Treatment non-adherence among patients with poorly controlled type 2 diabetes in ambulatory care settings in southwestern Nigeria

Adisa, Rasaq; Fakeye, Titilayo O.

doi:10.4314/ahs.v14i1.2

Cited by 56 publications

(90 citation statements)

References 43 publications

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“…This information is similar to the literature data that indicate an increase in adults with diabetes aged 40 years or older, the majority over 50 years old, predominantly women, with low educational level and inactive. (11,(20)(21)(22) The prevalence of women in this study is similar to that obtained by Vigitel, (23) in which the frequency of self-reported diabetes diagnosis in 2012 was 8.1% in women and 6.5% in men. The higher prevalence among women has been reported in other studies in Brazil.…”

Section: Discussionsupporting

confidence: 75%

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

et al. 2017

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Objective: To evaluate the effect of home visits on adherence and empowerment of self-care practices in type 2 diabetes mellitus. Methods: Cluster randomized clinical trial involving 145 users with type 2 diabetes mellitus, of which 34 in the intervention group and 111 in the control group. The diabetes self-care questionnaire and the Diabetes Empowerment Scale-Short Form were used for comparison between groups at baseline, and intragroup between before and after the study period. The level of significance was set at 0.05. Results: The intervention group presented a statistically significant increase in the median score regarding adherence to diabetes self-care practices (p=0.005) and the empowerment scale (p<0.001). Conclusion: The home visit promoted adherence to self-care practices of type 2 diabetes mellitus. ResumoObjetivo: Avaliar o efeito da visita domiciliar na adesão e empoderamento das práticas de autocuidado em diabetes mellitus tipo 2. Métodos: Ensaio clínico randomizado por clusters, com a participação de 145 usuários com diabetes mellitus tipo 2, sendo 34 do Grupo intervenção e 111 do Grupo controle. Foram utilizados os questionários de Autocuidado com o diabetes e Diabetes Empowerment ScaleShort Form para comparação entre grupos na linha de base, assim como entre o antes e depois intragrupo. O nível de significância foi 0,05. Resultados: O grupo intervenção apresentou aumento estatisticamente significativo do escore mediano referente à adesão às práticas de autocuidado em diabetes (p=0,005) e à escala de empoderamento (p<0,001). Conclusão: A visita domiciliar promoveu à adesão às práticas de autocuidado com diabetes mellitus tipo 2.International Clinical Trials Registration Platform: NCT02132338 Registro Brasileiro de Ensaios Clínicos (ReBEC): RBR-92j38t

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Section: Discussionsupporting

confidence: 75%

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

et al. 2017

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“…The mean number of days on which SMBG was performed ranged from 0.2–2.2 days per week. Four studies reported on the percentage of participants that performed SMBG without indicating the number of times per day or within a week (Adisa & Fakeye, ; Baumann et al, ; Huang, Zhao, Li, & Jiang, ; Musenge, Michelo, Mudenda, & Manankov, ). These studies reported rates from 13.0–79.9% (median = 18.5%; IQR = 14.5–51.5%).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐ and middle‐income countries

Mogre

Johnson

Tzelepis

et al. 2019

Journal of Advanced Nursing

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Aims To determine diabetes patient's adherence to five self‐care behaviours (diet, exercise; medication, self‐monitoring of blood glucose [SMBG] and foot care) in low‐ and middle‐income countries. Design Systematic review. Data sources We searched MEDLINE, CINAHL, PUBMED, SCOPUS, PsycINFO, EMBASE, Cochrane library and EMCARE for the period January 1990 – June 2017. Review Methods Title, abstract and full text screening were done according to eligibility criteria. A narrative synthesis of the literature was conducted. Results A total of 7,109 studies were identified of which 27 met the review eligibility criteria and were included. All the studies used self‐report of adherence to diabetes self‐care. Studies reported adherence rates in two major forms: (a) mean number of days participants performed a recommended dietary behaviour/activity during the past week; and (b) proportions of participants adhering to a recommended self‐care behaviour. Mean number of days per week participants adhered to a self‐care behaviour ranged from 2.34.6 days per week for diet, 5.5–6.8 days per week for medication, 1.8–5.7 days per week for exercise, 0.2–2.2 days per week for SMBG and 2.2–4.3 days per week for foot care. Adherence rates ranged from 29.9%–91.7% for diet, 26.0%–97.0% for medication taking, 26.7%–69.0% for exercise, 13.0%–79.9% for self‐monitoring of blood glucose and 17.0%–77.4% for foot care. Conclusion Although most diabetes patients do not adhere to recommended self‐care behaviours, adherence rates vary widely and were found to be high in some instances. Impact Health services in low‐ and middle‐income countries should monitor adherence to diabetes self‐care behaviours rather than assume adherence and resources should be invested in improving adherence to the self‐care behaviours. Large‐scale accurate monitoring of adherence to diabetes self‐care behaviour is needed and consideration should be given to choice of measurement tool for such exercise.

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“…Another example is a study carried out in Nigeria where nonadherence was seen in 47.1% of patients which can also be explained by the knowledge gaps of patients with regard to indication for each of the prescribed medications, and the inaccurate description of prescribed dosage regimens among a significant proportion of patients along with their low educational level and financial problems [16].…”

Section: Discussionmentioning

confidence: 99%

Factors contributing to non-adherence to insulin therapy among type 1 and type2 diabetes mellitus patients in Asser region, Saudi Arabia

Almaghaslah¹,

Abdelrhman²,

AL-Masdaf³

et al. 2018

biomedicalresearch

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Objective: The aim of this study was to assess the treatment adherence for DM as related to quality of life and to assess the factors contributing to non-adherence among the types 1 and 2 diabetes patients in the Asser Region, Saudi Arabia. Patients and methods: A cross-sectional study was carried out on 200 DM patients. An eight-item Morisky medication adherence questionnaire was used to assess adherence. A validated questionnaire was used to collect information on factors influencing non-adherence. The percentage of adherence and the factors contributing to non-adherence were analysed with descriptive statistics, chi-square test and independent sample t-test. Results: The current study showed that the overall prevalence of therapeutic non-adherence was 76 patients (38%). Among the non-adherent patients, (28.9%) patients were illiterate, 40 had economic problems which prohibited their purchase of the prescribed medicines (p=0.56), (26%) patients were aware of the outcomes if the medications were not taken regularly (p=0.591), most of the patients (56, 28.6%) were not aware of the common side effects of their medications (p = 0.606), (23.5%) of the patients were not exercising regularly (p=0.651), (20%) patients of the low adherent patients were afraid of hypoglycaemia and (42.9%) patients were suffering from forgetfulness in regard to taking their medication. Conclusion: The current study suggests acceptable level of adherence among diabetic patients in Aseer region, Saudi Arabia. The study finding that the most common barriers to patients' adherence were forgetfulness, fear of hypoglycaemia, weight gain and difficulties with injections.

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Treatment non-adherence among patients with poorly controlled type 2 diabetes in ambulatory care settings in southwestern Nigeria

Cited by 56 publications

References 43 publications

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐ and middle‐income countries

Factors contributing to non-adherence to insulin therapy among type 1 and type2 diabetes mellitus patients in Asser region, Saudi Arabia

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