ArticlePharmacy practice
Evaluation of medication adherence among Lebanese diabetic patients.
Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 26 citations in OpenAlex.
- A randomized controlled trial protocol comparing low-calorie Mediterranean and low-carbohydrate diets for diabetes remission in individuals with type 2 diabetes in northern Lebanon: an intervention mapping-based approach.Frontiers in public health · 2026Article
- Knowledge, Attitude, and Practice Toward Type 2 Diabetes Mellitus in the Lebanese Population.Cureus · 2025Article
- Exploring the impact of subjective well-being on medication adherence: A cross-sectional study among individuals with multiple chronic diseases.Exploratory research in clinical and social pharmacy · 2024Article
- Effect of psychosocial aspects on medication adherence in patients with heart failure amid socioeconomic challenges.Open heart · 2024Article
- Insights into medication adherence among Jordanian patients with dyslipidemia: evaluating health literacy, well-being, and doctor-patient communication.Journal of pharmaceutical policy and practice · 2024Article
- Adherence to treatment and harmful effects of medication shortages in the context of severe crises: scale validation and correlates.Journal of pharmaceutical policy and practice · 2023Article
- Adherence to Oral Antidiabetic Drugs in Patients with Type 2 Diabetes: Systematic Review and Meta-Analysis.Journal of clinical medicine · 2023Review
- Assessment of medication adherence among Lebanese adult patients with non-communicable diseases during COVID-19 lockdown: a cross-sectional study.Frontiers in public health · 2023Article
- Adherence to Recommended Regimen and Associated Factors among Type 2 Diabetes Mellitus Patients in Rwinkwavu District Hospital, Rwanda.Rwanda journal of medicine and health sciences · 2022Article
- Adherence to Diabetes Mellitus Treatment Regimen Among Patients With Diabetes in the Tabuk Region of Saudi Arabia.Cureus · 2022Article
- Validation of the Lebanese Medication Adherence Scale among Lebanese diabetic patients.International journal of clinical pharmacy · 2021Article
- Glycemic control and associated factors among Iranian population with type 2 diabetes mellitus: a cross-sectional study.Journal of diabetes and metabolic disorders · 2020Article
- Medication Adherence and Contributing Factors Among Type 2 Diabetes Patients at Adama Hospital Medical College in Eastern Ethiopia.SAGE open nursingArticle
- Evaluation of risk factors and drug adherence in the occurrence of stroke in patients with atrial fibrillation.Pharmacy practiceArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetes type 2 is considered one of the main public health concerns. Lack of adherence to treatment leads to poor therapeutic outcome, poor glycemic control, and high risk for developing diabetes complications.
objectivesThe aim of this study is to evaluate adherence to oral antidiabetic medication in Diabetes type 2 Lebanese patients, and to evaluate factors leading to low adherence.
methodsA cross-sectional study was conducted in outpatients endocrinology clinics of two hospitals and four private clinics located in Beirut-Lebanon. Data was collected using a well-structured questionnaire by trained pharmacists. Adherence level was measured by the Lebanese Medication Adherence Scale (LMAS-14). Bivariate and multivariate analyses were conducted using SPSS version 20.
resultsOverall, 245 patients were included in the study with the majority being females (54.3%) and obese (47.8%). Only 29% of the participants had controlled glycemia (HbA1c <7%) with 31.8% of subjects had high adherence to their medication compared to 68.2% with low adherence. Increased working hours/day was associated with a decrease in adherence to oral antidiabetic medication (OR=0.31; 95% CI 0.11:0.88; p=0.029). Other factors significantly associated with decreased adherence to treatment were forgetfulness, high drug costs, complex treatment regimens, experiencing side effects, and perception of treatment inefficacy. Postponing physician office visits also decreased the probability of being adherent to oral antidiabetic medication (OR=0.36; 95% CI 0.15:0.86; p=0.022). Skipping or doubling the dose in case of hypo/hyperglycemia and the sensation of treatment burden also decreased medication adherence (OR=0.09; 95% CI 0.02:0.34; p=0.001, and OR=0.04; 95% CI 0.01:0.13; p<0.001 respectively).
conclusionsAdherence to oral antidiabetic medication is low for Lebanese patients, which leads to a poor glycemic control and increases the diabetes complications. Intervention programs including patient education strategies are essential to improve medication adherence.
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