Evidence map›Paper›PMID 42182526›Full record

ArticleRevista Cuidarte

Barriers and facilitators of medication adherence in the management of Diabetes among the Brazilian Amazon population.

Raquel Coelho de Andrade, Thalyta Mariany Rêgo Lopes Ueno, Tiago Assunção Dos Santos Farias, Wagner Ferreira Monteiro, Hércules Lázaro Morais Campos, Elisa Brosina De Leon

Abstract read
In one paragraph

Article in Revista Cuidarte. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Raquel Coelho de AndradeFaculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas, Manaus, Brazil. E-mail: raquelandrads13@gmail.com Universidade Federal do Amazonas Manaus Brazil raquelandrads13@gmail.com.ORCID https://orcid.org/0000-0001-7460-2408
Thalyta Mariany Rêgo Lopes UenoPrograma de Pós-graduação em Enfermagem em Saúde Pública, Escola de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, Brazil. E-mail: tueno@uea.edu.br Universidade do Estado do Amazonas Manaus Brazil tueno@uea.edu.br.ORCID https://orcid.org/0000-0002-3991-7022
Tiago Assunção Dos Santos FariasPrograma de Pós-graduação em Ciências do Movimento Humano, Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas, Manaus, Brazil. E-mail: tfarias92@gmail.com Universidade Federal do Amazonas Manaus Brazil tfarias92@gmail.com.ORCID https://orcid.org/0000-0002-6269-834X
Wagner Ferreira MonteiroPrograma de Pós-graduação em Enfermagem em Saúde Pública, Escola de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus, Brazil. E-mail: wfmonteiro@uea.edu.br Universidade do Estado do Amazonas Manaus Brazil wfmonteiro@uea.edu.br.ORCID https://orcid.org/0000-0002-3303-3031
Hércules Lázaro Morais CamposInstituto de Saúde e Biotecnologia, Universidade Federal do Amazonas, Coari, Brazil; Programa de Pós-Graduação Interdisciplinar em Estudos Rurais, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil. E-mail: herculeslmc@hotmail.com Universidade Federal do Amazonas Minas Gerais Brazil herculeslmc@hotmail.com.ORCID https://orcid.org/0000-0002-6919-8161
Elisa Brosina De LeonPrograma de Pós-graduação em Ciências do Movimento Humano, Faculdade de Educação Física e Fisioterapia, Universidade Federal do Amazonas, Manaus, Brazil. E-mail: elisadleon@ufam.edu.br Universidade Federal do Amazonas Manaus Brazil elisadleon@ufam.edu.br.ORCID https://orcid.org/0000-0002-2559-6897

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Type 2 diabetes Mellitus (T2DM) is a prevalent chronic condition with global impact. Medication adherence is essential for disease control, but it remains a challenge in socially vulnerable contexts such as the Brazilian Amazon. Objective: To identify barriers and facilitators of medication adherence in the management of T2DM in the Amazon population. Materials and Methods: A qualitative, descriptive study was conducted in Iranduba (Amazonas) involving individuals with T2DM and community health workers (CHWs). The World Café method and semi-structured interviews were used. Data were analyzed with the support of ATLAS.ti software, using Thematic Network Analysis. Results: A total of 64 participants were included (47 individuals with T2DM and 17 CHWs). Reported barriers included difficulty remembering medication schedules, adverse effects, limited financial resources, lack of medication availability in primary care, and insufficient professional support. Facilitators included self-management strategies, commitment to treatment, purchasing power, family support, and CHWs' actions. Discussion: Medication adherence in Diabetes is shaped by barriers such as forgetfulness, adverse effects, and limited access to medications, while family support, professional guidance, and personal strategies facilitate treatment. These factors interact and affect self-care. Conclusion: Medication adherence among individuals with T2DM in the Amazon is shaped by intrapersonal, interpersonal, and environmental factors. Culturally adapted strategies, greater professional support, and public policies ensuring medication availability are essential to improving care and preventing complications.

Indexed as

Healthcare DisparitiesHealthy LifestyleNoncommunicable DiseasesPrimary Health CareVulnerable Population

Identifiers

PMID42182526
PMCPMC13192715

What OpenQuestion holds

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Registered trials

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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.