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Patients' perspective of disease and medication adherence for type 2 diabetes in an urban area in Bangladesh: a qualitative study

Islam, Sheikh Mohammed Shariful, Biswas, Tuhin, Bhuiyan, Faiz A., Mustafa, Kamrun and Islam, Anwar 2017, Patients' perspective of disease and medication adherence for type 2 diabetes in an urban area in Bangladesh: a qualitative study, BMC research notes, vol. 10, pp. 1-8, doi: 10.1186/s13104-017-2454-7.

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Title Patients' perspective of disease and medication adherence for type 2 diabetes in an urban area in Bangladesh: a qualitative study
Author(s) Islam, Sheikh Mohammed SharifulORCID iD for Islam, Sheikh Mohammed Shariful orcid.org/0000-0001-7926-9368
Biswas, Tuhin
Bhuiyan, Faiz A.
Mustafa, Kamrun
Islam, Anwar
Journal name BMC research notes
Volume number 10
Article ID 131
Start page 1
End page 8
Total pages 8
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2017-03-21
ISSN 1756-0500
Keyword(s) type 2 diabetes
medication adherence
compliance
perception
glycemic control
Bangladesh
Adult
Aged
Blood Glucose
Diabetes Mellitus, Type 2
Female
Health Knowledge, Attitudes, Practice
Health Surveys
Hemoglobin A, Glycosylated
Humans
Hypoglycemic Agents
Male
Middle Aged
Qualitative Research
Self Care
Tertiary Care Centers
Urban Health
Urban Population
Summary BACKGROUND: Patients' perspective of diabetes and adherence to its prescribed medications is a significant predictor of glycemic control and overall management of the disease. However, there is a paucity of such information in Bangladesh. This study aimed to explore patients' perspective of diabetes, their experience of taking oral hypoglycemic medications and explore factors that contribute to medication adherence in patients with type 2 diabetes in Bangladesh.

METHODS: We conducted in-depth face-to-face interviews with 12 type 2 diabetes patients attending a tertiary hospital in Dhaka city between February and March, 2014. Participants were purposively sampled representing different age groups, education levels, years since diagnosis with diabetes, and glycemic status, to achieve maximum variation sampling. All interviews were conducted using a topic guide and were audio-recorded, transcribed verbatim, checked for errors, coded and analyzed by means of a qualitative content analysis framework.

RESULTS: The data analysis generated rich information on the participants' knowledge and perception on diabetes, its causes, self-management, medication use, adverse effects of medication use, medication adherence, and impact of diabetes, Although most of the participants demonstrated substantive knowledge on diabetes and its consequences, they also reported numerous misconceptions about the disease. Knowledge on diabetes medication, their appropriate use and side effects was rather poor. Respondents also reported non-compliance to dietary and physical activity advice by their physicians and concerns on diabetes diabetes-induced psychological stress. High cost of medications, concerns over medication side effects and forgetfulness was noted as factors for non-adherence to medication.

CONCLUSION: Participants' knowledge and perception on diabetes are key factors determining their adherence to medications and, thereby, diabetes management. Healthcare providers should explore to better understand patients' perspective on diabetes, medication beliefs, identify psychological stress and provide more effective health education interventions to enhance medication adherence.
Language eng
DOI 10.1186/s13104-017-2454-7
Field of Research 1199 Other Medical And Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30102238

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.