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Effect of patients beliefs about medications on adherence to drugs in diabetic patients attending family medicine outpatient clinic in Ismailia, Egypt

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Abstract

Background

Adherence affected by many factors in the patient or in the treatment. One of these factors is beliefs about medicine, which is modifiable. This study aimed to assess the effect of beliefs about medicines on adherence to medications in diabetic patients.

Methods

It is a cross-sectional descriptive-analytic study, conducted between March 2019 and June 2019, in Family medicine outpatient clinic, Suez Canal University, Egypt. A consecutive sample of diabetic patients presented to the clinic in the period of study was included until fulfilling sample size (82 patients). They filled validated questionnaires of the Morisky Medication Adherence Scale, Beliefs about Medicine, and socio-demographic characteristics.

Results

About half of the patients were non-adherent (54.9%). The necessity beliefs mean was 18.6, while the median was 20, concerns beliefs mean was 14.2, while the median was 14, overuse beliefs mean was 12.2, while the median was 13, finally mean and median of harm score was 11.0. There was a statistically significant relationship between age, education, concern, and harm score with adherence (p = 0.04, 0.02, < 0.001, and 0.03). Age was a positive predictor of adherence; and concern beliefs score was a negative predictor of adherence.

Conclusions

Physicians should inquire about their patient medication beliefs and its effect on patient adherence to discover and solve concerns of diabetic patients to improve non-adherence.

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Acknowledgements

The authors would like to acknowledge all the participants for their co-operation.

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Authors and Affiliations

  1. Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

    Hend Mikhail Salama & Rabab Atta Saudi

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  1. Hend Mikhail Salama
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  2. Rabab Atta Saudi
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Correspondence to Hend Mikhail Salama.

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None declared.

Ethical approval

All procedures performed in the study were following the ethical standards of the institutional research committee of Faculty of Medicine Suez Canal University and with the 1964 Helsinki declaration and its later amendments.

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was obtained from all individual participants included in the study.

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Salama, H.M., Saudi, R.A. Effect of patients beliefs about medications on adherence to drugs in diabetic patients attending family medicine outpatient clinic in Ismailia, Egypt. J Diabetes Metab Disord 19, 951–958 (2020). https://doi.org/10.1007/s40200-020-00587-0

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  • DOI: https://doi.org/10.1007/s40200-020-00587-0

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