Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review

Prevention of complications and successful control of diabetes require preventive and therapeutic measures. Patients’ nonadherence to medication and diet regimens and healthcare protocols is associated with significant therapeutic and economic consequences. The present scoping review aims to identif...

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Main Authors: Nasrin Pourhabibi, Bahram Mohebbi, Roya Sadeghi, Elham Shakibazadeh, Mojgan Sanjari, Azar Tol, Mehdi Yaseri
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2022/2980250
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author Nasrin Pourhabibi
Bahram Mohebbi
Roya Sadeghi
Elham Shakibazadeh
Mojgan Sanjari
Azar Tol
Mehdi Yaseri
author_facet Nasrin Pourhabibi
Bahram Mohebbi
Roya Sadeghi
Elham Shakibazadeh
Mojgan Sanjari
Azar Tol
Mehdi Yaseri
author_sort Nasrin Pourhabibi
collection DOAJ
description Prevention of complications and successful control of diabetes require preventive and therapeutic measures. Patients’ nonadherence to medication and diet regimens and healthcare protocols is associated with significant therapeutic and economic consequences. The present scoping review aims to identify determinants of poor treatment adherence among patients with type 2 diabetes and limited health literacy in 2021. This scoping review was conducted in five stages: designing a research question, searching and extracting related studies, selecting related studies, tabulating information, and reporting results. Data were collected from six foreign electronic databases (Embase, Science Direct, PubMed, Google Scholar, Scopus, and Web of Science) and four Iranian electronic databases (MagIran, SID, IranDoc, and IranMedex) using keywords “Type 2 diabetes”, “barriers”, “treatment”, “medication”, “adherence”, “non-adherence”, “limited adherence”, and “limited health literacy” from January 2010 to November 2021. From an initial 146 articles, 18 articles were eligible for review. Eighteen studies involving 3925 patients with T2DM from eight countries were included. The prevalence of nonadherence ranged from 42% to 74.3%. Barriers to treatment adherence, which were common among the articles, included economic problems, poor communication with healthcare team, lack of family support, lack of knowledge, misconceptions, and limited health literacy. The results of the present study provided modifiable and nonmodifiable factors affecting treatment adherence among patients with type 2 diabetes. Modifiable factors are essential by performing appropriate interventions with the target group and health professionals.
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spelling doaj-art-a8a530147d5b4151af33d9f033309c252025-08-20T03:39:09ZengWileyJournal of Diabetes Research2314-67532022-01-01202210.1155/2022/2980250Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping ReviewNasrin Pourhabibi0Bahram Mohebbi1Roya Sadeghi2Elham Shakibazadeh3Mojgan Sanjari4Azar Tol5Mehdi Yaseri6School of Public Health Tehran University of Medical SciencesCardiovascular Intervention Research CenterDepartment of Health Promotion and EducationDepartment of Health Promotion and EducationDepartment of Internal MedicineDepartment of Health Education and Health PromotionDepartment of Epidemiology and BiostatisticsPrevention of complications and successful control of diabetes require preventive and therapeutic measures. Patients’ nonadherence to medication and diet regimens and healthcare protocols is associated with significant therapeutic and economic consequences. The present scoping review aims to identify determinants of poor treatment adherence among patients with type 2 diabetes and limited health literacy in 2021. This scoping review was conducted in five stages: designing a research question, searching and extracting related studies, selecting related studies, tabulating information, and reporting results. Data were collected from six foreign electronic databases (Embase, Science Direct, PubMed, Google Scholar, Scopus, and Web of Science) and four Iranian electronic databases (MagIran, SID, IranDoc, and IranMedex) using keywords “Type 2 diabetes”, “barriers”, “treatment”, “medication”, “adherence”, “non-adherence”, “limited adherence”, and “limited health literacy” from January 2010 to November 2021. From an initial 146 articles, 18 articles were eligible for review. Eighteen studies involving 3925 patients with T2DM from eight countries were included. The prevalence of nonadherence ranged from 42% to 74.3%. Barriers to treatment adherence, which were common among the articles, included economic problems, poor communication with healthcare team, lack of family support, lack of knowledge, misconceptions, and limited health literacy. The results of the present study provided modifiable and nonmodifiable factors affecting treatment adherence among patients with type 2 diabetes. Modifiable factors are essential by performing appropriate interventions with the target group and health professionals.http://dx.doi.org/10.1155/2022/2980250
spellingShingle Nasrin Pourhabibi
Bahram Mohebbi
Roya Sadeghi
Elham Shakibazadeh
Mojgan Sanjari
Azar Tol
Mehdi Yaseri
Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review
Journal of Diabetes Research
title Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review
title_full Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review
title_fullStr Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review
title_full_unstemmed Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review
title_short Determinants of Poor Treatment Adherence among Patients with Type 2 Diabetes and Limited Health Literacy: A Scoping Review
title_sort determinants of poor treatment adherence among patients with type 2 diabetes and limited health literacy a scoping review
url http://dx.doi.org/10.1155/2022/2980250
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