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Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.

Introduction: Patient adherence to treatment is viewed as essential to good metabolic control in diabetes. Our primary objective was to determine if self-reported patient adherence correlated strongly with metabolic control. Our secondary objective was to determine the natural grouping of factors...

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Main Authors: Loke, Seng Cheong, Jong, Michelle
Format: Article
Language:English
English
Published: Academy of Medicine, Singapore 2008
Online Access:http://psasir.upm.edu.my/id/eprint/15617/1/Metabolic%20control%20in%20type%202%20diabetes%20correlates%20weakly%20with%20patient%20adherence%20to%20oral%20hypoglycaemic%20treatment.pdf
http://psasir.upm.edu.my/id/eprint/15617/
http://www.annals.edu.sg
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spelling my.upm.eprints.156172015-10-05T07:53:50Z http://psasir.upm.edu.my/id/eprint/15617/ Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment. Loke, Seng Cheong Jong, Michelle Introduction: Patient adherence to treatment is viewed as essential to good metabolic control in diabetes. Our primary objective was to determine if self-reported patient adherence correlated strongly with metabolic control. Our secondary objective was to determine the natural grouping of factors which influence adherence. Materials and Methods: Data were collected using a questionnaire set with 5-point Likert scales. Primary analysis was done using Spearman's correlation coefficient between self-reported composite adherence scores and HbA1c. Secondary analysis was done using exploratory factor analysis. Results: The primary analysis suggests that patient adherence to the treatment regime is weakly correlated to metabolic control. Calculated Spearman's rho was 0.197, with a two-tailed P value of 0.027. The secondary analysis demonstrates the natural clustering of factors that influence patient adherence to treatment. A 6-factor solution was found to account for most of the variance in the data. We also found that feelings of frustration, anxiety, and depression were associated with a lack of knowledge about diabetes treatment. In addition, belief in traditional medicine correlated strongly with ethnicity. Conclusion: A good treatment regime for type 2 diabetes mellitus influences metabolic outcome far more than patient adherence. Academy of Medicine, Singapore 2008-01 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/15617/1/Metabolic%20control%20in%20type%202%20diabetes%20correlates%20weakly%20with%20patient%20adherence%20to%20oral%20hypoglycaemic%20treatment.pdf Loke, Seng Cheong and Jong, Michelle (2008) Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment. Annals of the Academy of Medicine, Singapore, 37 (1). pp. 15-20. ISSN 0304-4602 http://www.annals.edu.sg English
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
English
description Introduction: Patient adherence to treatment is viewed as essential to good metabolic control in diabetes. Our primary objective was to determine if self-reported patient adherence correlated strongly with metabolic control. Our secondary objective was to determine the natural grouping of factors which influence adherence. Materials and Methods: Data were collected using a questionnaire set with 5-point Likert scales. Primary analysis was done using Spearman's correlation coefficient between self-reported composite adherence scores and HbA1c. Secondary analysis was done using exploratory factor analysis. Results: The primary analysis suggests that patient adherence to the treatment regime is weakly correlated to metabolic control. Calculated Spearman's rho was 0.197, with a two-tailed P value of 0.027. The secondary analysis demonstrates the natural clustering of factors that influence patient adherence to treatment. A 6-factor solution was found to account for most of the variance in the data. We also found that feelings of frustration, anxiety, and depression were associated with a lack of knowledge about diabetes treatment. In addition, belief in traditional medicine correlated strongly with ethnicity. Conclusion: A good treatment regime for type 2 diabetes mellitus influences metabolic outcome far more than patient adherence.
format Article
author Loke, Seng Cheong
Jong, Michelle
spellingShingle Loke, Seng Cheong
Jong, Michelle
Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.
author_facet Loke, Seng Cheong
Jong, Michelle
author_sort Loke, Seng Cheong
title Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.
title_short Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.
title_full Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.
title_fullStr Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.
title_full_unstemmed Metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.
title_sort metabolic control in type 2 diabetes correlates weakly with patient adherence to oral hypoglycaemic treatment.
publisher Academy of Medicine, Singapore
publishDate 2008
url http://psasir.upm.edu.my/id/eprint/15617/1/Metabolic%20control%20in%20type%202%20diabetes%20correlates%20weakly%20with%20patient%20adherence%20to%20oral%20hypoglycaemic%20treatment.pdf
http://psasir.upm.edu.my/id/eprint/15617/
http://www.annals.edu.sg
_version_ 1643825979803566080
score 13.211869

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