Assessment of adherence to treatment in patients with type 2 diabetes
DOI:
https://doi.org/10.52556/2587-3873.2024.5(102).12Keywords:
type 2 diabetes, treatment, adherenceAbstract
Type 2 diabetes is currently a major public health problem. High adherence to treatment is associated with a lower risk of mortality. Despite extensive treatment options, less than 50% of patients achieve glycemic goals. This descriptive study was conducted on 141 patients with type 2 diabetes, 51 hospitalized in the endocrinology department of the Republican Clinical Hospital, Chisinau, Republic of Moldova, and 90 questioned online between September 2020 and March 2021. Treatment adherence was assessed using the Diabetes Self-Management Questionnaire (DSMQ), which allows the assessment of overall adherence, and separately on four subscales. Less than half of people with type 2 diabetes - 47% - have high adherence to treatment. The highest score was obtained in the Glucose Management subscale, followed by the Utilization of health care services. Lower adherence was observed in the Dietary Control and Physical Activity subscales. The adherence score was lower in hospitalized patients compared to non-hospitalized patients on the summary scale and on each subscale separately.
References
1. IDF Diabetes Atlas 10th edition, 2021, https://diabetesatlas.org/atlas/tenth-edition/
2. MATEO, J.F., GIL-GUILLÉN, V.F., MATEO, E. et al. Multi-factorial approach and adherence to prescribed oral medications in patients with type 2 diabetes. In: Int J Clin Pract. 2006, nr. 60(4), pp. 422-428. ISSN: 1742-1241 (Electronic) https://doi.org/10.1111/j.1368-5031.2006.00799.x
3. World Health Organization. Adherence to long-term therapies. Evidence for action. Geneva: World Health Organization. 2003. https://iris.who.int/handle/10665/42682
4. BAILEY, C.J., KODACK, M. Patient adherence to medica-tion requirements for therapy of type 2 diabetes. In: Int J Clin Pract. 2011, nr. 65, pp. 314-322. ISSN:1742-1241 (online) https://doi.org/10.1111/j.1742-1241.2010.02544.x
5. GLASGOW, R.E., TOOBERT, D.J., RIDDLE, M., DONNELLY, J., MITCHELL, D.L., CALDER, D. Diabetes-specific social learning variables and self care behaviors among per-sons with type II diabetes. In: Health Psychology. 1989, nr. 8(3), pp. 285-303. ISSN: 1930-7810 (Electronic) https://doi.org/10.1037/0278-6133.8.3.285
6. SCHMITT, A., GAHR, A., HERMANNS, N. et al. The Diabetes Self-Management Questionnaire (DSMQ): development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. In: Health Qual Life Outcomes. 2013, nr. 11(138). ISSN: 1477-7525 (Electronic) https://doi.org/10.1186/1477-7525-11-138
7. GARCÍA-PÉREZ, L.E., ALVAREZ, M., DILLA, T., GIL-GUILLÉN, V., OROZCO-BELTRÁN, D. Adherence to Therapies in Patients with Type 2 Diabetes. In: Diabe-tes Ther. 2013, nr. 4(2), pp. 175-194. ISSN:1869-6961 (Electronic) https://doi.org/10.1007/s13300-013-0034-y
8. KARTER, A.J., FERRARA, A., DARBINIAN, J.A, et al. Self-monitoring of blood glucose: language and financial barriers in a managed care population with diabetes. In: Diabetes Care. 2000, nr. 23(4), pp. 477-483. ISSN: 1935-5548 (Electronic) https://doi.org/10.2337/diacare.23.4.477
9. SHOBHANA, R., BEGUM, R., SNEHALATHA, C. et al. Pa-tient adherence to diabetes treatment. In: Journal of the Association of Physicians of India. 1999, nr. 47(12), pp. 1173-1175. ISSN: 0004-5772 (Print)
10. INZUCCHI, S.E., BERGENSTAL, R.M., BUSE, J.B. et al. Management of hyperglycaemia in type 2 diabetes: a patient-centered approach. Position statement of the American Diabetes Association (ADA) and the Eu-ropean Association for the Study of Diabetes (EASD). In: Diabetologia. 2012, nr. 55(6), pp. 1577-1596. ISSN: 1432-0428 (Electronic) https://doi.org/10.1007/s00125-012-2534-0
11. PRAET, S.F., VAN LOON, L.J. Exercise therapy in type 2 diabetes. In: Acta Diabetol. 2009, nr. 46(4), pp. 263-278. ISSN: 1432-5233 (Electronic) https://doi.org/10.1007/s00592-009-0129-0
12. SCHULTZ, J., SPRAGUE, M.A., BRANEN, L.J., LAMBETH, S. A comparison of views of individuals with type 2 diabetes mellitus and diabetes educators about barriers to diet and exercise. In: Journal of Health Communication. 2001, nr. 6(2), pp. 99-115. ISSN: 1087-0415 (Electronic) https://doi.org/10.1080/108107301750254457
13. DIABETES CANADA CLINICAL PRACTICE GUIDELINES EXPERT COMMITTEE; SIGAL, R.J., ARMSTRONG, M.J., BACON, S.L., BOULÉ, N.G., DASGUPTA, K., KENNY, G.P., RIDDELL, M.C. Physical activity and diabetes. In: Can J Diabetes. 2018, nr. 42 (Suppl. 1), S54-S63. ISSN: 2352-3840 (Electronic) https://doi.org/10.1016/j.jcjd.2017.10.008
14. QIU, S.H., SUN, Z.L., CAI, X., LIU, L., YANG, B. Improving patients' adherence to physical activity in diabetes mellitus: a review. In: Diabetes Metab J. 2012, nr. 36(1) pp. 1-5. https://doi.org/10.4093/dmj.2012.36.1.1
15. BULLARD, T., JI, M., AN, R., TRINH, L., MACKENZIE, M., MULLEN, S.P. A systematic review and meta-analysis of adherence to physical activity interventions among three chronic conditions: cancer, cardiovascular dis-ease, and diabetes. In: BMC Public Health. 2019, nr. 19(1), 636. ISSN: 1471-2458 (Electronic) https://doi.org/10.1186/s12889-019-6877-z
16. CRAMER, J.A. A systematic review of adherence with medications for diabetes. In: Diabetes Care. 2004, nr. 27(5), pp. 1218-1224. ISSN: 1935-5548 (Electronic) https://doi.org/10.2337/diacare.27.5.1218
17. KARTER, A.J., PARKER, M.M., MOFFET, H.H. et al. New prescription medication gaps: a comprehensive measure of adherence to new prescriptions. In: Health Serv Res. 2009, nr. 44(5 Pt1), pp. 1640-1661. ISSN: 1475-6773 (Electronic) https://doi.org/10.1111/j.1475-6773.2009.00989.x
18. GUILLAUSSEAU, P.J. Influence of oral antidiabetic drugs compliance on metabolic control in type 2 dia-betes: a survey in general practice. In: Diabetes Metab. 2003, nr. 29(1), pp. 79-81. ISSN: 1878-1780 (Electronic) https://doi.org/10.1016/S1262-3636(07)70011-3
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
