Searching for just a few words should be enough to get started. If you need to make more complex queries, use the tips below to guide you.
Article type: Research Article
Authors: Hosseini-Marznaki, Zohreh | Tabari-Khomeiran, Rasoul; * | Taheri-Ezbarami, Zahra | Kazemnejad, Ehsan
Affiliations: Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
Correspondence: [*] Corresponding author: Rasoul Tabari-Khomeiran, Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran. Address: Nursing & Midwifery Faculty, Danshjoo Rd. Rasht, Postal code: 41469-39841, Iran. Tel.: +981333555058/+98133355056; Fax: +981333550097; E-mails: [email protected] and [email protected].
Abstract: BACKGROUND:Type 2 diabetes is a common chronic disease in developing countries. It has widespread effects on many aspects of the lives of patients and their families, so health care systems should prioritize the management of diabetes. Blood glucose control and prevention of complications are the primary goals of diabetes care. Achievement is possible when the patients adhere to the treatment regimen, although several factors are known to affect the adherence. OBJECTIVE:The aim of this study was to evaluate the adherence to treatment and identify a number of its predictive factors in patients with diabetes in northern Iran. METHODS:In this cross-sectional analytical study, 266 patients with type 2 diabetes were selected through convenience sampling. The data-gathering tool was a self-administered questionnaire containing questions about personal and social characteristics of patients, as well as a 40-item questionnaire to measure patients’ adherence to treatment. The questionnaire consisted of seven domains: (i) making the effort for treatment, (ii) intention to take the treatment, (iii) adaptability, (iv) integrating illness into life, (v) sticking to the treatment, (vi) commitment to treatment, and (vii) indecisiveness about applying treatment. Data collection lasted from first week of November 2017 to the first week of January 2018. RESULTS:Most subjects were adherent to treatment. The highest adherence was in “commitment to treatment,” subdomain and the lowest adherence was in “adaptability.” In univariate analysis age, educational achievement, occupation, Body Mass Index (BMI), duration of diabetes, searching information about diabetes, and comorbidities were significantly related to adherence to treatment. The results of multivariate analysis also showed that patients who had normal BMI, academic education, searching behaviour for information, longer history of diabetes, and more comorbidities were more likely to be adherent. CONCLUSION:This study revealed a number of predictive factors of adherence to treatment in patients with diabetes. This may inform the health policy makers to take appropriate actions for promoting treatment adherence among patients.
Keywords: Type 2 diabetes, adherence to treatment, predictive factors
DOI: 10.3233/MNM-180241
Journal: Mediterranean Journal of Nutrition and Metabolism, vol. 12, no. 1, pp. 45-59, 2019
IOS Press, Inc.
6751 Tepper Drive
Clifton, VA 20124
USA
Tel: +1 703 830 6300
Fax: +1 703 830 2300
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
IOS Press
Nieuwe Hemweg 6B
1013 BG Amsterdam
The Netherlands
Tel: +31 20 688 3355
Fax: +31 20 687 0091
[email protected]
For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office [email protected]
Inspirees International (China Office)
Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901
100025, Beijing
China
Free service line: 400 661 8717
Fax: +86 10 8446 7947
[email protected]
For editorial issues, like the status of your submitted paper or proposals, write to [email protected]
如果您在出版方面需要帮助或有任何建, 件至: [email protected]