PMID- 24588791
OWN - NLM
STAT- MEDLINE
DCOM- 20150708
LR  - 20220330
IS  - 1465-3419 (Electronic)
IS  - 1355-7858 (Linking)
VI  - 20
IP  - 1
DP  - 2015
TI  - Understanding medication adherence among patients of Turkish descent with type 2 
      diabetes: a qualitative study.
PG  - 87-105
LID - 10.1080/13557858.2014.890174 [doi]
AB  - OBJECTIVES: To explore perspectives of Turkish migrants with type 2 diabetes 
      mellitus (T2DM) on adherence to oral hypoglycaemic agents (OHA). DESIGN: In-depth 
      interviews with 21 T2DM patients of Turkish descent recruited from primary care 
      and community sources in Ghent, Belgium, using a theoretical sampling procedure. 
      Analysis was guided by a grounded theory approach, using Nvivo 8. RESULTS: 
      Respondents reported a multitude of barriers and facilitators of adherence to 
      OHA. Some of these barriers are distinctive for T2DM patients of Turkish descent. 
      Respondents' causal beliefs about stress and the Belgian climate often led to 
      non-adherence during less stressful periods, like summer holidays in Turkey. Some 
      respondents adjusted their medication use to food intake or during Ramadan 
      fasting. Concerns about OHA were the main reason for the widespread use of herbal 
      medicine in this sample. The religious framework used to interpret diabetes led, 
      in combination with feelings of depression, to non-adherence in some respondents 
      while it facilitated medication adherence in others. A potential gender effect 
      with respect to the self-management of OHA was observed. Non-distinctive factors 
      include: beliefs about OHA, polypharmacy, beliefs about the course of diabetes, 
      forgetfulness, the perception of the doctor's medical expertise, feelings of 
      depression and social support. CONCLUSION: Health care providers should explore 
      in detail and regularly patients' perspectives on illness beliefs, medication 
      beliefs and their trust in doctors' medical expertise as this will provide useful 
      starting points for promoting medication adherence. Whenever possible health care 
      workers should engage with their patients in therapeutic alliances.
FAU - Peeters, Bart
AU  - Peeters B
AD  - a Pharmaceutical Care Unit , Ghent University , Ghent , Belgium.
FAU - Van Tongelen, Inge
AU  - Van Tongelen I
FAU - Duran, Zehra
AU  - Duran Z
FAU - Yuksel, Gulhan
AU  - Yuksel G
FAU - Mehuys, Els
AU  - Mehuys E
FAU - Willems, Sara
AU  - Willems S
FAU - Remon, Jean Paul
AU  - Remon JP
FAU - Boussery, Koen
AU  - Boussery K
LA  - eng
PT  - Journal Article
DEP - 20140303
PL  - England
TA  - Ethn Health
JT  - Ethnicity & health
JID - 9608374
RN  - 0 (Hypoglycemic Agents)
RN  - 0 (Plant Preparations)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Belgium/epidemiology
MH  - Diabetes Mellitus, Type 2/*drug therapy
MH  - Fasting
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Hypoglycemic Agents/administration & dosage/*therapeutic use
MH  - Interviews as Topic
MH  - Male
MH  - Medication Adherence
MH  - Middle Aged
MH  - Physician-Patient Relations
MH  - Plant Preparations
MH  - Qualitative Research
MH  - Religion
MH  - Self Care
MH  - Transients and Migrants/*psychology
MH  - Turkey/ethnology
OTO - NOTNLM
OT  - Turkish ethnic minority
OT  - immigrant
OT  - medication adherence
OT  - oral hypoglycaemic agents
OT  - qualitative research
OT  - type 2 diabetes
EDAT- 2014/03/05 06:00
MHDA- 2015/07/15 06:00
CRDT- 2014/03/05 06:00
PHST- 2014/03/05 06:00 [entrez]
PHST- 2014/03/05 06:00 [pubmed]
PHST- 2015/07/15 06:00 [medline]
AID - 10.1080/13557858.2014.890174 [doi]
PST - ppublish
SO  - Ethn Health. 2015;20(1):87-105. doi: 10.1080/13557858.2014.890174. Epub 2014 Mar 
      3.