. Nasrin Pourhabibi; . Roya Sadeghi; . Bahram Mohebbi; . Elham Shakibazadeh; . Mojgan Sanjari; . Azar Tol; . Mehdi Yaseri
Volume 12, Issue 10 , November 2022, , Pages 1-13
Abstract
BACKGROUND: Treatment adherence is one of the behaviors associated with type 2 diabetes thatpredicts whether it will be successfully treated or develop complications and become uncontrolled.This ...
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BACKGROUND: Treatment adherence is one of the behaviors associated with type 2 diabetes thatpredicts whether it will be successfully treated or develop complications and become uncontrolled.This study aimed to determine factors affecting nonadherence to treatment among diabetic patientswith limited health literacy from the perspectives of patients, their families, and healthcare providers.MATERIALS AND METHODS: This qualitative study with a content analysis approach was conductedon 84 eligible type 2 diabetes patients with limited health literacy and poor adherence to treatment,as well as their families and healthcare providers using a purposive sampling method, in Kerman cityin 2021. Interviews were conducted using a semistructured interview guide with a broad, open‑endedquestion to provide a general history of the disease separately. The interviewer asked participantsto identify the perceived barriers to treatment nonadherence. Each interview lasted 45–60 min.MAXQDA version 20 and inductive content analysis were used to code and analyze extracted data.RESULTS: Four major themes emerged from the patients’ perspectives as “financial problems,”“individual factors,” “problems related to medication availability,” and “healthcare providers’ poorpractices.” Two major themes were classified from the perspective of patients’ families as “financialproblems” and “Individual factors,” and four major themes were identified from the viewpoint ofhealthcare providers including “financial problems,” “individual factors,” “scarcity and medicationavailability,” and “poor practice of the healthcare provider.” These mentioned barriers were confirmedregarding treatment nonadherence among study participants.CONCLUSION: Study findings revealed different factors of treatment nonadherence among diabeticpatients with limited health literacy. Therefore, these factors should be considered in tailoringpromotive educational and supportive interventions. Considering the importance of adherence totreatment patients, planning empowerment family‑based interventions focusing on health literacyimprovement seems necessary.
