Cargando…

Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study

Failure to achieve adequate glycemic control can lead to debilitating complications for diabetics. Strict compliance to prescribed diet, lifestyle, and medication can prevent complications. METHODS: In order to examine factors accompanying noncompliance behavior to diabetes medication in a rapidly u...

Descripción completa

Detalles Bibliográficos
Autores principales: Berkoh, Dorice A., Owiredu, William B. K. A., Gyasi, Samuel F., Donkoh, Emmanuel T., Ngala, Robert A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9257306/
https://www.ncbi.nlm.nih.gov/pubmed/35801220
http://dx.doi.org/10.1097/j.pbj.0000000000000148
_version_ 1784741318069583872
author Berkoh, Dorice A.
Owiredu, William B. K. A.
Gyasi, Samuel F.
Donkoh, Emmanuel T.
Ngala, Robert A.
author_facet Berkoh, Dorice A.
Owiredu, William B. K. A.
Gyasi, Samuel F.
Donkoh, Emmanuel T.
Ngala, Robert A.
author_sort Berkoh, Dorice A.
collection PubMed
description Failure to achieve adequate glycemic control can lead to debilitating complications for diabetics. Strict compliance to prescribed diet, lifestyle, and medication can prevent complications. METHODS: In order to examine factors accompanying noncompliance behavior to diabetes medication in a rapidly urbanizing region of Ghana, a mixed approach was adopted. Study subjects (N: 160, mean age: 58.3) were interviewed at the diabetic clinic of the Brong-Ahafo Regional Hospital, Sunyani. Compliance to diabetes treatment was evaluated with an adapted Morisky Medication Adherence Scale (MMAS). Face-to-face interviews of 20 subjects allowed for more personalized exploration of psychosocial aspects of noncompliance. The interviews were audio recorded, transcribed verbatim, and coded using the Nvivo software. Qualitative data was processed and subjected to inductive thematic analysis. RESULTS: Majority of study participants reported an optimum (n = 121, 75.6%) level of compliance to diabetes medication, although some also reported poor compliance (n = 39, 24.4%). Qualitative responses received during interviews suggest that poor compliance may be attributable to misconceptions about religious beliefs and practices. Psychosocial factors relating to felt stress, the inevitability of fate, and compliance fatigue were also discovered to undermine compliance. Noncompliance behavior was also explained by socioeconomic status and barriers to health-seeking behavior. CONCLUSION: Reported medication compliance was among the highest in out-patient settings in Ghana. However, contextual determinants of noncompliance have to be addressed. Efforts to improve compliance to diabetic medication could benefit from interventions that address superstition, target psychological aspects of chronic disease management, and remove operational barriers to healthcare delivery such as transportation costs and long waiting times.
format Online
Article
Text
id pubmed-9257306
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer
record_format MEDLINE/PubMed
spelling pubmed-92573062022-07-06 Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study Berkoh, Dorice A. Owiredu, William B. K. A. Gyasi, Samuel F. Donkoh, Emmanuel T. Ngala, Robert A. Porto Biomed J Original Article Failure to achieve adequate glycemic control can lead to debilitating complications for diabetics. Strict compliance to prescribed diet, lifestyle, and medication can prevent complications. METHODS: In order to examine factors accompanying noncompliance behavior to diabetes medication in a rapidly urbanizing region of Ghana, a mixed approach was adopted. Study subjects (N: 160, mean age: 58.3) were interviewed at the diabetic clinic of the Brong-Ahafo Regional Hospital, Sunyani. Compliance to diabetes treatment was evaluated with an adapted Morisky Medication Adherence Scale (MMAS). Face-to-face interviews of 20 subjects allowed for more personalized exploration of psychosocial aspects of noncompliance. The interviews were audio recorded, transcribed verbatim, and coded using the Nvivo software. Qualitative data was processed and subjected to inductive thematic analysis. RESULTS: Majority of study participants reported an optimum (n = 121, 75.6%) level of compliance to diabetes medication, although some also reported poor compliance (n = 39, 24.4%). Qualitative responses received during interviews suggest that poor compliance may be attributable to misconceptions about religious beliefs and practices. Psychosocial factors relating to felt stress, the inevitability of fate, and compliance fatigue were also discovered to undermine compliance. Noncompliance behavior was also explained by socioeconomic status and barriers to health-seeking behavior. CONCLUSION: Reported medication compliance was among the highest in out-patient settings in Ghana. However, contextual determinants of noncompliance have to be addressed. Efforts to improve compliance to diabetic medication could benefit from interventions that address superstition, target psychological aspects of chronic disease management, and remove operational barriers to healthcare delivery such as transportation costs and long waiting times. Wolters Kluwer 2022-06-17 /pmc/articles/PMC9257306/ /pubmed/35801220 http://dx.doi.org/10.1097/j.pbj.0000000000000148 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of PBJ-Associação Porto Biomedical/Porto Biomedical Society. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Article
Berkoh, Dorice A.
Owiredu, William B. K. A.
Gyasi, Samuel F.
Donkoh, Emmanuel T.
Ngala, Robert A.
Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study
title Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study
title_full Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study
title_fullStr Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study
title_full_unstemmed Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study
title_short Factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in Ghana: a mixed-methods study
title_sort factors associated with noncompliance to diabetes medication in a rapidly urbanizing region in ghana: a mixed-methods study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9257306/
https://www.ncbi.nlm.nih.gov/pubmed/35801220
http://dx.doi.org/10.1097/j.pbj.0000000000000148
work_keys_str_mv AT berkohdoricea factorsassociatedwithnoncompliancetodiabetesmedicationinarapidlyurbanizingregioninghanaamixedmethodsstudy
AT owireduwilliambka factorsassociatedwithnoncompliancetodiabetesmedicationinarapidlyurbanizingregioninghanaamixedmethodsstudy
AT gyasisamuelf factorsassociatedwithnoncompliancetodiabetesmedicationinarapidlyurbanizingregioninghanaamixedmethodsstudy
AT donkohemmanuelt factorsassociatedwithnoncompliancetodiabetesmedicationinarapidlyurbanizingregioninghanaamixedmethodsstudy
AT ngalaroberta factorsassociatedwithnoncompliancetodiabetesmedicationinarapidlyurbanizingregioninghanaamixedmethodsstudy