Display options
Share it on

Malays J Med Sci. 2014 Jan;21(1):44-9.

Patients' Adherence to Anti-Diabetic Medications in a Hospital at Ajman, UAE.

The Malaysian journal of medical sciences : MJMS

Mohammed Arifulla, Lisha Jenny John, Jayadevan Sreedharan, Jayakumary Muttappallymyalil, Sheikh Altaf Basha

Affiliations

  1. Department of Pharmacology, Gulf Medical University, PO Box 4184 Ajman, United Arab Emirates.
  2. Statistical Support Facility, Centre for Advanced Biomedical Research and Innovation, Gulf Medical University, PO Box 4184 Ajman, United Arab Emirates.
  3. Department of Community Medicine, Gulf Medical University, PO Box 4184 Ajman, United Arab Emirates.
  4. Department of Internal Medicine, Gulf Medical College Hospital, PO Box 4184 Ajman, United Arab Emirates.

PMID: 24639611 PMCID: PMC3952347

Abstract

BACKGROUND: Anti-diabetic medications are integral for glycemic control in diabetes. Non-adherence to drugs can alter blood glucose levels, resulting in complications. Adherence to anti-diabetic medications reported by patients and the factors associated with medication adherence among adult patients with diabetes mellitus were explored.

METHODS: This cross-sectional study was carried out among patients with type II diabetes mellitus attending the Internal Medicine Department of a hospital in the United Arab Emirates. Consecutive patients were selected, and data regarding their medication adherence were collected using a questionnaire. Data analysis was carried out using SPSS-20. The chi-square test was performed to examine the associations between categorical variables; a two-sided P Value < 0.05 was considered significant.

RESULTS: A total of 132 patients participated in the study (63 males; 69 females). The mean age (standard deviation) of the respondents was 54 years (SD 10.2). The self-reported adherence rate to anti-diabetic drugs was 84%. The most common reason for non-adherence was forgetfulness, and the adherence rate was similar in both genders. Patients with Bachelor's and Master's degree reported greater adherence rate to anti-diabetic medication in comparison to the secondary school educated.

CONCLUSION: The self-reported adherence rate to anti-diabetic medications was 84%, and forgetfulness was the most common reason for non-adherence. Future studies on strategies to improve adherence rate should be considered.

Keywords: anti-diabetic drugs; compliance; diabetes mellitus; patient adherence; patient-physician relationship

References

  1. Diabetes Care. 2003 May;26(5):1408-12 - PubMed
  2. J Pharm Pharm Sci. 2004 Nov 12;7(3):350-2 - PubMed
  3. Diabetes Care. 2002 Jun;25(6):1015-21 - PubMed
  4. Med Care. 2005 Jun;43(6):521-30 - PubMed
  5. Cochrane Database Syst Rev. 2004;(2):CD004804 - PubMed
  6. Diabetes Res Clin Pract. 2005 Aug;69(2):188-95 - PubMed
  7. Am J Med. 2005 May;118 Suppl 5A:27S-34S - PubMed
  8. Diabet Med. 2002 Apr;19(4):279-84 - PubMed
  9. Rev Lat Am Enfermagem. 2009 Jan-Feb;17(1):46-51 - PubMed
  10. Diabetes Care. 2004 Dec;27(12):2800-5 - PubMed
  11. Pharm Pract (Granada). 2009 Jul;7(3):163-9 - PubMed
  12. Ann Pharmacother. 2009 Mar;43(3):413-22 - PubMed
  13. PLoS One. 2012;7(3):e32412 - PubMed
  14. BMJ. 2006 Jul 1;333(7557):15 - PubMed
  15. J Psychosom Res. 1999 Dec;47(6):555-67 - PubMed
  16. Diabetes Care. 2003 Nov;26(11):3054-60 - PubMed
  17. N Engl J Med. 2008 Oct 9;359(15):1577-89 - PubMed
  18. Arch Intern Med. 2006 Sep 25;166(17):1836-41 - PubMed
  19. Diabetes Care. 2004 Sep;27(9):2149-53 - PubMed

Publication Types