Evidence map›Paper›PMID 27230479›Full record

ArticleBMC endocrine disorders2016

Understanding adherence-related beliefs about medicine amongst patients of South Asian origin with diabetes and cardiovascular disease patients: a qualitative synthesis.

Kanta Kumar, Sheila Greenfield, Karim Raza, Paramjit Gill, Rebecca Stack

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC endocrine disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02828995 (Evaluating the Influence of Diabetes Stigma on Medication Adherence), which is not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02828995 completednot on this map

Evaluating the Influence of Diabetes Stigma on Medication Adherence

TypeobservationalSponsorVanderbilt University Medical CenterRan2016 to 2017Enrolled508ConditionsDiabetes MellitusArmsComprehensive Diabetes Stigma Survey
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 86 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Kanta KumarPrimary Care Clinical Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Sheila GreenfieldPrimary Care Clinical Sciences, University of Birmingham, Birmingham, B15 2TT, UK.
Karim RazaCentre for Translational Inflammation Research, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2TT, UK.
Paramjit GillPrimary Care Clinical Sciences, University of Birmingham, Birmingham, B15 2TT, UK. p.s.gill@bham.ac.uk.
Rebecca StackCentre for Translational Inflammation Research, The School of Immunity and Infection, University of Birmingham, Birmingham, B15 2TT, UK.
University of Birmingham · GB

Funding

Department of Health CAT CDRF 10-034
6 · The paper itself

Abstract

backgroundPrevalence of diabetes and cardiovascular (CVD) disease amongst UK South Asians is higher than in the general population. Non-adherence to medicines may lead to poor clinical outcomes for South Asian patients with diabetes and CVD. To understand the decision making processes associated with taking medicines, a qualitative systematic meta-synthesis exploring medicine taking behaviours, and beliefs was undertaken.

methodsFour databases (Medline, Embase, Science Citation Index and CINAHL) were searched to identify qualitative studies of South Asian patients taking diabetic medicines. Data were thematic coded and synthesised.

resultsThe following themes were identified: [1] beliefs about the need for and efficacy of medicines; [2] toxicity of medicines and polypharmacy; [3] the necessity of traditional remedies versus "western medicines"; [4] stigma and social support; and [5] communication.

conclusionsSouth Asians described cultural social stigma associated with diabetes and reported fears about drug toxicity as barriers to taking medicines. Cultural beliefs about traditional remedies and interactions with healthcare professionals also appeared to play a role in the way people made decisions about medicines. Advice should be tailored provided to South Asian patients highlighting the long term consequences of diabetes and CVD.

Indexed as

Asian PeopleCardiovascular DiseasesDiabetes MellitusHumansMedicine, TraditionalPatient Acceptance of Health CarePatient ComplianceSocial StigmaSocial SupportUnited KingdomAdherenceCardiovascular diseaseDiabetesEthnicityMeta-synthesisSouth Asian

Identifiers

PMID27230479
PMCPMC4880880
OpenAlexW2342816966

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.