Fatima Koprulu1 
,
Refqa JK Bader2,
Nageeb AGM Hassan1,
Abduelmula R Abduelkarem3,
Dhafir A Mahmood4
1Department of Clinical Pharmacy, College of Pharmacy, Ajman University of Science and Technology;
2GMC AL-Noor Pharmacy, Ajman;
3Department of Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah, Sharjah;
4Department of Endocrinology, Oriana Hospital, Sharjah, United Arab Emirates.
For correspondence:- Fatima Koprulu
Email: dr.fatima.alkhalidi@gmail.com Tel:+00971508835184
Received: 27 February 2014
Accepted: 27 April 2014
Published: 26 June 2014
Citation:
Koprulu F, Bader RJ, Hassan NA, Abduelkarem AR, Mahmood DA.
Evaluation of Adherence to Diabetic Treatment in Northern Region of United Arab Emirates. Trop J Pharm Res 2014; 13(6):989-995
doi:
10.4314/tjpr.v13i6.24
© 2014 The authors.
This is an Open Access article that uses a funding model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited..
Abstract
Purpose: To determine medication adherence and predictors of suboptimal adherence in patients with diabetes type 2, and to address the factors that are associated with treatment non-adherence in Northern Region of United Arab Emirates (UAE).
Methods: This cross-sectional study involved 200 type 2 diabetes mellitus (T2DM) patients randomly selected from outpatient clinics in Northern Region, UAE. Special questionnaire form have been prepared to assess the level of adherence then filled in through direct interviewing with the patients. The adherence level score was calculated based on total summation of items related to good adherence and accordingly participants’ scores of 90 % or more were considered adherent and who achieved less than 90 % were non-adherent.
Results: Only 120 (60 %) of the patients were adherent. Factors that are associated with non-adherence were :age ≥ 50 (OR = 1.8, 95 % CI= 1.02 - 3.19), lower education level (OR = 0.17, 95 % CI = 0.09 - 0.31), lack of health insurance (OR = 21, 95 % CI = 9.62 - 45.85), forgetfulness (OR= 0.29, CI = 0.13 - 0.61), co-morbidities (OR = 0.24, 95 % CI = 0.11 - 0.51), > 6.5 % HbA1C (OR = 7.22,95 % CI = 3.69 - 14.14); longer time since last visit to clinic (OR = 14, 95 % CI = 6.52 - 30.04); increased medication cost (OR = 30, 95 % CI = 11.2 - 80.1); and unawareness (lack of awareness) of physician instructions (OR = 7.22, 95 % CI = 3.7 - 14.1).
Conclusion: Adherence to diabetes treatment was quite poor among participants. Glycemic control could be improved through early identification and incentives for adherence behaviors which can be supported using a counseling approach of communication with the patients by healthcare professionals before applying any individual patient management plan.
Keywords: Medication adherence, Type 2 diabetes, Antidiabetic, Predictors, United Arab Emirates
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