Nasimeh Sadat Razavi, Fereshteh Majlessi, Bahram Mohebbi, Azar Tol, Kamal Azam,
Volume 16, Issue 3 (3-2017)
Abstract
Background: Patient’s adherence to treatment regimen can predict treatment plan and decrease intensity and symptoms of sickness. This study aimed at determining the effect of educational intervention based on AIM (Ability, Information, Motivation) model on improving adherence of patients with type 2 diabetes.
Methods: This semi experimental interventional study was performed on 180 patients with type 2 diabetes as intervention and control groups. The patients selected using simple random sampling. Study instrument was a questionnaire including demographics (14 items) and AIM model questionnaire (10 items about information, 9items about motivation, 6 items for ability). After baseline, educational intervention was performed in intervention group and post test conducted after six months for both groups. Collected data was analyzed with SPSS software version 23using Mann–Whitney U, Wilcoxon and chi-squared tests. The significant level was considered less than 0.05.
Results: There was no significant difference in demographics and AIM model constructs between two groups (p>0.05). After educational intervention, intervention group revealed a significant difference with control group in terms of information (P<0.001), motivation (P<0.001), ability (P<0.001) and level of HbA1C (P<0.001).
Conclusion: study results revealed AIM model based educational intervention has an important role on treatment adherence among type2 diabetic patients. With increasing patient information and belief regarding disease patient’s motivation will be improved.
Azar Pirdeghan, Amir Masoud Shafieyan, Farzaneh Esna-Ashari , Shiva Borzouei,
Volume 22, Issue 5 (12-2022)
Abstract
Background: Despite the existence of very effective drugs in controlling blood sugar in diabetic patients, unfortunately, a small proportion of patients follow their medication. Several factors may affect in drug adherence. In this study, the effect of drug-related beliefs on medication adherence in diabetes was investigated.
Methods: In a cross-sectional study using available sampling method, 248 patients with type 2 diabetes referred to the specialized diabetes clinic in Hamedan in 1400 were selected. Medication compliance was checked with MMSQ-8 and medication belief was checked with BMQ questionnaire. Data were analyzed using chi-square, ANOVA, Kruskal-Wallis and Spearman's correlation at significance level of 0.05.
Results: The mean age was (16.9) 52.6 years. 51.6% were women, 61.3% were men. poor, moderate, and good medication adherence rate were 53.2%, 25.8% and 21%, respectively. In patients with poor, moderate and good drug treatment, the mean (SD) of the belief score for the Specific Necessity were 17.9 (5.8), 17.2 (3.7) and 17.7 (1.2), respectively. Belief of Specific concern 16.6(0.6), 17.6 (2.3) and 1/17(1.8), belief of General overuse 13.2 (2.2), 12.6 (2.6) and 12.2 (2.3), belief in General harm were 10.6 (2.9), 10.2 (3.5) and 8.5 (0.3) and the total score of belief in drug treatment were 58.3 (1.8), 57.6 (6.8) and 55.5 (4.7) and which only the belief of General harm was statistically significant (P<0.05).
Conclusion: More than half of patients do not follow appropriate medication adherence. Belief about harmful side effects of diabetes drugs were significantly associated with a decrease in medication adherence.
