Factors associated with therapeutic non-compliance among type 2 diabetes mellitus patients in Chidambaram, Tamilnadu, India

Manobharathi, M; Kalyani, P; Felix, A. John William; Arulmani, A.

doi:10.18203/2394-6040.ijcmph20170759

Cited by 9 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FDCs help reduce the dose of individual drugs and thereby reduce dose-related side effects and pill burden, indirectly affecting treatment compliance. A significant association was found between noncompliance and frequent dosing and multiple drugs in a study done by Sharma T et al [20] However, there was no significant association found between poor compliance and the number of drugs in this study, and a similar result was also reported in a study done by Manobharathi et al [4] in Tamil Nadu.…”

Section: Discussionsupporting

confidence: 83%

“…In a medical context, compliance refers to a patient both agreeing to and then undergoing some part of their treatment program as advised by their doctor/health care worker [3]. According to the World Health Organization (WHO), adherence to long-term therapy for chronic illnesses averages only around 50% in developed countries [4]. The WHO emphasized that “increasing the effectiveness of adherence interventions may have a greater impact than improvement in specific medical treatments [5].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Compliance of Appointment, Antidiabetic Treatment, and Diet in Type 2 Diabetes Mellitus Patients at Private Diabetes Clinic

Piparva¹,

Singh²,

Joshi³

2022

Dubai Diabetes Endocrinol J

View full text Add to dashboard Cite

Context: India is an epicenter of type 2 diabetes mellitus (T2DM) in the entire world. Compliance is essential for chronic diseases treatment and has a significant impact on health and health care costs. The current study was planned to assess compliance to the appointment, treatment, and diet in T2DM patients at a private diabetic clinic in Rajkot city. Aims: The aim was to assess compliance to physician’s appointment, antidiabetic treatment, and diet among T2DM patients attending private diabetic clinic at Rajkot city. Settings and Design: This was an interview-based, prospective study done at a private diabetes clinic. Methods and Material: T2DM patients (>18 years) of either gender who were on antidiabetic treatment (at least 3 months before enrollment) at a private outpatient diabetic clinic during 2019 were included after ethical approval and obtaining informed consent. Juvenile diabetes, gestational diabetes, and noncompliant T2DM patients were excluded. Statistical Analysis Used: The χ2 test was used for the statistical association of sociodemographic and disease variables with compliance using GraphPad version 7 (p value <0.05 was considered significant). Results: Of 370 enrolled patients, 21 patients were lost to follow-up (noncompliant). From 349 T2DM patients, the majority of patients were in the middle age-group (60%, 41–60 years), preobese and obese (69.99%), and with comorbidity (42.7%). Compliance to appointment, treatment, and diet was observed above 85% in this study. Old age (>60 years) was significantly associated with poor appointment compliance, and comorbidity is significantly associated with the poor appointment, treatment, and diet compliance. An increasing number of comorbidities were significantly associated with poor appointment compliance. Conclusions: A higher compliance to appointment, treatment, and diet was achieved.

show abstract

Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Compliance of Appointment, Antidiabetic Treatment, and Diet in Type 2 Diabetes Mellitus Patients at Private Diabetes Clinic

Piparva¹,

Singh²,

Joshi³

2022

Dubai Diabetes Endocrinol J

View full text Add to dashboard Cite

show abstract

Noncompliance to Diet and Medication among Patients with Type 2 Diabetes Mellitus in Selected Hospitals of Kathmandu, Nepal

Kafle

Poudel²,

Shrestha

2018

Journal of Social Health and Diabetes

View full text Add to dashboard Cite

Background Diabetes is a major public health problem affecting people of all ages globally. Noncompliance compromises the effectiveness of treatment and adversely affects patients' health. The main purpose of this study was to assess and compare the proportion of noncompliance to diet and medication between patients with type 2 diabetes mellitus (T2DM) visiting public and private hospitals in Kathmandu, Nepal. Methods Descriptive cross-sectional study was conducted in T2DM patients visiting public and private hospitals. Eight item Morisky Medication Adherence Questionnaire (MMAQ) for medication adherence and Perceived Dietary Adherence Questionnaire (PDAQ) for dietary adherence were used. Epidata was used for data entry and SPSS for data analysis. Chi-square test was used as a test of significance. Odds ratio (OR) and the corresponding 95% confidence intervals (CI) were calculated. Results The study involved 182 T2DM patients. Participants' age was ≥ 17 years and they were under treatment for ≥ 6 months. Mean age of the participants was 54.67 years with standard deviation (SD) ± 11.69. Prevalence of medication noncompliance was seen in 126 (69.2%) patients, whereas prevalence of dietary noncompliance was seen in 166 (91.2%) patients. Illiterate participants were more likely to be noncompliant than literate to medication (OR 4.32, p = 0.001). Self-employed were more likely to be noncompliant to medication than job holders (OR 2.93, p = 0.008). People visiting public hospital were more likely to be noncompliant to diet than those visiting private hospital (OR 4.89, p = 0.009). Illiterate participants were more likely to be noncompliant to diet than literate (OR 10.94, p = 0.005). Conclusion The T2DM patients visiting public hospitals were more noncompliant to diet. Illiterate patients were more noncompliant to both medication and diet. Self-employed compared with job holders were more noncompliant to medication. Patient education and counseling should be aggressively addressed mainly in public hospitals. There was no significant difference in medication noncompliance between public and private hospitals (p = 0.108).

show abstract

Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience

Rathish

Hemachandra

Premadasa

et al. 2019

J Health Popul Nutr

View full text Add to dashboard Cite

BackgroundTreatment plans fail if patients have poor medication adherence. Our aim was to compare medication adherence, reasons for non-adherence, and satisfaction with community support among type 2 diabetes mellitus patients who pay for their medications and those who receive it free.MethodsA descriptive cross-sectional study was conducted at Anuradhapura, Sri Lanka, among patients who were on oral anti-diabetic drugs for at least 3 months. They were grouped into two: universal-free group and fee-paying group. Three different scales were used to score medication adherence, reasons for non-adherence, and satisfaction with community support. Fisher’s exact test was performed to determine if there was a significant difference between the two groups (p < 0.05) concerning medication adherence and satisfaction with community support.ResultsThe median (IQR) medication adherence scores for fee-paying group and universal-free group were 3 (2-3) and 3 (3-3), respectively; the median (IQR) scores for satisfaction with community support were 5 (2–6) and 4 (4–6), respectively. Both the adherence and the satisfaction failed to show a significant difference between the two groups. Forgetfulness, being away from home, complex drug regime, and willingness to avoid side effects were common reasons of non-adherence for both the groups.ConclusionsThere was no significant difference in medication adherence between the universal-free group and fee-paying group, despite of having a significantly different income. The universal-free health service would be a probable reason.Electronic supplementary materialThe online version of this article (10.1186/s41043-019-0161-9) contains supplementary material, which is available to authorized users.

show abstract

Factors associated with therapeutic non-compliance among type 2 diabetes mellitus patients in Chidambaram, Tamilnadu, India

Cited by 9 publications

References 4 publications

Compliance of Appointment, Antidiabetic Treatment, and Diet in Type 2 Diabetes Mellitus Patients at Private Diabetes Clinic

Compliance of Appointment, Antidiabetic Treatment, and Diet in Type 2 Diabetes Mellitus Patients at Private Diabetes Clinic

Noncompliance to Diet and Medication among Patients with Type 2 Diabetes Mellitus in Selected Hospitals of Kathmandu, Nepal

Comparison of medication adherence between type 2 diabetes mellitus patients who pay for their medications and those who receive it free: a rural Asian experience

Contact Info

Product

Resources

About