Abstract:
BACKGROUND:The prevalence of diabetes in Jordan is among the highest in the world, making it a particularly alarming health problem there. It has been indicated that poor adherence to the prescribed therapy lead to poor glycemic control and enhance the development of diabetes complications and unnecessary hospitalization. OBJECTIVE:To explore factors associated with medication nonadherence in patients with type 2 diabetes in Jordan. Findings would help guide the development of future pharmaceutical care interventions for patients with type 2 diabetes. SETTING:This study was conducted in an outpatient diabetes clinic at the Royal Medical Services Hospital. METHOD:Variables including sociodemographics, disease and therapy factors, diabetes knowledge, health-related quality of life in addition to adherence assessment were collected for 171 patients with type 2 diabetes using medical records, custom-designed and validated questionnaires. Logistic regression was performed to develop a model with variables that best predicted medication non-adherence in patients with type 2 diabetes in Jordan. MAIN OUTCOME MEASURE:Variables which significantly and independently associated with medication nonadherence in patients with type 2 diabetes in Jordan. RESULTS:Patients were found four times less likely to adhere to their medications with each unit increase in the number of prescribed medications (OR = 0.244, CI = 0.08-0.63) and nine times less likely to adhere to their medications if they received more than once daily dosing of diabetic medication (OR = 0.111, CI = 0.04-2.01). Patients in the present study were also approximately three times less likely (OR = 0.362, CI = 0.24-0.87) and twice less likely (OR = 0.537, CI = 0.07-1.31) to adhere to their medications if they reported having concerns about side effects and if they were taking metformin therapy respectively. Finally, participants were found twice more likely to adhere to medications if they had one or more Microvascular complication (OR = 0.493, CI = 0.08-1.16). CONCLUSION:Simplifying dosage regimen, selecting treatments with lower side effects along with an emphasis on diabetes complications should be taken into account in future interventions designed to improve health outcomes for patients with type 2 diabetes.
journal_name
Int J Clin Pharmjournal_title
International journal of clinical pharmacyauthors
Jarab AS,Almrayat R,Alqudah S,Thehairat E,Mukattash TL,Khdour M,Pinto Sdoi
10.1007/s11096-014-9938-5subject
Has Abstractpub_date
2014-08-01 00:00:00pages
725-33issue
4eissn
2210-7703issn
2210-7711journal_volume
36pub_type
杂志文章abstract:OBJECTIVES:To examine the prescribing pattern of antihypertensive drugs in outpatients with hypertension in a general hospital in central China and identify whether the pattern of prescribing is appropriate and in accordance with national and international guidelines for pharmacotherapy of hypertension. SETTING:The in...
journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
doi:10.1007/s11096-010-9476-8
更新日期:2011-04-01 00:00:00
abstract::Background Allergic rhinitis represents a public health problem that is significantly prevalent in the global population and has been associated with asthma, a strong desire to sleep and a low quality of life. Objective This study aims to evaluate the prevalence, symptoms, control strategies and treatment, as well as ...
journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
doi:10.1007/s11096-020-01115-z
更新日期:2020-09-20 00:00:00
abstract::Background Rheumatoid arthritis is a chronic, autoimmune disease in which treatment has evolved with a variety of therapeutic classes. Biological disease-modifying antirheumatic drugs have improved therapy; however, the continued long-term use of these drugs with sustained safety and efficacy remains a challenge. Obje...
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更新日期:2020-10-21 00:00:00
abstract::Background Several clinical pharmacy activities are common to UK hospitals. It is not clear whether these are provided at similar levels, and whether they take similar amounts of time to carry out. Objective To quantify and compare clinical pharmacist ward activities between different UK hospitals. Setting Seven acute...
journal_title:International journal of clinical pharmacy
pub_type: 杂志文章,多中心研究
doi:10.1007/s11096-016-0386-2
更新日期:2016-12-01 00:00:00
abstract::Background Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most commonly used pharmaceutical agents worldwide. NSAIDs are considered nephrotoxic and should therefore be used with caution or be avoided completely in high risk patients, such as chronic kidney disease (CKD) patients. Objective This study aim...
journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
doi:10.1007/s11096-016-0298-1
更新日期:2016-08-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2014-04-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2014-12-01 00:00:00
abstract::Background Medication discrepancies arising at care transitions are prevalent and are linked with adverse drug events and increased healthcare utilization. Evidence is lacking about which pharmacy-supported interventions at care transitions are most effective for both the patient and the healthcare system. Aim of the ...
journal_title:International journal of clinical pharmacy
pub_type: 杂志文章,评审
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更新日期:2019-08-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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abstract::Background Medication reconciliation (MedRec) at discharge is a cumbersome but necessary process to reduce the risk of medication errors at transitions of care. The main barriers to implementing such a process are the large number of professionals involved and a lack of collaboration among caregivers. Objective This s...
journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2016-04-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2011-12-01 00:00:00
abstract:: ...
journal_title:International journal of clinical pharmacy
pub_type:
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更新日期:2019-02-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2014-06-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-06-11 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
doi:10.1007/s11096-018-0708-7
更新日期:2018-08-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
doi:10.1007/s11096-014-9915-z
更新日期:2014-04-01 00:00:00
abstract::Background Chronic pain is a prevalent and debilitating condition for many people. Globally it is the greatest contributor to years lived with disability. Management often includes pharmacotherapy and pharmacists are therefore well placed to contribute to chronic pain management. Objective To explore chronic pain mana...
journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2020-11-27 00:00:00
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更新日期:2020-11-23 00:00:00
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更新日期:2018-02-01 00:00:00
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更新日期:2015-10-01 00:00:00
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更新日期:2013-06-01 00:00:00
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journal_title:International journal of clinical pharmacy
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更新日期:2015-12-01 00:00:00
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journal_title:International journal of clinical pharmacy
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更新日期:2012-06-01 00:00:00
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journal_title:International journal of clinical pharmacy
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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更新日期:2016-10-01 00:00:00
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更新日期:2013-02-01 00:00:00
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更新日期:2020-08-01 00:00:00