Medication adherence and self-care behaviours among patients with type 2 diabetes mellitus in Ghana

Afaya, Richard Adongo; Bam, Victoria; Azongo, Thomas Bavo; Afaya, Agani; Kusi-Amponsah, Abigail; Ajusiyine, James Mbangbe; Hamid, Tahiru Abdul

doi:10.1371/journal.pone.0237710

Cited by 34 publications

(62 citation statements)

References 35 publications

(93 reference statements)

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“…There was no statistical relation between the taking of medications and the variables tested in this research. As opposed to these findings, studies from Africa and Saudi Arabia (22)(23) found an association with the variables Age and Educational level, according to which younger people and those with low educational levels adhered the least to this activity. These results highlight the importance of a health education adapted to the needs of the patient, going beyond raising the awareness of the individual about the adherence to the medication treatment to control the diabetes.…”

Section: Variablesmentioning

confidence: 59%

Diabetes mellitus type 2: factors related to adherence to self-care

et al. 2022

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Objectives: to analyze the sociodemographic and clinical variables related to the adherence to self-care activities in people with diabetes mellitus type 2. Methods: quantitative, cross-sectional study, carried out with 270 people with diabetes from December 2019 to October 2020, in São Luís, Maranhão. Results: the adherence to self-care was greater when it comes to medications (Md=7.0) and foot care (Md= 6.0), but lower in regard to blood sugar testing (Md=1.0), exercise (Md=2,0), and diet (general) (Md=4.0). The variables age group (p=0.007), educational level (p=0.015), body mass index (p=0.035), complications with diabetes (p=0.009), and nutritional follow-up (p=0.000) had associations with self-care activities. Conclusions: identifying the factors related to the adherence to self-care was found to be essential to strengthen the line of care in chronic diseases and to direct educational actions, aiming to improve the quality of life of people with diabetes.

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Section: Variablesmentioning

confidence: 59%

Diabetes mellitus type 2: factors related to adherence to self-care

et al. 2022

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“…Multiple medications could contribute to non-adherence since such patients have divided commitment to managing several comorbidities. Also, since majority of our study population had low or no formal education (166,64.7%), this could explain the high levels of non-adherence to antidiabetic medications as further reported by previous studies in Ghana (20). The reason for this nding could be that as the antidiabetic regimen becomes complex, those with higher level of education are expected to easily understand such and thus effectively follow their treatment regimen.…”

Section: Prevalence Of Non-adherencementioning

confidence: 66%

Factors Associated With Non-Adherence To Antidiabetic Medication Among Patients at Mbarara Regional Referral Hospital, Mbarara, Uganda

Faisal

Mekuriya

Tusiimire

2021

Preprint

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Background Non–adherence is a major concern in treatment of diabetes mellitus and undermines the goals of treatment. The objective of this study was to determine the magnitude of non-adherence and its contributing factors among diabetes mellitus patients attending the Diabetes mellitus clinic at Mbarara Regional Referral Hospital. Objective To assess the factors contributing to non-adherence to antidiabetic medication among diabetes mellitus patients in the Diabetic clinic at Mbarara Regional Referral Hospital Methods A descriptive cross-sectional study was done at the Diabetes clinic, Mbarara Regional Referral Hospital, between July and October 2020. Study participants were systemically sampled and data regarding their medication non-adherence was collected using a structured questionnaire, based on the Hill-Bone medication adherence scale. Data entry was done using Microsoft Excel Version 2010 and analysis was carried out using STATA version 13. Results A total of 257 participants were recruited with 100% response rate. More than one third (98, 38.1%) of the participants were non-adherent to their antidiabetic medication. Age above 60 years (AOR = 6.26, 95%CI = 1.009–39.241, P = 0.049), and duration of diabetes mellitus above 5years (AOR = 1.87, 95%CI = 1.034–3.392, P = 0.038) were independently associated with non-adherence to antidiabetic medication. Conclusion The prevalence of non-adherence to antidiabetic medication was higher than that revealed in previous studies in Uganda. Patients with age above 60 years were six times more likely to be non-adherent to their antidiabetic medications. Patient education is important to address the challenge of medication non-adherence.

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“…Self-care practices in diabetes patients are crucial to keep the illness under control and prevent complications. Effective management of diabetes will be a difficult task without adequate understanding of the existing level of practice related to diabetes self-care [49,[52][53][54].…”

Section: Mean±sd Rii Rankingmentioning

confidence: 99%

“…Not smoking was associated with being female and being retired. [52] Participant's age, educational level, and practice of self-care behaviours influenced adherence to anti-diabetes medication. Participants aged 70 years and above were less likely to be non-adherent to medication as compared to those below 50 years.…”

Section: Mean±sd Rii Rankingmentioning

confidence: 99%

Factors Influencing Adherence to Self-Care Practices Among Diabetes Patients in a Selected Tertiary Hospital, Osun State

Arogundade

Salawu

2021

JAMMR

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Aims: Diabetes is a chronic non-communicable disease with many irreversible complications that can be prevented by strict adherence to self-care practice. This study aims to investigate the factors influencing adherence to self-care practices among diabetes patients Study Design: This study adopted a descriptive research design carried out among diabetes patients attending outpatient endocrinology clinic of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State between July and September 2021. Methodology: Sample size was calculated using Cochran formula and total number of sample used were two hundred and eight (208) diabetes patients. Samples were selected using convenient sampling technique. A self-developed structured Questionnaire on knowledge of diabetes and factors influencing adherence to diabetes self-care practices with reliability index of 0.858 and 0.863 respectively. Two (2) adapted questionnaire; Diabetes self-care practices by Schmitt et al (2013) and Level of adherence to self-care practices scale by Morisky et al. (1986) with reliability index of 0.731 and 0.851 respectively were also used for data collection. Data collected were analyzed using descriptive statistics of frequency, percentage, mean and standard deviation while inferential statistics of Pearson product moment correlation and regression were used to test stated hypotheses at 0.05 level of significance. Results: The result from the study revealed good knowledge of diabetes mellitus and diabetes self-care practices among the respondents. The results also revealed high level of adherence to diabetes medication, diet, physical activity, blood glucose testing, follow-up and foot care. Factors influencing the level of adherence with diabetes self-care practices include cost of treatment, longer year of being diagnosed, good relationship between healthcare team, level of education, good family and social support. There is also a significant relationship between knowledge of diabetes mellitus and adherence with physical activity (r = 0.210; P = 0.02) and blood glucose testing (r = 0.203; P = 0.003). However, there is no significant relationship between knowledge of self-care practices and adherence to self-care practices; socio-demographic characteristics of age (r = -0.040; P = 0.568), education (r = 0.112; P = 0.107) and adherence to self-care practices. Conclusion: The study concluded that there was high level of knowledge about diabetes and diabetes self-care practices as well as adherence to diabetes self-care practices, therefore, health care providers should continue to monitor self-care practices among diabetes patients to achieve positive health outcome and reduce morbidity and mortality associated with diabetes mellitus.

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Medication adherence and self-care behaviours among patients with type 2 diabetes mellitus in Ghana

Abstract: Background Diabetes often coexists with other medical conditions and is a contributing cause of death in 88% of people who have it. The study aimed at evaluating medication adherence, self-care behaviours and diabetes knowledge among patients with type 2 diabetes mellitus in Ghana.

Cited by 34 publications

References 35 publications

Diabetes mellitus type 2: factors related to adherence to self-care

Diabetes mellitus type 2: factors related to adherence to self-care

Factors Associated With Non-Adherence To Antidiabetic Medication Among Patients at Mbarara Regional Referral Hospital, Mbarara, Uganda

Factors Influencing Adherence to Self-Care Practices Among Diabetes Patients in a Selected Tertiary Hospital, Osun State

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