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Medication adherence and health beliefs among South Asian immigrants with diabetes in the United States: A qualitative study

Cited by 6 publications

References 25 publications

Factors influencing medication adherence in multi-ethnic Asian patients with chronic diseases in Singapore: A qualitative study

Factors influencing medication adherence in multi-ethnic Asian patients with chronic diseases in Singapore: A qualitative study

Antihypertensive medication persistence and adherence among non-Hispanic Asian US patients with hypertension and fee-for-service Medicare health insurance

A Literature Review on Diabetes Mellitus Management: A Nursing Philosophy

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