Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey

Background: The prevalence of diabetes mellitus (DM) is steadily increasing worldwide, with a significant DM population in Asian countries. Adherence to medications is important to achieve good glycaemic control among patients with DM. Thus, patients’ adherence to their medication regimen should...

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Main Authors: Abdullah, Nor Fadhilah, Lee, Khuan, Ai Theng, Cheong, Sowtali, Siti Noorkhairina, Muhamad, Hanafiah Juni
Format: Article
Language:English
English
Published: Taylor & Francis Group 2019
Subjects:
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http://irep.iium.edu.my/70866/1/70866_Effect%20of%20patient%20characteristics%20on%20medication.PDF
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spelling iium-708662019-11-24T15:40:57Z http://irep.iium.edu.my/70866/ Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey Abdullah, Nor Fadhilah Lee, Khuan Ai Theng, Cheong Sowtali, Siti Noorkhairina Muhamad, Hanafiah Juni RA0421 Public health. Hygiene. Preventive Medicine RT71 Study and Teaching Background: The prevalence of diabetes mellitus (DM) is steadily increasing worldwide, with a significant DM population in Asian countries. Adherence to medications is important to achieve good glycaemic control among patients with DM. Thus, patients’ adherence to their medication regimen should be determined to optimise DM management. Aims: To determine medication adherence and the relationship between patient profile and medication adherence among patients with type 2 DM (T2DM). Design: Cross-sectional survey. Methods: This study was conducted in a public hospital in Selangor, Malaysia, from December 2016 to June 2017. Data was obtained through administration of the Medication Compliance Questionnaire and an electronic medical records database. Multivariate logistic regression analysis was used to determine the predictors of medication adherence. Results: A total of 232 (95.9% response rate) patients participated in this study. The overall percentage of medication adherence among patients with DM was 55.2%. The majority of participants were female (53.4%), Malay (47.0%), aged 41–64 years (55.2%; mean age, 56.69 years), married (84.5%), unemployed (60.8%) and attended secondary school (53.9%). The factors independently associated with adherence were ethnicity (odds ratio [OR], 1.43; 95% confidence interval [CI]: 1.03–1.99) and haemoglobin A1c (HbA1c) level (OR, 2.71; 95% CI: 1.56–4.72). Conclusions: The medication adherence among patients with DM in a public hospital in Selangor, Malaysia was low. A health intervention emphasising patient-centred care is warranted to improve DM patients’ adherence to prescribed medication. Considering that Malaysia has a multi-ethnic population, the patients’ ethnicity and their HbA1c levels need to be considered in the implementation of any intervention to improve medication adherence. Impact statement: Medication adherence is influenced by individual patients’ characteristics. To improve adherence to the medication regimen, nurses should consider patients’ profiles Taylor & Francis Group 2019-02-21 Article PeerReviewed application/pdf en http://irep.iium.edu.my/70866/1/70866_Effect%20of%20patient%20characteristics%20on%20medication.PDF application/pdf en http://irep.iium.edu.my/70866/6/70866_Effect%20of%20patient%20characteristics_scopus.pdf Abdullah, Nor Fadhilah and Lee, Khuan and Ai Theng, Cheong and Sowtali, Siti Noorkhairina and Muhamad, Hanafiah Juni (2019) Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey. Contemporary Nurse, 2019. pp. 1-11. ISSN 1037-6178 https://www.tandfonline.com/doi/full/10.1080/10376178.2019.1583067 https://doi.org/10.1080/10376178.2019.1583067
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RA0421 Public health. Hygiene. Preventive Medicine
RT71 Study and Teaching
spellingShingle RA0421 Public health. Hygiene. Preventive Medicine
RT71 Study and Teaching
Abdullah, Nor Fadhilah
Lee, Khuan
Ai Theng, Cheong
Sowtali, Siti Noorkhairina
Muhamad, Hanafiah Juni
Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey
description Background: The prevalence of diabetes mellitus (DM) is steadily increasing worldwide, with a significant DM population in Asian countries. Adherence to medications is important to achieve good glycaemic control among patients with DM. Thus, patients’ adherence to their medication regimen should be determined to optimise DM management. Aims: To determine medication adherence and the relationship between patient profile and medication adherence among patients with type 2 DM (T2DM). Design: Cross-sectional survey. Methods: This study was conducted in a public hospital in Selangor, Malaysia, from December 2016 to June 2017. Data was obtained through administration of the Medication Compliance Questionnaire and an electronic medical records database. Multivariate logistic regression analysis was used to determine the predictors of medication adherence. Results: A total of 232 (95.9% response rate) patients participated in this study. The overall percentage of medication adherence among patients with DM was 55.2%. The majority of participants were female (53.4%), Malay (47.0%), aged 41–64 years (55.2%; mean age, 56.69 years), married (84.5%), unemployed (60.8%) and attended secondary school (53.9%). The factors independently associated with adherence were ethnicity (odds ratio [OR], 1.43; 95% confidence interval [CI]: 1.03–1.99) and haemoglobin A1c (HbA1c) level (OR, 2.71; 95% CI: 1.56–4.72). Conclusions: The medication adherence among patients with DM in a public hospital in Selangor, Malaysia was low. A health intervention emphasising patient-centred care is warranted to improve DM patients’ adherence to prescribed medication. Considering that Malaysia has a multi-ethnic population, the patients’ ethnicity and their HbA1c levels need to be considered in the implementation of any intervention to improve medication adherence. Impact statement: Medication adherence is influenced by individual patients’ characteristics. To improve adherence to the medication regimen, nurses should consider patients’ profiles
format Article
author Abdullah, Nor Fadhilah
Lee, Khuan
Ai Theng, Cheong
Sowtali, Siti Noorkhairina
Muhamad, Hanafiah Juni
author_facet Abdullah, Nor Fadhilah
Lee, Khuan
Ai Theng, Cheong
Sowtali, Siti Noorkhairina
Muhamad, Hanafiah Juni
author_sort Abdullah, Nor Fadhilah
title Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey
title_short Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey
title_full Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey
title_fullStr Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey
title_full_unstemmed Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey
title_sort effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey
publisher Taylor & Francis Group
publishDate 2019
url http://irep.iium.edu.my/70866/
http://irep.iium.edu.my/70866/
http://irep.iium.edu.my/70866/
http://irep.iium.edu.my/70866/1/70866_Effect%20of%20patient%20characteristics%20on%20medication.PDF
http://irep.iium.edu.my/70866/6/70866_Effect%20of%20patient%20characteristics_scopus.pdf
first_indexed 2023-09-18T21:40:35Z
last_indexed 2023-09-18T21:40:35Z
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