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Treatment Non-Adherence Among Patients With Poorly Controlled Type 2 Diabetes Am¬bulatory Care Settings In Southwestern Nigeria
Background: Poor adherence to prescribed therapy among patients with chronic diseases is a growing concern which un¬dermines the benefits of current medical care. Objectives: To evaluate the pattern of treatment non-adherence among ambulatory patients with poorly controlled type 2 diabetes in south...
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2014
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/9754 | ||
| 042 | |a dc | ||
| 720 | |a Adisa, R. |e author | ||
| 720 | |a Fakeye, T . O |e author | ||
| 260 | |c 2014 | ||
| 520 | |a Background: Poor adherence to prescribed therapy among patients with chronic diseases is a growing concern which un¬dermines the benefits of current medical care. Objectives: To evaluate the pattern of treatment non-adherence among ambulatory patients with poorly controlled type 2 diabetes in southwestern Nigeria, and to determine the possible factor(s) that accounted for such non-adherence with a view to identifying areas of future intervention to improve outcome. Methods: A prospective cross-sectional interview using the concept of RIM (Recognize, Identify and Manage) model was used to evaluate adherence to treatment recommendations among 176 consented patients recruited from the endocrinology out-patient clinics of two teaching hospitals in southwestern Nigeria between November, 2010 and January, 2011. Results: Overlaps of non-adherence behavior were obtained. More than three-quarter (153; 88.4%) were not aware of in¬dication for each of the prescribed medications, 26 (15.3%) correctly described regimen as prescribed. The factorsidentified as possible barriers to medication adherence include practical (145; 40.1%), knowledge (103; 28.5%), and attitudinal (114; 31.5%) barriers. Dietary non-adherence was mostly due to inappropriate guidance (62; 33.7%). Conclusions. The arrays of non-adherence behavior among the cohort further emphasize the need for patient-centered approach as a reasonable strategy in resolving non-adherence problems in routine clinical practice. | ||
| 024 | 8 | |a African Health sciences, 2014; 14(1)Pp.1-10 | |
| 024 | 8 | |a https://repository.ui.edu.ng/handle/123456789/9754 | |
| 653 | |a Type 2 diabetes | ||
| 653 | |a Non-adherence | ||
| 653 | |a Ambulatory care | ||
| 245 | 0 | 0 | |a Treatment Non-Adherence Among Patients With Poorly Controlled Type 2 Diabetes Am¬bulatory Care Settings In Southwestern Nigeria |