Treatment-seeking behavior and obstacles to treatment compliance in diabetic patients in Mangaluru, India

Mentock, Shannon M.; Ng, Vanessa; Narayana, Rashmi; Ullal, Harshini; Kumari, Suchetha; Badiger, Sanjeev; Shetty, Avinash K.

doi:10.1016/j.dsx.2017.04.014

Cited by 7 publications

(19 citation statements)

References 16 publications

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“…We found that patients with diabetic foot complications experienced delayed treatment, mainly owing to the lack of knowledge about diabetes and diabetic foot complications. Several studies similarly have noted a low level of knowledge about diabetic foot complications and unsuccessful treatment-seeking behavior in patients, which is consistent with our results (27,30,31). Our findings also indicated a serious deficiency in doctorpatient communication, which may be due to the heavy workload of medical staff.…”

Section: Discussionsupporting

confidence: 92%

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Liu¹,

Chu²,

Zhao³

et al. 2021

Ann Transl Med

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Background: Patients with diabetic foot complications are associated with high rates of morbidity, disability, and mortality. Through findings of qualitative interviews with patients with this disease, we aimed to explore the barriers they encountered, provide evidence to improve the efficacy of medical services, discuss prevention and treatment strategies for future policymakers, and attract widespread attention from the Chinese society.Methods: Patients with diabetic foot complications were recruited from three tertiary hospitals in China between July to September 2020. Patients were included who had a clinical diagnosis of diabetic foot complications, were 18 years or older, spoke Chinese as their first language, and were willing to share treatment experiences. An interview guide was used during the in-person semi-structured interviews that lasted 20 to 50 minutes and were audio-recorded. Transcripts were analyzed for qualitative themes.Results: Forty-one patients (range, 38-79 years; 12 men, 29 women) were recruited. Data analysis indicated five thematic dimensions on barriers encountered by patients with diabetic foot complications: hospital visits, doctor-patient communication, mental burden, economic burden, and social support.Conclusions: Patients with diabetic foot complications face serious financial, mental, and social burdens in China. Future studies can use the five dimensions to help solve the existing problems and improve treatment outcomes of this patient population.

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Section: Discussionsupporting

confidence: 92%

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Liu¹,

Chu²,

Zhao³

et al. 2021

Ann Transl Med

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“…A cross-sectional study is the most frequently used research design in articles about medication adherence in diabetes patients in many Asian regions (n= 21). Most studies on medication adherence factors in diabetic patients were conducted on type 2 diabetes patients in India 30–36 (n= 7), China 37–40 (n= 4) and Malaysia 41–44 (n= 4). Meanwhile, other studies were conducted in nine countries from three Asian regions.…”

Section: Resultsmentioning

confidence: 99%

“… (Mentock et al, 2017)/India/Diabetic clinic/Cross-sectional/T2DM. 30 204 Blood glucose level ● Fasting blood glucose 130 mg/dl (uncontrolled) ● 70–130 mg/dl (controlled) ● Uncontrolled (62.2%) ● Controlled (37.7%) ● Age ● Home location ● High treatment costs ● Gender ● Household income ● Religion ● Marital status ● Diabetic diet ● Transportation ● Social support ● Health care provider ● Medication availability 80 12. (Abdullah et al, 2019)/Malaysia/Hospital/Cross-sectional/T2DM.…”

Section: Methodsmentioning

confidence: 99%

Exploring of Determinants Factors of Anti-Diabetic Medication Adherence in Several Regions of Asia – A Systematic Review

Wibowo

Yasin

Kristina

et al. 2022

PPA

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Background The determinants of medication adherence in people with diabetes may differ between populations of an area due to social environment, cultural beliefs, socioeconomic conditions, education, and many other factors differences. Objective Therefore, this study aims to explore, identify and classify the determinants of medication adherence in several Asian regions. Methods A systematic literature review was conducted to gain insight into the determinants of medication adherence. Seven relevant databases (EBSCO, ProQuest, PubMed, ScienceDirect, Scopus, Wiley, dan Taylor and Francis) and hand searching methods were conducted from January 2011 to December 2020. Keywords were compiled based on the PICO method. The selection process used the PRISMA guidelines based on inclusion, and the quality was assessed using Crowe’s critical assessment tool. Textual summaries and a conceptual framework model of medication adherence were proposed to aid in the understanding of the factors influencing medication adherence. Results Twenty-six articles from countries in several Asian regions were further analyzed. Most studies on type 2 diabetes patients in India used the MMAS-8 scale, and cross-sectional study is the most frequently used research design. The medication adherence rate among diabetic patients was low to moderate. Fifty-one specific factors identified were further categorized into twenty-three subdomains and six domains. Furthermore, the determinants were classified into four categories: inconsistent factors, positively related factors, negatively related factors, and non-associated factors. In most studies, patient-related factors dominate the association with medication adherence. This domain relates to patient-specific demographics, physiological feelings, knowledge, perceptions and beliefs, comorbidities, and other factors related to the patient. Several limitations in this review need to be considered for further research. Conclusion Medication adherence to diabetic therapy is a complex phenomenon. Most determinants produced disparate findings in terms of statistical significance. The identified factors can serve various goals related to medication adherence. Policymakers and health care providers should consider patient-related factors.

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“…[ 8 10 11 12 ] In India, there is a dearth of data on treatment seeking behaviors of patients with diabetes mellitus. [ 14 ] No previous study on treatment seeking behavior among T1DM patients in India was found. So, the objectives of this study were, (1) To investigate the pathway from first symptoms to initiation of insulin regimen in children coming for treatment of T1DM, (2) To assess the level of awareness among their parents about the disease, and (3) To explore causes of delay in initiation of insulin regimen among children suffering from T1DM.…”

Section: Introductionmentioning

confidence: 99%

“Puddles on the Road”

Rohilla¹,

Kumar²,

Walia³

et al. 2021

Indian Journal of Endocrinology and Metabolism

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Introduction: This study was conducted to investigate the pathway from first symptoms to initiation of insulin regimen in children with new-onset Type 1 Diabetes Mellitus (T1DM) and explore the reasons behind diabetes ketoacidosis (DKA) at onset among children with T1DM. Materials and Methods: An exploratory study was conducted using a pretested questionnaire, among parents of children diagnosed with T1DM within preceding 3 months. Results: Out of the total 105 children, 56.1% were males. The median age was 7 years. The commonest reported symptoms were polydipsia (97.8%), polyuria (75.2%), and nocturia (75.2%). The mean time taken by parents from onset of symptoms to decide to visit the physician (appraisal gap) was 7.85 ± 7.95 days. The help-seeking gap (from decision-making to visiting a physician) was 3.01 ± 8.31 days, diagnostic gap (from first visit to diagnosis) was 4.19 ± 6.72 days, and the treatment gap (from diagnosis to the start of insulin) was 2.12 ± 6.87 days. The DKA at onset (was present in 39 out of 105 children 37.1%) and was higher among children with lower per-capita income ( P -0.017), lack of previous experience among parents ( P -0.017), longer appraisal ( P -0.023), and treatment gap ( P -0.009). Conclusion: Increasing awareness about the diabetes among children among the public and primary healthcare workers can help prevent DKA at onset.

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Treatment-seeking behavior and obstacles to treatment compliance in diabetic patients in Mangaluru, India

Cited by 7 publications

References 16 publications

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Exploring the barriers of patients with diabetic foot complications in China: a qualitative interview study

Exploring of Determinants Factors of Anti-Diabetic Medication Adherence in Several Regions of Asia – A Systematic Review

“Puddles on the Road”

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