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The relationship between diabetes distress, medication taking, glycaemic control and self-management.
Alzubaidi, Hamzah; Sulieman, Hana; Mc Namara, Kevin; Samorinha, Catarina; Browning, Colette.
Afiliación
  • Alzubaidi H; Pharmacy Practice and Pharmacotherapeutics, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates. halzubaidi@sharjah.ac.ae.
  • Sulieman H; Sharjah Institute for Medical Research, University of Sharjah, Sharjah, United Arab Emirates. halzubaidi@sharjah.ac.ae.
  • Mc Namara K; Department of Mathematics and Statistics, American University of Sharjah, Sharjah, United Arab Emirates.
  • Samorinha C; School of Medicine, Deakin University, Victoria, Australia.
  • Browning C; Centre for Population Health Research, Deakin University, Burwood, VIC, Australia.
Int J Clin Pharm ; 44(1): 127-137, 2022 Feb.
Article en En | MEDLINE | ID: mdl-34586556
ABSTRACT
Background Diabetes distress (DD) has broad-ranging effects on type 2 diabetes (T2DM) management and outcomes. DD research is scarce among ethnic minority groups, particularly Arabic-speaking immigrant communities. To improve outcomes for these vulnerable groups, healthcare providers, including pharmacists, need to understand modifiable predictors of DD. Aim To assess and compare DD and its association with medication-taking behaviours, glycaemic control, self-management, and psychosocial factors among first-generation Arabic-speaking immigrants and English-speaking patients of Anglo-Celtic background with diabetes, and determine DD predictors. Setting Various healthcare settings in Australia. Method A multicentre cross-sectional study was conducted. Adults with T2DM completed a survey comprised of validated tools. Glycated haemoglobin, blood pressure, and lipid profile were gathered from medical records. Multiple linear regression models were computed to assess the DD predictors. Main outcome measure Diabetes distress level. Results Data was analysed for 696

participants:

56.3% Arabic-speaking immigrants and 43.7% English-speaking patients. Compared with English-speaking patients, Arabic-speaking immigrants had higher DD, lower medication adherence, worse self-management and glycaemic control, and poorer health and clinical profile. The regression analysis demonstrated that higher DD in Arabic-speaking immigrants was associated with cost-related medication underuse and lower adherence to exercise, younger age, lower education level, unemployment, lower self-efficacy, and inadequate glycaemic control. Whereas among English-speaking patients, higher DD was associated with both cost- and non-cost-related underuse of medication and lower dietary adherence. Conclusion Results provided new insights to guide healthcare providers on reducing the apparent excess burden of DD among Arabic-speaking immigrants and potentially improve medication adherence, glycaemic control, and self-management.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 2 / Cumplimiento de la Medicación / Automanejo / Control Glucémico Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: Int J Clin Pharm Año: 2022 Tipo del documento: Article País de afiliación: Emiratos Árabes Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Diabetes Mellitus Tipo 2 / Cumplimiento de la Medicación / Automanejo / Control Glucémico Tipo de estudio: Clinical_trials / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: Int J Clin Pharm Año: 2022 Tipo del documento: Article País de afiliación: Emiratos Árabes Unidos