Family functionality, medication adherence, and blood glucose control among ambulatory type 2 diabetic patients in a primary care clinic in Nigeria

Iloh, Gabriel Uche Pascal; Collins, Peace Ifeoma; Amadi, AN

doi:10.4103/ijhas.ijhas_29_17

Cited by 7 publications

(13 citation statements)

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“…The variation in the relationship between family support and health outcomes in DM may be due to the varying family pattern norms in different parts of the world. While this study and other African studies [7,8,20] showed a positive relationship between family support and glycemic control, studies done outside Africa showed no specific direction [36,37,39].…”

Section: Original Researchcontrasting

confidence: 61%

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Relationship between glycemic control and perceived family support among people with type 2 diabetes mellitus seen in a rich kinship network in Southwest Nigeria

Osuji

Ojo

Malomo

et al. 2018

family med commun hlth

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Objective: The practice of diabetes self-care behaviors has been cited as a foundation for achieving optimal glycemic control. Proper motivation of people with diabetes mellitus is, however, needed for the performance of these behaviors. It is therefore pertinent to know if motivation by the family will improve glycemic control in people with type 2 diabetes mellitus. This study aimed to investigate the relationship between glycemic control and perceived family support among Nigerians with type 2 diabetes mellitus. Methods: A cross-sectional study was conduced on 316 adults with type 2 diabetes mellitus who attended a medical outpatient clinic. Data were collected through a pretested intervieweradministered questionnaire and a standardized tool (Perceived Social Support-Family scale). Hemoglobin A 1c level was used as an indicator of glycemic control. Results: The proportion of participants with good glycemic control was 40.6%. Most of the participants (137, 43.8%) had strong perceived family support. Strong perceived family support (P = 0.00001, odds ratio 112.51) was an independent predictor of good glycemic control. Conclusion: This study shows that strong perception of family support is a predictor of glycemic control among the adults with type 2 diabetes mellitus studied. Physicians working in sub-Saharan African countries with rich kinship networks should harness the available family support of people with type 2 diabetes mellitus in their management.

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Section: Original Researchcontrasting

confidence: 61%

“…The emerging epidemic of DM in Africa has been attributed to the industrialization-driven disruption of the African extended family system through rural-urban migration and consequent unhealthy lifestyles [1]. The family is also a useful unit of intervention for chronic diseases such as DM [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Relationship between glycemic control and perceived family support among people with type 2 diabetes mellitus seen in a rich kinship network in Southwest Nigeria

Osuji

Ojo

Malomo

et al. 2018

family med commun hlth

View full text Add to dashboard Cite

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“…Only in the dimension of information, the scores differed between the two groups, suggesting that those who had glucose (capillary glucose) above 200, the support of information was less than those who had below this cut point. In this sense, family support instructions based on the educational needs of their members could improve adherence to treatment of patients as demonstrated by previous studies [34][35][36] .…”

Section: Discussionmentioning

confidence: 76%

Apoio social, funcionalidade familiar e controle glicêmico de pacientes diabéticos tipo 2

Sousa-Muñoz

Sá

2020

Rev. Med. (São Paulo)

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Objetivos: Avaliar a percepção de apoio social e funcionalidade familiar por pacientes com diabetes mellitus tipo 2 (DM2) atendidos no ambulatório de endocrinologia de um hospital universitário, assim como verificar associações com controle glicêmico e variáveis clínico-demográficas. Métodos: Estudo observacional e transversal, com entrevistas estruturadas com pacientes com DM2 em tratamento ambulatorial. O apoio social foi avaliado através da escala do Medical Outcome Study (MOS) e a funcionalidade familiar pelo Apgar de Família de Smilkstein. Resultados: Avaliaram-se 160 pacientes com média de idade de 55,7±11 anos, 76% mulheres e 54,4% da classe C. A percepção de apoio social foi positiva, sobretudo na dimensão afetiva, porém nos homens e idosos a dimensão material foi maior que nas mulheres (p=0,02). Houve diferença nesta percepção entre os pacientes com hiperglicemia e normoglicemia apenas na dimensão de informação (p=0,04). Funcionalidade familiar relacionou-se com idade (p=0,037) e sexo (p=0,02). Não se observou correlação entre apoio social e funcionalidade familiar com as variáveis tempo de diagnóstico, tipo de tratamento, índice de massa corporal, duração do acompanhamento, intervalos entre os retornos e classe econômica. Conclusões: A percepção de apoio social e funcionalidade familiar foi positiva, sobretudo entre os homens e os idosos, mas relacionou-se com glicemia apenas na dimensão de informação. É importante levar em conta sexo, idade, família e provimento de informação para oferecer aos pacientes diabéticos tipo 2 uma abordagem que lhes permita obter melhor enfrentamento da doença.

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“…Although there are conflicting pieces of evidence regarding the role of family on medication adherence (23 –25), this study highlighted the strategic role of the family in enhancing medication adherence and identified what constituted family/spousal support in Nigeria. Family members being conscious of the patients’ illness, spouses/or children serving as reminders to take ADMs, providing money for ADMs, meal preparation, and emotional support were the prominent spousal support peculiar to these patients.…”

Section: Discussionmentioning

confidence: 98%

Medication Adherence in Type 2 Diabetes Mellitus: A Qualitative Exploration of Barriers and Facilitators From Socioecological Perspectives

Onwuchuluba

Oyetunde

Soremekun

2021

Journal of Patient Experience

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Adherence to antidiabetic medications (ADMs) remains a serious challenge among type 2 diabetes mellitus (T2DM) patients. Factors affecting medication adherence are not fully understood in Nigeria. This qualitative study explored patients’ views on barriers and facilitators of medication adherence. Data collection was through face-to-face, semistructured, in-depth interviews conducted on 25 purposively sampled patients attending a public tertiary hospital. The interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis based on socioecological framework. NVIVO version 10 identified more codes. Most commonly identified barriers were organizational (clinic structure), personal (perception of T2DM as a dangerous illness), interpersonal (lack of spousal support), and community (concerns about taking ADMs in social gatherings). It was observed that female patients received more spousal support than the males. The facilitators of adherence include perceiving medication-taking a routine, the need to live longer, having savings for ADMs, purchasing medications to last until the next clinic visit. This study identified barriers and facilitators unique to Nigerian T2DM patients. Interventions anchored on these factors would improve medication adherence.

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Family functionality, medication adherence, and blood glucose control among ambulatory type 2 diabetic patients in a primary care clinic in Nigeria

Cited by 7 publications

References 0 publications

Relationship between glycemic control and perceived family support among people with type 2 diabetes mellitus seen in a rich kinship network in Southwest Nigeria

Relationship between glycemic control and perceived family support among people with type 2 diabetes mellitus seen in a rich kinship network in Southwest Nigeria

Apoio social, funcionalidade familiar e controle glicêmico de pacientes diabéticos tipo 2

Medication Adherence in Type 2 Diabetes Mellitus: A Qualitative Exploration of Barriers and Facilitators From Socioecological Perspectives

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