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Assessment of medication adherence among type-2 diabetes mellitus in a tertiary care hospital of North India

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Abstract

Study was conducted utilizing a confirmed medication adherence scale to measure the socio-demographic profile, self-care, and medication adherence among Type-2 Diabetes Mellitus (T2DM) patients. The Fisher exact test was used to calculate the level of significance (P) using SPSS (Statistical Package for Social Sciences) Version 21.0. The research presented in this paper uses statistical evidence to assess the numerous aspects that may be linked to medication adherence. A prospective observational study was undertaken on participants visiting the outpatient department for 6 months at a North Indian tertiary care hospital to investigate the pattern and quality of life associated with T2DM. The study examined those who had T2DM for more than 2 years. At the time of the visit, subjects were interviewed using socio demographic information and a structured verified questionnaire. Fisher exact test was used to identify the parameters that were linked to medication adherence, with P0.05 being regarded statistically significant. A total of 350 T2DM outpatients were followed up on, with a male-to-female ratio of 1:0.95. A 13-item medication adherence scale was created and tested, revealing that approximately 32% of participants demonstrated high adherence to anti-diabetic drugs (score = 13). The P value was obtained using Fisher exact test for educational status, occupation, marital status, and the quantity and kind of anti-diabetic drugs was found to be 0.05. Only 32% of the respondents took their diabetes medication as prescribed, indicating the need to improve adherence among T2DM patients. The quantity and kind of anti-diabetic drugs, as well as the patients’ educational status, occupation, and marital status, all demonstrated a statistically significant relationship with medication adherence.

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Contributions

This collaboration work was carried out among all the authors. RS, PS, OS, and VS designed the study; OS and VS collected the data and performed the analysis; and OS with AP interpreted the data and wrote the manuscript. All authors read and approved the final manuscript.

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Correspondence to Ravinder Singh or Varinder Singh.

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This study was approved by the Institution Ethics Committee, Chitkara University, Punjab (Ref No – IHEC/DHR/CU/PB/20/03/17).

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The authors declare no competing interests.

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Responsible Editor: Lotfi Aleya

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Singh, R., Kumari, P., Prashar, A. et al. Assessment of medication adherence among type-2 diabetes mellitus in a tertiary care hospital of North India. Environ Sci Pollut Res 29, 24951–24955 (2022). https://doi.org/10.1007/s11356-021-17434-1

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  • DOI: https://doi.org/10.1007/s11356-021-17434-1

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