Impact of Diabetes Perceptions on Medication Adherence in Japan

<b>Background</b>: Patients&#8217; perception of diabetes mellitus is one of the psychosocial factors influencing diabetic behavior. This patients&#8217; perception of the disease is a mental image formed from the experience of patients with type 2 diabetes mellitus and reportedl...

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Main Authors: Koki Urata, Kana Hashimoto, Reiko Horiuchi, Kiichi Fukui, Kunizo Arai
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/7/4/144
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author Koki Urata
Kana Hashimoto
Reiko Horiuchi
Kiichi Fukui
Kunizo Arai
author_facet Koki Urata
Kana Hashimoto
Reiko Horiuchi
Kiichi Fukui
Kunizo Arai
author_sort Koki Urata
collection DOAJ
description <b>Background</b>: Patients&#8217; perception of diabetes mellitus is one of the psychosocial factors influencing diabetic behavior. This patients&#8217; perception of the disease is a mental image formed from the experience of patients with type 2 diabetes mellitus and reportedly reflects the aspect of recuperation. We investigated the relationship between changes in the patients&#8217; perception of the disease and medication adherence, as influenced by the active involvement of community pharmacists. <b>Methods</b>: A prospective cohort study that used patient registry based in community pharmacies was conducted in patients with type 2 diabetes using oral antidiabetic agents at a pharmacy in Ishikawa Prefecture in Japan. Patients responded to the questionnaire at the time of enrollment and at the end of the one-year intervention period. The pharmacist confirmed the patient's medication status and treatment problems via telephone calls at least once every two weeks for one year. Main outcome measures: Type 2 diabetes patients&#8217; perception of the disease related to medication adherence. <b>Results</b>: The study enrolled 113 patients. Among the seven diabetes image factors, &#8220;Living an orderly life&#8221; and &#8220;Feeling of fear&#8221; were significantly associated with medication adherence. &#8220;Feeling of neglect of health&#8221; was significantly associated at the subscale level. <b>Conclusion</b>: All the three factors related to medication adherence indicated self-care ability. To enhance the self-care ability of the patient, pharmacists should assist in self-care interventions for the patients.
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spelling doaj.art-fe9376d9955647228aba61a09b8018112022-12-22T02:57:04ZengMDPI AGPharmacy2226-47872019-10-017414410.3390/pharmacy7040144pharmacy7040144Impact of Diabetes Perceptions on Medication Adherence in JapanKoki Urata0Kana Hashimoto1Reiko Horiuchi2Kiichi Fukui3Kunizo Arai4Faculty of Pharmacy, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa 920-1192, JapanFaculty of Pharmacy, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa 920-1192, JapanGran Pharma Inc., 1-5-2 Hon-machi, Kanazawa 920-0853, JapanGran Pharma Inc., 1-5-2 Hon-machi, Kanazawa 920-0853, JapanFaculty of Pharmacy, Institute of Medical, Pharmaceutical, and Health Sciences, Kanazawa University, Kanazawa 920-1192, Japan<b>Background</b>: Patients&#8217; perception of diabetes mellitus is one of the psychosocial factors influencing diabetic behavior. This patients&#8217; perception of the disease is a mental image formed from the experience of patients with type 2 diabetes mellitus and reportedly reflects the aspect of recuperation. We investigated the relationship between changes in the patients&#8217; perception of the disease and medication adherence, as influenced by the active involvement of community pharmacists. <b>Methods</b>: A prospective cohort study that used patient registry based in community pharmacies was conducted in patients with type 2 diabetes using oral antidiabetic agents at a pharmacy in Ishikawa Prefecture in Japan. Patients responded to the questionnaire at the time of enrollment and at the end of the one-year intervention period. The pharmacist confirmed the patient's medication status and treatment problems via telephone calls at least once every two weeks for one year. Main outcome measures: Type 2 diabetes patients&#8217; perception of the disease related to medication adherence. <b>Results</b>: The study enrolled 113 patients. Among the seven diabetes image factors, &#8220;Living an orderly life&#8221; and &#8220;Feeling of fear&#8221; were significantly associated with medication adherence. &#8220;Feeling of neglect of health&#8221; was significantly associated at the subscale level. <b>Conclusion</b>: All the three factors related to medication adherence indicated self-care ability. To enhance the self-care ability of the patient, pharmacists should assist in self-care interventions for the patients.https://www.mdpi.com/2226-4787/7/4/144medication adherenceperceptioncommunity pharmacy servicesdiabetes mellituspharmaceutical care
spellingShingle Koki Urata
Kana Hashimoto
Reiko Horiuchi
Kiichi Fukui
Kunizo Arai
Impact of Diabetes Perceptions on Medication Adherence in Japan
Pharmacy
medication adherence
perception
community pharmacy services
diabetes mellitus
pharmaceutical care
title Impact of Diabetes Perceptions on Medication Adherence in Japan
title_full Impact of Diabetes Perceptions on Medication Adherence in Japan
title_fullStr Impact of Diabetes Perceptions on Medication Adherence in Japan
title_full_unstemmed Impact of Diabetes Perceptions on Medication Adherence in Japan
title_short Impact of Diabetes Perceptions on Medication Adherence in Japan
title_sort impact of diabetes perceptions on medication adherence in japan
topic medication adherence
perception
community pharmacy services
diabetes mellitus
pharmaceutical care
url https://www.mdpi.com/2226-4787/7/4/144
work_keys_str_mv AT kokiurata impactofdiabetesperceptionsonmedicationadherenceinjapan
AT kanahashimoto impactofdiabetesperceptionsonmedicationadherenceinjapan
AT reikohoriuchi impactofdiabetesperceptionsonmedicationadherenceinjapan
AT kiichifukui impactofdiabetesperceptionsonmedicationadherenceinjapan
AT kunizoarai impactofdiabetesperceptionsonmedicationadherenceinjapan