Relationship Between Treatment Satisfaction and Medication Adherence among Primary Healthcare Attendants with Type 2 Diabetes in Port Said Governorate | ||||
| The Egyptian Family Medicine Journal | ||||
| Volume 7, Issue 1, May 2023, Page 3-18 PDF (1013.57 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/efmj.2023.152239.1106 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
nada emad abdelsalam  1; Hazem Ahmed Sayed2; Ahmed Gharib Abdelrahman3; Nahed Amen Eldahshan2
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| 1Primary health care, Ministry of Health and Population, Port Said, Egypt | ||||
| 2Family medicine, Suez Canal University, Ismailia, Egypt | ||||
| 3family medicine department, faculty of medicine, Suez canal university | ||||
| Abstract | ||||
| Abstract Background: Despite the importance of the relationship between treatment satisfaction and medication adherence, the related studies were scarce among patients with Type 2 Diabetes mellitus (T2DM) in primary health care (PHC) facilities. Aim: To assess the relationship between treatment satisfaction and medication adherence, and also to evaluate the associated factors of medication adherence among T2DM patients attending PHC settings in Port Said governorate. Methods: This cross-sectional study included 319 T2DM patients attending five PHC settings from February 2021 to August 2021; Data was collected using a semi-structured questionnaire, which include 6 parts: socio-demographic data, disease profile, 8-item Diabetes Treatment Satisfaction Questionnaire (DTSQ-8), 8-item Morisky Medication Adherence Scale (MMAS-8), Medication knowledge questionnaire-5, and Healthcare relationship (HCR) trust scale. Results: Treatment satisfaction correlated significantly and positively with medication adherence (rho=0.299, p<0.001). Medication adherence associated positively with older age (β=0.242, p<0.001), having retinopathy (β=0.145, p=0.011) and coronary artery disease (CAD) (β=0.125, p=0.019), being on insulin alone or combined with oral hypoglycemic agents (OHAs) (β=0.115, p=0.030), higher treatment satisfaction (β=0.194, p=0.002) and higher physician trust scores (β=0.145, p=0.011), however it was associated negatively with a history of stroke (β=-0.199, p<0.001), and higher glycated hemoglobin (HbA1c) levels (β=-0.185, p=0.001). Conclusion: Increased diabetes treatment satisfaction was associated with higher medication adherence among T2DM patients. | ||||
| Keywords | ||||
| Adherence; Primary care; Treatment satisfaction; Type 2 diabetes | ||||
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