Barriers of medication adherence in patients with type-2 diabetes: a pilot qualitative study

Mehdi Rezaei,1 Sina Valiee,2 Mohammad Tahan,3 Fariba Ebtekar,4 Reza Ghanei Gheshlagh21Department of Social Sciences, Payame Noor University (PNU), Tehran, Iran; 2Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran; 3Young Researchers and Elite Club, Birjand Branch, Islamic Azad University, Birjand, Iran; 4Department of Midwifery, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, IranBackground: Patients with type-2 diabetes have poor adherence to the therapeutic regime. It can result in various complications in body systems associated with undesirable metabolic control.Purpose: The present study aimed to explore the inhibitors of medication adherence in patients with type-2 diabetes.Patients and methods: This was a qualitative study using a conventional content analysis method. Participants were 12 patients with type-2 diabetes referred to the diabetes unit in Saghez, Kurdistan Province in 2015. The purposive sampling method was used with a maximum variation in sampling, and data collection was continued until data saturation was achieved. Semi-structured interviews were used for data collection. Interviews were recorded and immediately transcribed verbatim.Results: Data analysis led to the development of four main categories including disbelief in medical explanatory/prescriptive knowledge, lived experiences of the disease, challenges of everyday life, and interactive/economic challenges. The main inhibitors were the patient’s understanding of his/her own physical status and strategies used for maintaining the internal balance. Healthcare providers need to take patients’ perceptions into account when they are prescribing medicinal diets. Another inhibitor was the incidents of everyday life, including economic and social challenges, and interactions to receive education and skills for living with the disease.Conclusion: Beliefs of the medical team and patients should be brought closer to each other, and patients’ trust in the medical team should be increased. Nurses should consider the unique experience of every patient when giving healthcare recommendations, and try to limit the existing challenges as much as possible.Keywords: medication adherence, diabetes mellitus, content analysi