Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods study
Objectives This study aimed to explore the prevalence of medication non-adherence and influence of symptom perception and various barriers on medication adherence among Thai Muslim patients in a rural subdistrict of southern Thailand.Design Explanatory sequential mixed-methods approach.Setting A rur...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/12/e089301.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850250513021403136 |
|---|---|
| author | Worawit Wanichanon Napakkawat Buathong Surawut Naruephai Kananas Rodkitvitthaya Peeraphol Thananinkul Napat Jankaew Phisit Wessamanon Samatchaya Khaotrakul Ratthakorn Boonmak Nichamon Choo-eard Thanakrit Nintap Teera Sarakitphan Paweeorn Kaewchuay Kittiya Naruephai Monchai Chaison |
| author_facet | Worawit Wanichanon Napakkawat Buathong Surawut Naruephai Kananas Rodkitvitthaya Peeraphol Thananinkul Napat Jankaew Phisit Wessamanon Samatchaya Khaotrakul Ratthakorn Boonmak Nichamon Choo-eard Thanakrit Nintap Teera Sarakitphan Paweeorn Kaewchuay Kittiya Naruephai Monchai Chaison |
| author_sort | Worawit Wanichanon |
| collection | DOAJ |
| description | Objectives This study aimed to explore the prevalence of medication non-adherence and influence of symptom perception and various barriers on medication adherence among Thai Muslim patients in a rural subdistrict of southern Thailand.Design Explanatory sequential mixed-methods approach.Setting A rural community in southern Thailand.Methods Data collection spanned from March to December 2023. In the quantitative phase, 138 Muslim patients diagnosed with non-communicable diseases were enrolled, and their medication adherence and associated factors were assessed. In the qualitative phase, 22 participants were selected for in-depth interviews, and their symptom perceptions and the obstacles they faced in adhering to medication were explored. A focus group discussion involving 10 healthcare workers from a subdistrict health-promoting hospital was conducted to gain insights into healthcare providers’ perspectives on patients’ perceptions of symptoms and barriers to medication adherence.Outcome measures Medication non-adherence was assessed, and the influence of symptom perception and various barriers on medication adherence was evaluatedResults The prevalence of medication non-adherence in the study sample was 75.36%. The following factors were significantly associated with medication non-adherence: occupation (farmer) (adjusted OR=3.93; 95% CI 1.04 to 12.64), lack of recommendations on adjusting medication schedules/dosages during Ramadan (adjusted OR=2.65; 95% CI 1.06 to 6.61) and patients’ perception of no symptoms (adjusted OR=3.72; 95% CI 1.23 to 11.25). The qualitative analysis highlighted patient-related issues, such as lack of symptom perception, limited health literacy regarding disease information and treatment and personal reasons for non-adherence (eg, forgetfulness, occupational constraints and transportation challenges for medical appointments). Additionally, healthcare system-related factors, patient–doctor relationships and communication gaps in medication management during Ramadan were identified as factors influencing medication non-adherence.Conclusions To improve adherence, healthcare providers should prioritise fostering positive patient–provider relationships and promoting patient care through enhanced health literacy initiatives. |
| format | Article |
| id | doaj-art-8ff4eec542a5465a8adc58f9085fa9e9 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-8ff4eec542a5465a8adc58f9085fa9e92025-08-20T01:58:11ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-089301Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods studyWorawit Wanichanon0Napakkawat Buathong1Surawut Naruephai2Kananas Rodkitvitthaya3Peeraphol Thananinkul4Napat Jankaew5Phisit Wessamanon6Samatchaya Khaotrakul7Ratthakorn Boonmak8Nichamon Choo-eard9Thanakrit Nintap10Teera Sarakitphan11Paweeorn Kaewchuay12Kittiya Naruephai13Monchai Chaison141 Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand1 Department of Family and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand2 Ban Koh Mak Sub-District Health Promoting Hospital, Phatthalung Province Administrative Organization, Phatthalung, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand3 Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand2 Ban Koh Mak Sub-District Health Promoting Hospital, Phatthalung Province Administrative Organization, Phatthalung, Thailand2 Ban Koh Mak Sub-District Health Promoting Hospital, Phatthalung Province Administrative Organization, Phatthalung, ThailandObjectives This study aimed to explore the prevalence of medication non-adherence and influence of symptom perception and various barriers on medication adherence among Thai Muslim patients in a rural subdistrict of southern Thailand.Design Explanatory sequential mixed-methods approach.Setting A rural community in southern Thailand.Methods Data collection spanned from March to December 2023. In the quantitative phase, 138 Muslim patients diagnosed with non-communicable diseases were enrolled, and their medication adherence and associated factors were assessed. In the qualitative phase, 22 participants were selected for in-depth interviews, and their symptom perceptions and the obstacles they faced in adhering to medication were explored. A focus group discussion involving 10 healthcare workers from a subdistrict health-promoting hospital was conducted to gain insights into healthcare providers’ perspectives on patients’ perceptions of symptoms and barriers to medication adherence.Outcome measures Medication non-adherence was assessed, and the influence of symptom perception and various barriers on medication adherence was evaluatedResults The prevalence of medication non-adherence in the study sample was 75.36%. The following factors were significantly associated with medication non-adherence: occupation (farmer) (adjusted OR=3.93; 95% CI 1.04 to 12.64), lack of recommendations on adjusting medication schedules/dosages during Ramadan (adjusted OR=2.65; 95% CI 1.06 to 6.61) and patients’ perception of no symptoms (adjusted OR=3.72; 95% CI 1.23 to 11.25). The qualitative analysis highlighted patient-related issues, such as lack of symptom perception, limited health literacy regarding disease information and treatment and personal reasons for non-adherence (eg, forgetfulness, occupational constraints and transportation challenges for medical appointments). Additionally, healthcare system-related factors, patient–doctor relationships and communication gaps in medication management during Ramadan were identified as factors influencing medication non-adherence.Conclusions To improve adherence, healthcare providers should prioritise fostering positive patient–provider relationships and promoting patient care through enhanced health literacy initiatives.https://bmjopen.bmj.com/content/14/12/e089301.full |
| spellingShingle | Worawit Wanichanon Napakkawat Buathong Surawut Naruephai Kananas Rodkitvitthaya Peeraphol Thananinkul Napat Jankaew Phisit Wessamanon Samatchaya Khaotrakul Ratthakorn Boonmak Nichamon Choo-eard Thanakrit Nintap Teera Sarakitphan Paweeorn Kaewchuay Kittiya Naruephai Monchai Chaison Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods study BMJ Open |
| title | Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods study |
| title_full | Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods study |
| title_fullStr | Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods study |
| title_full_unstemmed | Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods study |
| title_short | Exploring symptoms perception and barriers to medication adherence among Thai Muslim patients with non-communicable diseases in a rural community in southern Thailand: a mixed-methods study |
| title_sort | exploring symptoms perception and barriers to medication adherence among thai muslim patients with non communicable diseases in a rural community in southern thailand a mixed methods study |
| url | https://bmjopen.bmj.com/content/14/12/e089301.full |
| work_keys_str_mv | AT worawitwanichanon exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT napakkawatbuathong exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT surawutnaruephai exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT kananasrodkitvitthaya exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT peerapholthananinkul exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT napatjankaew exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT phisitwessamanon exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT samatchayakhaotrakul exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT ratthakornboonmak exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT nichamonchooeard exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT thanakritnintap exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT teerasarakitphan exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT paweeornkaewchuay exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT kittiyanaruephai exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy AT monchaichaison exploringsymptomsperceptionandbarrierstomedicationadherenceamongthaimuslimpatientswithnoncommunicablediseasesinaruralcommunityinsouthernthailandamixedmethodsstudy |