Medication adherence in Malaysian patients with T2D – Video abstract 81612
Video abstract of original research paper “Determinants of medication adherence among adults with type 2 diabetes mellitus in three Malaysian public health clinics: a cross-sectional study” published in the open access journal Patient Preference and Adherence by Chew BH, Hassan NH, Mohd-Sidk S.
Abstract: Medication adherence, MA, in adults with type 2 diabetes mellitus, T2D, is associated with improved disease control glycated hemoglobin, blood pressure, and lipid profile, lower rates of death and diabetes-related complications, increased quality of life, and decreased health care resource utilization. However, there is a paucity of data on the effect of diabetes-related distress, depression, and health-related quality of life on MA. This study examined factors associated with MA in adults with T2D at the primary care level. This was a cross-sectional study conducted in three Malaysian public health clinics, where adults with T2D were recruited consecutively in 2013. We used the 8-item Morisky Medication Adherence Scale MMAS-8 to assess MA as the main dependent variable. In addition to sociodemographic data, we included diabetes-related distress, depressive symptoms, and health-related quality of life as independent variables. Independent association between the MMAS-8 score and its determinants was done using generalized linear models with a gamma distribution and log link function. The participant response rate was 93.1% 700/752. The majority were female 52.8%, Malay 52.9%, and married 79.1%. About 43% of patients were classified as showing low MA, MMAS-8 score less than 6. Higher income, adjusted odds ratio 0.90, and depressive symptoms, adjusted odds ratio 0.99, were significant independent determinants of medication non-adherence in young adults with T2D. Low MA in adults with T2D is a prevalent problem. Thus, primary health care providers in public health clinics should focus on MA counselling for adult T2D patients who are younger, have a higher income, and symptoms of depression.
Read the original article here: http://www.dovepress.com/determinants-of-medication-adherence-among-adults-with-type-2-diabetes-peer-reviewed-article-PPA
