Medication Adherence in Type 2 Diabetes: A qualitative Exploration of Barriers and facilitators from socio ecological perspectives
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Adherence to antidiabetic medications (ADMs) remains a serious challenge among type 2 diabetes mellitus (T2DM) patients. Factors affecting medication adherence are not fully understood in Nigeria. This qualitative study explored patients’ views on barriers and facilitators of medication adherence. Data collection was through face-to-face, semi-structured, in-depth interviews conducted on 25 purposively sampled patients attending a public tertiary hospital. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis based on the socioecological framework. NVIVO version 10 identified more codes. The most commonly identified barriers were organizational (clinic structure), personal (perception of T2DM as a dangerous illness), interpersonal (lack of spousal support), and community (concerns about taking ADMs in social gatherings). It was observed that female patients received more spousal support than males. The facilitators of adherence include perceiving medication-taking as a routine, the need to live longer, having savings for ADMs, purchasing medications to last until the next clinic visit. This study identified barriers and facilitators unique to Nigerian T2DM patients. Interventions anchored on these factors would improve medication adherence.
Socioecological perspective , Barriers and facilitators , Antidiabetic medications , Adherence , Research Subject Categories::PHARMACY
Onwuchuluba, E.E. Oyetunde, O.O. Soremekun, R.O. (2021). Medication Adherence in Type 2 Diabetes: A qualitative Exploration of Barriers and facilitators from socio ecological perspectives. Journal of Patients Experience, 8, 1-8.