Intentional and unintentional non-adherence in community dwelling people with type 2 diabetes: the effect of varying numbers of medicines

Stack, RJ ORCID: https://orcid.org/0000-0002-0516-0228, Bundy, CE, Elliott, RA, New, JP, Gibson, M and Noyce, PR, 2010. Intentional and unintentional non-adherence in community dwelling people with type 2 diabetes: the effect of varying numbers of medicines. The British Journal of Diabetes & Vascular Disease, 10 (3), pp. 148-152. ISSN 1474-6514

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Abstract

People with type 2 diabetes are often prescribed multiple medicines which can be difficult to manage. Nonadherence to medicines can be intentional (e.g. active decision) or unintentional (e.g. forgetting). The objective of this study was to measure intentional and unintentional non-adherence to differing numbers of medicines prescribed in type 2 diabetes. A cross sectional survey using the Morisky medication adherence scale (with intentional and unintentional non-adherence subscales) was completed by 480 people prescribed oral antidiabetic drugs (OADs), antihypertensive agents and statins. A within-subject analysis of variance (ANOVA) showed that intentional non-adherence did not vary between OADs, anti-hypertensives and statins. Intentional non-adherence to statins significantly increased when the number of medicines prescribed was included as a between-subjects variable (p<0.05). Another within-subject ANOVA on unintentional non-adherence found a significant difference between OADs, anti-hypertensives and statins; unintentional non-adherence to OADs was significantly higher (p<0.05). When the number of medicines was added as a between-subject variable unintentional non-adherence was associated with higher numbers of medicines. This study shows the difference between intentional and unintentional non-adherence behaviours, and the effect that varying numbers of medicines can have on these behaviours.

Item Type:	Journal article
Publication Title:	The British Journal of Diabetes & Vascular Disease
Creators:	Stack, R.J., Bundy, C.E., Elliott, R.A., New, J.P., Gibson, M. and Noyce, P.R.
Publisher:	SAGE Publications
Date:	2010
Volume:	10
Number:	3
ISSN:	1474-6514
Identifiers:	Number Type 10.1177/1474651409357034 DOI
Rights:	© The Author(s), 2010.
Divisions:	Schools > School of Social Sciences
Record created by:	EPrints Services
Date Added:	09 Oct 2015 10:35
Last Modified:	09 Jun 2017 13:34
URI:	https://irep.ntu.ac.uk/id/eprint/15308

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