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

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dc.contributor.author Jaam, M en
dc.contributor.author Hadi, MA en
dc.contributor.author Kheir, Ahmed en
dc.contributor.author Ibrahim, MIM en
dc.contributor.author Diab, MI en
dc.contributor.author Al-Abdulla, SA en
dc.contributor.author Awaisu, A en
dc.date.accessioned 2019-05-27T03:05:19Z en
dc.date.issued 2018 en
dc.identifier.citation Patient Preference and Adherence 12:2205-2216 2018 en
dc.identifier.issn 1177-889X en
dc.identifier.uri http://hdl.handle.net/2292/46572 en
dc.description.abstract Purpose: To 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 methods: A 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. Results: Thirty 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. Conclusion: Patients 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. Keywords: medication adherence, Middle East, primary health care, qualitative research, uncontrolled diabetes en
dc.language English en
dc.publisher Dove Medical Press en
dc.relation.ispartofseries Patient Preference and Adherence en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://www.dovepress.com/author_guidelines.php?content_id=696 en
dc.rights.uri https://creativecommons.org/licenses/by-nc/3.0/ en
dc.subject Science & Technology en
dc.subject Life Sciences & Biomedicine en
dc.subject Medicine, General & Internal en
dc.subject General & Internal Medicine en
dc.subject medication adherence en
dc.subject Middle East en
dc.subject primary health care en
dc.subject qualitative research en
dc.subject uncontrolled diabetes en
dc.subject RANDOMIZED CONTROLLED-TRIAL en
dc.subject SELF-MANAGEMENT en
dc.subject TYPE-2 en
dc.subject INSULIN en
dc.subject MELLITUS en
dc.subject INTERVENTIONS en
dc.subject EXPERIENCES en
dc.subject REGION en
dc.subject PEOPLE en
dc.subject ADULTS en
dc.title A qualitative exploration of barriers to medication adherence among patients with uncontrolled diabetes in Qatar: Integrating perspectives of patients and health care providers en
dc.type Journal Article en
dc.identifier.doi 10.2147/PPA.S174652 en
pubs.begin-page 2205 en
pubs.volume 12 en
dc.rights.holder Copyright: The authors en
pubs.author-url https://www.dovepress.com/a-qualitative-exploration-of-barriers-to-medication-adherence-among-pa-peer-reviewed-article-PPA en
pubs.end-page 2216 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 755449 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Pharmacy en
pubs.record-created-at-source-date 2019-09-18 en


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