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J Diabetes. 2015 Nov;7(6):864-71. doi: 10.1111/1753-0407.12264. Epub 2015 Mar 4.

Determinants of adherence to diabetes treatment.

Author information

1
Medscape Education, New York, New York, USA.
2
Teachers College, Columbia University, WebMD, Mount Sinai School of Medicine, New York, New York, USA.

Abstract

BACKGROUND:

Understanding and improving medication adherence is crucial in diabetes management. Adherence to a diabetes regimen can improve glucose control and limit the development of complications. The aim of the present study was to evaluate the extent to which a variety of factors influence diabetes medication adherence.

METHODS:

A medication adherence survey was made available on WebMD, a medical information website for patients and/or consumers. Respondents were residents of the US, ≥18 years old, and diagnosed with either type 1 or type 2 diabetes mellitus (self-reported).

RESULTS:

Behavioral adherence (self-reported doses missed per week) correlated with perceived adherence (patients' self-report of their overall impression of medication adherence, ranked 0-5; P < 0.001). Adherent patients (very few [0%-10%] issues with adherence) were more likely to report having received information from their physician. Mostly adherent patients (few [11%-26%] issues with adherence) were less likely to obtain information from their physician, but reported more medication self-titration. Somewhat non-adherent patients (some [27%-46%] adherence issues) reported more "self-consciousness factors" and hypoglycemia. Non-adherent patients (many [47%-88%] adherence issues) were more likely to report worries about medication side effects.

CONCLUSIONS:

Receiving information from a healthcare provider is associated with greater diabetes medication adherence, suggesting the importance of clinicians making time to provide patient education.

KEYWORDS:

diabetes; disease management; education; medication adherence; patient; 关键词:糖尿病,疾病管理,教育,用药依从性,患者

PMID:
25565088
DOI:
10.1111/1753-0407.12264
[Indexed for MEDLINE]

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