ArticlePloS one2020
Development and validation of Malaysia Medication Adherence Assessment Tool (MyMAAT) for diabetic patients.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Patient-reported outcome measures to detect intentional, mixed, or unintentional non-adherence to medication: a systematic review.BMJ open · 2022Pooled it
- Medication Adherence of Persons with Type 2 Diabetes in Malaysia: A Scoping Review and Meta-Analysis.Journal of the ASEAN Federation of Endocrine Societies · 2022Pooled it
- Prevalence and factors associated with controlled blood pressure among hypertensive patients in a Malaysian primary health clinic-a cross-sectional study.BMC primary care · 2026Article
- Medication adherence in pet bird owners: index development and assessment of various application types via an online questionnaire.BMC veterinary research · 2026Article
- Medication reminder use and medication adherence among patients with chronic conditions in a Malaysian teaching hospital.BMC health services research · 2026Article
- Therapeutic intensity and patient-reported outcomes among heart failure patients in a pharmacist-led medication therapy adherence clinic program in Malaysia.Frontiers in health services · 2026Article
- Development and Psychometric Evaluation of a Novel Medication Adherence Scale for Patients with Chronic Diseases in Low- and Middle-Income Countries.Patient preference and adherence · 2026Article
- Patient-reported outcomes and associated factors in patients with heart failure: a cross-sectional study in a Malaysian medication therapy adherence clinic.Frontiers in cardiovascular medicine · 2026Article
- The association between diabetes knowledge, treatment satisfaction and medication adherence among Malaysian geriatric patients.Diabetology international · 2026Article
- Prevalence of Anaemia and Related Micronutrient Deficiencies After Bariatric Surgery.Journal of metabolic and bariatric surgery · 2025Article
- Exploring the relationship between health knowledge, health literacy, self-care, self-efficacy, and glycemic control among adults with type 2 diabetes mellitus.World journal of diabetes · 2025Article
- Medication adherence scales in non-communicable diseases: A scoping review of design gaps, constructs and validation processes.PloS one · 2025Article
- Article
- The Association Between Medication Adherence, Internalized Stigma and Social Support Among Outpatients with Major Depressive Disorder in a Malaysian Hospital: A Cross-Sectional Study.Psychology research and behavior management · 2025Article
- Investigating the association between medication regimen complexity, medication adherence and treatment satisfaction among Malaysian older adult patients: a cross-sectional study.BMC geriatrics · 2024Article
- Effectiveness of a pharmacist-led, community group-based education programme in enhancing diabetes management: A multicentre randomised control trial.Contemporary clinical trials communications · 2024Article
- Confirmatory Factor Analysis of the Malay Version of the Malaysia Medication Adherence Assessment Tool (MyMAAT) Among Patients with Chronic Medications.Patient preference and adherence · 2024Article
- Association between medication adherence and blood pressure control and factors associated with antihypertensive medication adherence in the Melaka Tengah District: A cross-sectional survey.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2024Article
- Challenges and strategies for improving medication adherence among adolescent psychiatric patients: A qualitative study.Global mental health (Cambridge, England) · 2024Article
- Relationship between Treatment Burden, Health Literacy, and Medication Adherence in Older Adults Coping with Multiple Chronic Conditions.Medicina (Kaunas, Lithuania) · 2023Article
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Medication non-adherence remains a significant barrier in achieving better health outcomes for patients with chronic diseases. Previous self-reported medication adherence tools were not developed in the context of the Malaysia population. The most commonly used tool, MMAS-8, is no longer economical because it requires a license and currently every form used is charged. Hence, there is a need to develop and validate a new medication adherence tool. The Malaysia Medication Adherence Assessment Tool (MyMAAT) was developed by a multidisciplinary team with expertise in medication adherence and health literacy. The face and content validities of the MyMAAT was established by a panel of experts. A total of 495 patients with type 2 diabetes were recruited from the Ministry of Health facilities consisting of five hospitals and five primary health clinics. A test-retest was conducted on 42 of the patients one week following their first data collection. Exploratory factor analysis was performed to evaluate the validity of the MyMAAT. The final item for MyMAAT was compared with SEAMS, HbA1c%, Medication Possession ratio (MPR) score, and pharmacist's subjective assessment for its hypothesis testing validity. The MyMAAT-12 achieved acceptable internal consistency (Cronbach's alpha = 0.910) and stable reliability as the test-retest score showed good to excellent correlation (Spearman's rho = 0.96, p = 0.001). The MyMAAT has significant moderate association with SEAMS (Spearman's rho = 0.44, p = < 0.001) and significant relationship with HbA1c (< 8% and ≥ 8%) (χ2(1) = 13.4, p < 0.001), MPR (χ2(1) = 13.6, p < 0.001) and pharmacist's subjective assessment categories (χ2(1) = 31, p < 0.001). The sensitivity of MyMAAT-12, tested against HbA1c% was 72.9% while its specificity was 43%. This study demonstrates that the MyMAAT-12 together with other methods of assessment may make a better screening tool to identify patients who were non-adherence to their medications.
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