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 be...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Routledge
2019
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| Online Access: | http://psasir.upm.edu.my/id/eprint/79529/ http://psasir.upm.edu.my/id/eprint/79529/1/Effect%20of%20patient%20characteristics%20on%20medication%20adherence%20among%20patients%20with%20type%202%20diabetes%20mellitus.pdf |
| _version_ | 1848858701571555328 |
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| author | Abdullah, Nor Fadhilah Lee, Khuan Cheong, Ai Theng Sowtali, Siti Noorkhairina Juni, Muhamad Hanafiah |
| author_facet | Abdullah, Nor Fadhilah Lee, Khuan Cheong, Ai Theng Sowtali, Siti Noorkhairina Juni, Muhamad Hanafiah |
| author_sort | Abdullah, Nor Fadhilah |
| building | UPM Institutional Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-15T12:17:38Z |
| format | Article |
| id | upm-79529 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T12:17:38Z |
| publishDate | 2019 |
| publisher | Routledge |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-795292021-05-31T09:25:11Z http://psasir.upm.edu.my/id/eprint/79529/ Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey Abdullah, Nor Fadhilah Lee, Khuan Cheong, Ai Theng Sowtali, Siti Noorkhairina Juni, Muhamad Hanafiah 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. Routledge 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/79529/1/Effect%20of%20patient%20characteristics%20on%20medication%20adherence%20among%20patients%20with%20type%202%20diabetes%20mellitus.pdf Abdullah, Nor Fadhilah and Lee, Khuan and Cheong, Ai Theng and Sowtali, Siti Noorkhairina and Juni, Muhamad Hanafiah (2019) Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey. Contemporary Nurse, 55 (1). pp. 27-37. ISSN 1037-6178; ESSN: 1839-3535 https://www.tandfonline.com/doi/abs/10.1080/10376178.2019.1583067?journalCode=rcnj20 10.1080/10376178.2019.1583067 |
| spellingShingle | Abdullah, Nor Fadhilah Lee, Khuan Cheong, Ai Theng Sowtali, Siti Noorkhairina Juni, Muhamad Hanafiah Effect of patient characteristics on medication adherence among patients with type 2 diabetes mellitus: a cross-sectional survey |
| title | 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_short | 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 |
| url | http://psasir.upm.edu.my/id/eprint/79529/ http://psasir.upm.edu.my/id/eprint/79529/ http://psasir.upm.edu.my/id/eprint/79529/ http://psasir.upm.edu.my/id/eprint/79529/1/Effect%20of%20patient%20characteristics%20on%20medication%20adherence%20among%20patients%20with%20type%202%20diabetes%20mellitus.pdf |