%0 Journal Article
%T Impact of Diabetes Perceptions on Medication Adherence in Japan
%J Pharmacy | An Open Access Journal from MDPI
%D 2019
%R https://doi.org/10.3390/pharmacy7040144
%X Background: Patients¡¯ perception of diabetes mellitus is one of the psychosocial factors influencing diabetic behavior. This patients¡¯ perception of the disease is a mental image formed from the experience of patients with type 2 diabetes mellitus and reportedly reflects the aspect of recuperation. We investigated the relationship between changes in the patients¡¯ perception of the disease and medication adherence, as influenced by the active involvement of community pharmacists. Methods: A prospective cohort study that used patient registry based in community pharmacies was conducted in patients with type 2 diabetes using oral antidiabetic agents at a pharmacy in Ishikawa Prefecture in Japan. Patients responded to the questionnaire at the time of enrollment and at the end of the one-year intervention period. The pharmacist confirmed the patient's medication status and treatment problems via telephone calls at least once every two weeks for one year. Main outcome measures: Type 2 diabetes patients¡¯ perception of the disease related to medication adherence. Results: The study enrolled 113 patients. Among the seven diabetes image factors, ¡°Living an orderly life¡± and ¡°Feeling of fear¡± were significantly associated with medication adherence. ¡°Feeling of neglect of health¡± was significantly associated at the subscale level. Conclusion: All the three factors related to medication adherence indicated self-care ability. To enhance the self-care ability of the patient, pharmacists should assist in self-care interventions for the patients. View Full-Tex
%U https://www.mdpi.com/2226-4787/7/4/144