Nepalese patients' anti-diabetic medication taking behaviour: an exploratory study.

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  • Additional Information
    • Source:
      Publisher: Informa Healthcare Country of Publication: England NLM ID: 9608374 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1465-3419 (Electronic) Linking ISSN: 13557858 NLM ISO Abbreviation: Ethn Health Subsets: MEDLINE
    • Publication Information:
      Publication: London : Informa Healthcare
      Original Publication: Abingdon, Oxfordshire ; Cambridge, MA : Carfax, c1996-
    • Subject Terms:
      Health Behavior* ; Medication Adherence*; Diabetes Mellitus, Type 2/*drug therapy ; Hypoglycemic Agents/*therapeutic use; Australia ; Diabetes Mellitus, Type 2/psychology ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Nepal ; Patient Acceptance of Health Care ; Qualitative Research ; Self Report ; Surveys and Questionnaires
    • Abstract:
      Objective: To explore anti-diabetic medication taking behaviour in Nepalese patients with type 2 diabetes and investigate the factors impacting medication taking in this population.
      Design: Face-to-face interviews (n = 48) were conducted with Nepalese patients with type 2 diabetes in Sydney (Australia) and Kathmandu (Nepal). All interviews were audio-recorded, transcribed verbatim and thematically analysed. Participants' medication adherence was also assessed quantitatively using the summary of diabetes self-care activity (SDSCA) questionnaire.
      Results: The medication taking behaviour of Nepalese participants aligned with the Stages of Change Model, with some notable patterns of behaviour. Most participants initiated and implemented anti-diabetic medications soon after obtaining their prescription. However, a few, delayed initiation and/or ceased medications after initiation to recommence later. Nonetheless, upon recommencement, participants persisted fairly well with their medications. The self-reported medication adherence was high (97.3%). Although some participants expressed adherence as a challenge at the start of therapy, medication taking on a day-to-day basis was not reported as difficult. Factors such as participants' reluctance towards using medications and preference for natural methods of treatment, together with inadequate understanding about diabetes and treatment resulted in the delay in initiating therapy, and contributed to cessation of therapy. On the other hand, ooccasional non-adherence in daily medication taking was mostly related to inconsistency in meal practices and forgetfulness. Encouragement from doctors and increased awareness about the disease and treatment facilitated medication adherence, including initiation of therapy.
      Conclusion: This study demonstrates that Nepalese patients are likely to delay or cease anti-diabetic medications until they fully accept and acknowledge the benefits and necessity of medications for effective diabetes management. Thus, educating patients about the need for medications, as well as implementing strategies to address patients' psychological resistance towards medications will be essential for effective medication management.
    • Contributed Indexing:
      Keywords: Australia; Nepal; Nepalese; anti-diabetic medications; medication adherence; type 2 diabetes
    • Accession Number:
      0 (Hypoglycemic Agents)
    • Publication Date:
      Date Created: 20170310 Date Completed: 20190314 Latest Revision: 20190314
    • Publication Date:
      20240628
    • Accession Number:
      10.1080/13557858.2017.1294659
    • Accession Number:
      28277019