Impact of Diabetes Perceptions on Medication Adherence in Japan
Koki Urata1, Kana Hashimoto2, Reiko Horiuchi3
1Faculty of Pharmacy, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa 920-1192, Japan. k0uk1@stu.kanazawa-u.ac.jp.
Pharmacy (Basel, Switzerland)
|November 2, 2019
Summary
Community pharmacists can improve medication adherence in type 2 diabetes patients by addressing their perceptions of the disease. Key factors like "Living an orderly life" and "Feeling of fear" significantly impact adherence, highlighting the need for pharmacist-led self-care interventions.
Area of Science:
- Endocrinology
- Behavioral Medicine
- Pharmaceutical Sciences
Background:
- Patient perception of diabetes mellitus influences behavior and recuperation.
- Understanding these perceptions is crucial for managing type 2 diabetes.
- Psychosocial factors significantly impact patient self-care and adherence.
Purpose of the Study:
- To investigate the relationship between changes in patients' perception of diabetes and medication adherence.
- To assess the influence of community pharmacist involvement on this relationship.
- To identify specific patient perception factors associated with medication adherence.
Main Methods:
- Prospective cohort study in community pharmacies in Ishikawa Prefecture, Japan.
- 113 patients with type 2 diabetes using oral antidiabetic agents were enrolled.
- Pharmacist interventions included bi-weekly telephone calls over one year to monitor medication status and treatment problems.
Main Results:
- Three factors of diabetes perception were significantly associated with medication adherence: 'Living an orderly life', 'Feeling of fear', and 'Feeling of neglect of health'.
- These factors were linked to patients' self-care abilities.
- Pharmacist involvement was explored as a mediating factor.
Conclusions:
- Specific patient perceptions of diabetes, particularly those related to self-care ability, are directly linked to medication adherence.
- Community pharmacists play a vital role in supporting patients' self-care.
- Pharmacist-assisted self-care interventions are recommended to enhance medication adherence in type 2 diabetes patients.
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