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Determinants of Poor Treatment Adherence Among Patients With Type 2 Diabetes and Limited Health Literacy: A Scoping Review Publisher Pubmed



Pourhabibi N1 ; Mohebbi B2 ; Sadeghi R3 ; Shakibazadeh E3 ; Sanjari M4 ; Tol A5 ; Yaseri M6
Authors
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Authors Affiliations
  1. 1. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Cardiovascular Intervention Research Center, Cardio-Oncology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Internal Medicine, School of Medicine Endocrinology, Metabolism Research Center, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
  5. 5. Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Diabetes Research Published:2022


Abstract

Prevention of complications and successful control of diabetes require preventive and therapeutic measures. Patients' nonadherence to medication and diet regimens and healthcare protocols is associated with significant therapeutic and economic consequences. The present scoping review aims to identify determinants of poor treatment adherence among patients with type 2 diabetes and limited health literacy in 2021. This scoping review was conducted in five stages: designing a research question, searching and extracting related studies, selecting related studies, tabulating information, and reporting results. Data were collected from six foreign electronic databases (Embase, Science Direct, PubMed, Google Scholar, Scopus, and Web of Science) and four Iranian electronic databases (MagIran, SID, IranDoc, and IranMedex) using keywords Type 2 diabetes, barriers, treatment, medication, adherence, non-adherence, limited adherence, and limited health literacyfrom January 2010 to November 2021. From an initial 146 articles, 18 articles were eligible for review. Eighteen studies involving 3925 patients with T2DM from eight countries were included. The prevalence of nonadherence ranged from 42% to 74.3%. Barriers to treatment adherence, which were common among the articles, included economic problems, poor communication with healthcare team, lack of family support, lack of knowledge, misconceptions, and limited health literacy. The results of the present study provided modifiable and nonmodifiable factors affecting treatment adherence among patients with type 2 diabetes. Modifiable factors are essential by performing appropriate interventions with the target group and health professionals. © 2022 Nasrin Pourhabibi et al.
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4. A Phenomenological Study on Barriers of Adherence to Medical Advice Among Type 2 Diabetic Patients, BMC Endocrine Disorders (2022)
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