Evidence map›Paper›PMID 30410316›Full record

ArticlePatient preference and adherence2018

A qualitative exploration of barriers to medication adherence among patients with uncontrolled diabetes in Qatar: integrating perspectives of patients and health care providers.

Myriam Jaam, Muhammad Abdul Hadi, Nadir Kheir, Mohamed Izham Mohamed Ibrahim, Mohammad Issam Diab, Samya Ahmad Al-Abdulla, Ahmed Awaisu

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 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

7 authors at 4 institutions in 4 countries.

Myriam JaamCollege of Pharmacy, Qatar University, Doha, Qatar, aawaisu@qu.edu.qa.
Muhammad Abdul HadiLeicester School of Pharmacy, De Montfort University, Leicester, UK.
Nadir KheirFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Mohamed Izham Mohamed IbrahimCollege of Pharmacy, Qatar University, Doha, Qatar, aawaisu@qu.edu.qa.
Mohammad Issam DiabCollege of Pharmacy, Qatar University, Doha, Qatar, aawaisu@qu.edu.qa.
Samya Ahmad Al-AbdullaFamily Medicine, Primary Healthcare Corporation, Doha, Qatar.
Ahmed AwaisuCollege of Pharmacy, Qatar University, Doha, Qatar, aawaisu@qu.edu.qa.
Qatar University · QADe Montfort University · GBQatar Airways (Qatar) · QAUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop an in-depth understanding of the barriers to medication adherence among patients with uncontrolled diabetes attending primary health care (PHC) centers in Qatar by exploring and integrating patients' and health care providers' perspectives. PARTICIPANTS AND

methodsA descriptive qualitative methodology was used in this study. A trained researcher conducted semi-structured face-to-face interviews at two PHC centers. Patients with uncontrolled diabetes (with varied sociodemographic characteristics) and their respective health care providers (physicians, pharmacists, nurses, dieticians, and others) were purposively selected from the two PHC centers. All interviews were audio recorded, transcribed verbatim, and analyzed using thematic content analysis.

resultsThirty interviews (14 patients and 16 health care providers) were conducted. A number of barriers to medication adherence were identified and classified broadly under three main themes: 1) patient-related factors, which included patients' individual characteristics and patients' perception, attitude, and behavior; 2) patient-provider factors, which included communication and having multiple health care providers caring for the patient; and 3) societal and environmental factors, which included social pressure and traveling to visit friends and relatives.

conclusionPatients with uncontrolled diabetes face multiple barriers to medication adherence. Similar themes emerged from both patients and their care providers. This research highlights the need for concerted multidimensional efforts and series of interventions to overcome these barriers. One vital intervention is expanding the scope of pharmacists' role within the PHC centers through providing medication reconciliation, patient-tailored medication counseling, and medicines use review, which may improve treatment outcomes among patients with diabetes.

Indexed as

medication adherenceMiddle Eastprimary health carequalitative researchuncontrolled diabetes

Identifiers

PMID30410316
PMCPMC6200070
OpenAlexW2896207696

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.