Abstract:
:Background The Middle East region has one the highest prevalence rates of diabetes in the world. Little is known about the determinants of adherence and the role of knowledge in diabetes self-management within these populations. Objective To investigate the relationship between patients knowledge of diabetes therapeutic targets with adherence to self-care measures in a sample of patients with type 2 diabetes in Kuwait. Setting Primary care chronic care clinics within the Ministry of Health of Kuwait. Methods A cross sectional survey was carried out with 238 patients from six clinics. A multistage stratified clustered sampling method was used to first randomly select the clinics and the patients. MAIN OUTCOME MEASURE:Self-reported adherence to three behaviours: medication taking, diet and physical activity. Results Respondents were able to correctly report a mean (SD) of 1.6 (1.3) out of 5 of the pre-specified treatment targets. Optimal adherence to physical activity, diet and medications was reported in 25, 33 and 47 % of the study cohort, respectively. A structural equation model analysis showed better knowledge of therapeutic goals and own current levels translated into better adherence to medications, diet and physical activity. Conclusion Knowledge of therapeutic goals and own recent levels is associated with adherence to medications, diet, or physical activity in this Kuwaiti cohort of patients with diabetes. Low adherence to self-care management and poor overall knowledge of diabetes is a big challenge to successful diabetes care in Kuwait.
journal_name
Int J Clin Pharmjournal_title
International journal of clinical pharmacyauthors
Waheedi M,Awad A,Hatoum HT,Enlund Hdoi
10.1007/s11096-016-0375-5subject
Has Abstractpub_date
2017-02-01 00:00:00pages
45-51issue
1eissn
2210-7703issn
2210-7711pii
10.1007/s11096-016-0375-5journal_volume
39pub_type
杂志文章,多中心研究abstract:BACKGROUND:For patients accessing specialist palliative care day services, medication is prescribed routinely to manage acute symptoms, treat long-term conditions or prevent adverse events associated with these conditions. As such, the pharmacotherapeutic burden for these patients is high and polypharmacy is common. Co...
journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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更新日期:2013-02-01 00:00:00
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journal_title:International journal of clinical pharmacy
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journal_title:International journal of clinical pharmacy
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