ArticleBMC family practice2020
Exploring perceptions, attitudes and beliefs of Thai patients with type 2 diabetes mellitus as they relate to medication adherence at an out-patient primary care clinic in Chiang Mai, Thailand.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Best fit framework synthesis of qualitative studies on factors associated with medication nonadherence in people with type 2 diabetes using the COM-B model.British journal of clinical pharmacology · 2025Pooled it
- Factors Associated with Treatment Adherence in People with Both Hypertension and Pre-Diabetes: A Cross-Sectional Study in a Semi-Rural Community in Thailand.Patient preference and adherence · 2026Article
- Adherence to treatment among patients with type 2 diabetes: short communication.Journal of diabetes and metabolic disorders · 2025Article
- Best fit framework synthesis of qualitative studies on factors associated with medication nonadherence in people with type 2 diabetes using the COM-B model.British journal of clinical pharmacology · 2025Review
- Missed Appointments and the Potential Correlation between Personal Characteristics, Personality, and Familial Characteristics and Missed Appointments for Adults with Diabetes Mellitus at the Primary Care Unit of Khon Kaen Province.Healthcare (Basel, Switzerland) · 2024Article
- Social Support for Thai Adults with Type 2 Diabetes: A Case-Control Study.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024Article
- Development of a patient satisfaction questionnaire (PSQ) for diabetes management in Thailand and Lao PDR.PloS one · 2024Article
- Attitudes towards hearing difficulties, health-seeking behaviour, and hearing aid use among older adults in Thailand.Frontiers in digital health · 2023Article
- Effective coverage of diabetes and hypertension: an analysis of Thailand's national insurance database 2016-2019.BMJ open · 2022Article
- Illness perceptions, self-care practices, and glycemic control among type 2 diabetes patients in Chiang Mai, Thailand.Archives of public health = Archives belges de sante publique · 2022Article
- Factors Influencing Public Awareness of and Attitudes Toward Palliative Care: A Cross-Sectional Analysis of the 2018 HINTS Data.Frontiers in public health · 2022Article
- Adaptation and Validation of the Vietnamese Translated Diabetes Knowledge Questionnaire.Journal of the ASEAN Federation of Endocrine Societies · 2022Article
- Perceptions of the Doctor-Patient Relationship Among Patients in a Private, Secondary-Level Hospital in Southern India.Frontiers in public health · 2021Article
- Scalable solution for delivery of diabetes self-management education in Thailand (DSME-T): a cluster randomised trial study protocol.BMJ open · 2020Article
- Exploring the thoughts, emotions, and behaviours related to the self-management practices of adults with type 2 diabetes.Health psychology openArticle
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWithin the sphere of diabetes self-management, much emphasis has been placed on medication adherence. There has been a shift in thinking about medication adherence, moving from "compliance" and historically paternalistic models of care, to seeking better ways of characterizing dynamic and complex relationships that determine medication adherence and diabetes control. This study sought to understand the relationship between patient's attitudes and medication adherence for oral anti-diabetics in Thailand.
methodsIn-depth interviews of patients with type 2 diabetes mellitus, taking oral anti-diabetic drugs, at the out-patient clinic run by the Department of Family Medicine, Chiang Mai University between May and December 2016. Thematic analysis followed the WHO framework for medication adherence in chronic disease to explore patient's attitudes and their influence on medication compliance.
resultsOf 24 patients, 9 were men. The mean age was 62 years (SD 8.9 years). 67% had high compliance. Four themes were identified as important factors related to medication adherence: attitudes toward disease, attitudes toward treatment, attitudes toward family support and attitudes toward health care team. Specifically, symptoms at diagnosis, understanding and acceptance in taking medication, the presence of family support and the perception of concern by the doctor relate to improved medication compliance.
conclusionsMedication adherence in Thai patients with diabetes requires support from both the health care providers and the family. The patient's perception of the doctor's concern creates greater patient trust in the health care team. This trust, along with family support, helps deepen patients' understanding of the disease, accept the chronic nature of their disease, and engenders a positive attitude towards taking medication that can improve medication adherence.
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