Cargando…

Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire

In Kenya, non-communicable diseases (NCDs) are an increasingly important cause of morbidity and mortality, requiring both better access to health care services and self-care support. Evidence suggests that treatment burdens can negatively affect adherence to treatment and quality of life. In this st...

Descripción completa

Detalles Bibliográficos
Autores principales: Koros, Hillary, Nolte, Ellen, Kamano, Jemima, Mugo, Richard, Murphy, Adrianna, Naanyu, Violet, Willis, Ruth, Pliakas, Triantafyllos, Eton, David T., Barasa, Edwine, Perel, Pablo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021888/
https://www.ncbi.nlm.nih.gov/pubmed/36962994
http://dx.doi.org/10.1371/journal.pgph.0001407
_version_ 1784908604560637952
author Koros, Hillary
Nolte, Ellen
Kamano, Jemima
Mugo, Richard
Murphy, Adrianna
Naanyu, Violet
Willis, Ruth
Pliakas, Triantafyllos
Eton, David T.
Barasa, Edwine
Perel, Pablo
author_facet Koros, Hillary
Nolte, Ellen
Kamano, Jemima
Mugo, Richard
Murphy, Adrianna
Naanyu, Violet
Willis, Ruth
Pliakas, Triantafyllos
Eton, David T.
Barasa, Edwine
Perel, Pablo
author_sort Koros, Hillary
collection PubMed
description In Kenya, non-communicable diseases (NCDs) are an increasingly important cause of morbidity and mortality, requiring both better access to health care services and self-care support. Evidence suggests that treatment burdens can negatively affect adherence to treatment and quality of life. In this study, we explored the treatment and self-management burden among people with NCDs in in two counties in Western Kenya. We conducted a cross-sectional survey of people newly diagnosed with diabetes and/or hypertension, using the Patient Experience with Treatment and Self-Management (PETS) instrument. A total of 301 people with diabetes and/or hypertension completed the survey (63% female, mean age = 57 years). They reported the highest treatment burdens in the domains of medical and health care expenses, monitoring health, exhaustion related to self-management, diet and exercise/physical therapy. Treatment burden scores differed by county, age, gender, education, income and number of chronic conditions. Younger respondents (<60 years) reported higher burden for medication side effects (p<0.05), diet (p<0.05), and medical appointments (p = 0.075). Those with no formal education or low income also reported higher burden for diet and for medical expenses. People with health insurance cover reported lower (albeit still comparatively high) burden for medical expenses compared to those without it. Our findings provide important insights for Kenya and similar settings where governments are working to achieve universal health coverage by highlighting the importance of financial protection not only to prevent the economic burden of seeking health care for chronic conditions but also to reduce the associated treatment burden.
format Online
Article
Text
id pubmed-10021888
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-100218882023-03-17 Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire Koros, Hillary Nolte, Ellen Kamano, Jemima Mugo, Richard Murphy, Adrianna Naanyu, Violet Willis, Ruth Pliakas, Triantafyllos Eton, David T. Barasa, Edwine Perel, Pablo PLOS Glob Public Health Research Article In Kenya, non-communicable diseases (NCDs) are an increasingly important cause of morbidity and mortality, requiring both better access to health care services and self-care support. Evidence suggests that treatment burdens can negatively affect adherence to treatment and quality of life. In this study, we explored the treatment and self-management burden among people with NCDs in in two counties in Western Kenya. We conducted a cross-sectional survey of people newly diagnosed with diabetes and/or hypertension, using the Patient Experience with Treatment and Self-Management (PETS) instrument. A total of 301 people with diabetes and/or hypertension completed the survey (63% female, mean age = 57 years). They reported the highest treatment burdens in the domains of medical and health care expenses, monitoring health, exhaustion related to self-management, diet and exercise/physical therapy. Treatment burden scores differed by county, age, gender, education, income and number of chronic conditions. Younger respondents (<60 years) reported higher burden for medication side effects (p<0.05), diet (p<0.05), and medical appointments (p = 0.075). Those with no formal education or low income also reported higher burden for diet and for medical expenses. People with health insurance cover reported lower (albeit still comparatively high) burden for medical expenses compared to those without it. Our findings provide important insights for Kenya and similar settings where governments are working to achieve universal health coverage by highlighting the importance of financial protection not only to prevent the economic burden of seeking health care for chronic conditions but also to reduce the associated treatment burden. Public Library of Science 2023-01-17 /pmc/articles/PMC10021888/ /pubmed/36962994 http://dx.doi.org/10.1371/journal.pgph.0001407 Text en © 2023 Koros et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Koros, Hillary
Nolte, Ellen
Kamano, Jemima
Mugo, Richard
Murphy, Adrianna
Naanyu, Violet
Willis, Ruth
Pliakas, Triantafyllos
Eton, David T.
Barasa, Edwine
Perel, Pablo
Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire
title Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire
title_full Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire
title_fullStr Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire
title_full_unstemmed Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire
title_short Understanding the treatment burden of people with chronic conditions in Kenya: A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (PETS) questionnaire
title_sort understanding the treatment burden of people with chronic conditions in kenya: a cross-sectional analysis using the patient experience with treatment and self-management (pets) questionnaire
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021888/
https://www.ncbi.nlm.nih.gov/pubmed/36962994
http://dx.doi.org/10.1371/journal.pgph.0001407
work_keys_str_mv AT koroshillary understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT nolteellen understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT kamanojemima understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT mugorichard understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT murphyadrianna understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT naanyuviolet understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT willisruth understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT pliakastriantafyllos understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT etondavidt understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT barasaedwine understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire
AT perelpablo understandingthetreatmentburdenofpeoplewithchronicconditionsinkenyaacrosssectionalanalysisusingthepatientexperiencewithtreatmentandselfmanagementpetsquestionnaire