| Literature DB >> 23539136 |
Diana W Stewart1, Judith Depue, Rochelle K Rosen, Nicole Bereolos, Michael G Goldstein, John Tuitele, Ofeira Nu'usolia, Stephen T McGarvey.
Abstract
In American Samoa (AS), nearly 22% of adults have type 2 diabetes. Diabetes is best managed by diet and lifestyle modifications and strict medication adherence. Cultural aspects might affect medication-taking beliefs, and thereby influence medication adherence. This study aims to explore diabetes medication-taking experiences and knowledge and related cultural beliefs in AS adults with diabetes and healthcare providers. Six focus groups were conducted with 39 AS adults with diabetes and individual interviews were performed with 13 diabetes healthcare providers. Data were transcribed and analyzed using NVivo 8 software. Themes pertaining to medication taking and adherence were identified. Patients and providers reported that barriers such as confusion about medications and concern about medication costs negatively influence medication taking, while cultural values and obligations both positively and negatively impact medication adherence. These findings help elucidate the relationship between medication-taking beliefs and culture in AS adults with diabetes and highlight the importance of continued research within this population.Entities:
Keywords: Adherence; American Samoa; Diabetes; Medication-taking beliefs
Year: 2012 PMID： 23539136 PMCID： PMC3607390 DOI： 10.1007/s13142-012-0114-y
Source DB: PubMed Journal: Transl Behav Med ISSN： 1613-9860 Impact factor: 3.046