Beliefs About Medicine and Glycemic Control Among Type 2 Diabetes Patients: A Cross-Sectional Study in West Bank, Palestine
Date
2020-12-14
Authors
Khdour, Maher R.
Awadallah, Heba B.
Alnadi, Mustafa A.
Al-Hamed, Doaa H.
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Abstract
Introduction: To examine the mean differences between patient beliefs about medicine with reference to adherence and
glycemic control. Methods: This study utilized a cross-sectional questionnaire-based approach. Adherence to medication
was measured with the Morisky Green Levine Medication Adherence Scale (MGLS); glycemic control as the last HbA1c
test value; and beliefs about medicine with the Beliefs about Medicines Questionnaire (BMQ). Results: According to
MGLS scale, 220 (57.9%) of the diabetic patients were classified as high adherent to their medications and 160 (42.1%)
were classified as low adherent. Patients had strong believes in their medication, the mean necessity score was significantly
outweighed the mean concerns score (17.7 vs 14.4; P < .001). Low adherent patients had significantly more concerns about
long term effect of medications (14.4 vs 13.8; P < .008). No significant mean differences were found between glycemic
controlled and uncontrolled group regarding necessity or concern domains. Conclusion: Assessing beliefs about medicine
is crucial for recognizing patients at risk of low adherence, which offers a way to help patients with diabetes to achieve a
better glycemic control.
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Keywords
diabetes mellitus , glycemic control , medication adherence , beliefs about medicine