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Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey

BACKGROUND: Nonadherence to medication is widespread in epilepsy and other chronic diseases. Studies reporting adherence to antiepileptic medications are very limited in African countries. Adherence reports from low income African countries are few in contrast to multiple studies from high-income co...

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Autores principales: Elsayed, Muaz A., El-Sayed, Nuha Musa, Badi, Safaa, Ahmed, Mohamed H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691456/
https://www.ncbi.nlm.nih.gov/pubmed/31463248
http://dx.doi.org/10.4103/jfmpc.jfmpc_405_19
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author Elsayed, Muaz A.
El-Sayed, Nuha Musa
Badi, Safaa
Ahmed, Mohamed H.
author_facet Elsayed, Muaz A.
El-Sayed, Nuha Musa
Badi, Safaa
Ahmed, Mohamed H.
author_sort Elsayed, Muaz A.
collection PubMed
description BACKGROUND: Nonadherence to medication is widespread in epilepsy and other chronic diseases. Studies reporting adherence to antiepileptic medications are very limited in African countries. Adherence reports from low income African countries are few in contrast to multiple studies from high-income countries. Therefore, the aim of this study is to measure the level of adherence to antiepileptic medication in Sudanese population. METHODS: A descriptive cross-sectional study of 96 individuals with epilepsy recruited from neurology outpatient clinics in three tertiary centers in Sudan. Data were collected by using a structured questionnaire containing Morisky Medication Adherence Scale-4 (MMAS-4) and Belief about Medication Questionnaire and analyzed by statistical package of social sciences. RESULTS: About 35% of patients were estimated to be nonadherent. Most of the patients (93%) acknowledged their need for antiepileptic drugs. However, 35% had high concern score. Adherence is affected by attitude toward antiepileptic drugs (AEDs) and presence of side effects to AEDs. The relation between side effects and adherence was significant (P value 0.000). Furthermore, there was a statistically insignificant relation between the number of drugs used and adherence (P value 0.002). There was a significant relation between adherence, necessity mean score, concern mean score, and necessity concern differential P value 0.000 for all. CONCLUSION: Nonadherence to antiepileptic medication was reported in almost in one third of individuals in this cohort. There were statistically significant associations between nonadherence and both side effects and number of medications used in the treatment of epilepsy. Therefore, family physician should always check compliance with antiepileptic medication. Patient's education about adherence to medication through family physician may in part decrease the recurrence of epileptic seizures. Further research is needed to explore ways to increase adherence with AEDs in a low resource country like Sudan.
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spelling pubmed-66914562019-08-28 Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey Elsayed, Muaz A. El-Sayed, Nuha Musa Badi, Safaa Ahmed, Mohamed H. J Family Med Prim Care Original Article BACKGROUND: Nonadherence to medication is widespread in epilepsy and other chronic diseases. Studies reporting adherence to antiepileptic medications are very limited in African countries. Adherence reports from low income African countries are few in contrast to multiple studies from high-income countries. Therefore, the aim of this study is to measure the level of adherence to antiepileptic medication in Sudanese population. METHODS: A descriptive cross-sectional study of 96 individuals with epilepsy recruited from neurology outpatient clinics in three tertiary centers in Sudan. Data were collected by using a structured questionnaire containing Morisky Medication Adherence Scale-4 (MMAS-4) and Belief about Medication Questionnaire and analyzed by statistical package of social sciences. RESULTS: About 35% of patients were estimated to be nonadherent. Most of the patients (93%) acknowledged their need for antiepileptic drugs. However, 35% had high concern score. Adherence is affected by attitude toward antiepileptic drugs (AEDs) and presence of side effects to AEDs. The relation between side effects and adherence was significant (P value 0.000). Furthermore, there was a statistically insignificant relation between the number of drugs used and adherence (P value 0.002). There was a significant relation between adherence, necessity mean score, concern mean score, and necessity concern differential P value 0.000 for all. CONCLUSION: Nonadherence to antiepileptic medication was reported in almost in one third of individuals in this cohort. There were statistically significant associations between nonadherence and both side effects and number of medications used in the treatment of epilepsy. Therefore, family physician should always check compliance with antiepileptic medication. Patient's education about adherence to medication through family physician may in part decrease the recurrence of epileptic seizures. Further research is needed to explore ways to increase adherence with AEDs in a low resource country like Sudan. Wolters Kluwer - Medknow 2019-07 /pmc/articles/PMC6691456/ /pubmed/31463248 http://dx.doi.org/10.4103/jfmpc.jfmpc_405_19 Text en Copyright: © 2019 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Elsayed, Muaz A.
El-Sayed, Nuha Musa
Badi, Safaa
Ahmed, Mohamed H.
Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey
title Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey
title_full Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey
title_fullStr Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey
title_full_unstemmed Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey
title_short Factors affecting adherence to antiepileptic medications among Sudanese individuals with epilepsy: A cross-sectional survey
title_sort factors affecting adherence to antiepileptic medications among sudanese individuals with epilepsy: a cross-sectional survey
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691456/
https://www.ncbi.nlm.nih.gov/pubmed/31463248
http://dx.doi.org/10.4103/jfmpc.jfmpc_405_19
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