Nasser Al-Salmi, Joshua K Muliira, Eilean Rathinasamy Lazarus
{"title":"成人2型糖尿病患者的药物依从性：中东和北非地区因素的综合定性综合","authors":"Nasser Al-Salmi, Joshua K Muliira, Eilean Rathinasamy Lazarus","doi":"10.2147/PPA.S526844","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Medication adherence is a critical factor in the management of Type 2 Diabetes (T2D) and plays a vital role in slowing disease progression, preventing complications and improving health outcomes. This study fills this gap by systematically integrating findings from qualitative studies to provide a comprehensive understanding of the multilevel determinants of adherence unique to the MENA sociocultural context.</p><p><strong>Methods: </strong>A metasynthesis was conducted using a thematic synthesis approach, incorporating data from nine qualitative studies. The search was limited to research articles published in English between 2014 and 2024.</p><p><strong>Results: </strong>The metasynthesis identified four key themes: (1) personal factors and perceptions related to the disease and medications are fundamental to adherence, (2) healthcare provider attitudes and practices can improve adherence to medications, (3) the healthcare system is a key factor for optimal adherence, and (4) sociocultural, alternative medicine, and religious practices affect adherence in the MENA region.</p><p><strong>Conclusion: </strong>Medication adherence among adults with T2D in the MENA region is influenced by factors related to the individual patients, healthcare providers, healthcare system, and sociocultural practices. There is a need for more qualitative studies to address existing knowledge gaps about the agency of the above factors in regard to initiation and control of actions that lead to medication adherence.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"19 ","pages":"2263-2281"},"PeriodicalIF":2.0000,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12323785/pdf/","citationCount":"0","resultStr":"{\"title\":\"Medication Adherence in Adults with Type 2 Diabetes: A Comprehensive Qualitative Meta-Synthesis of Factors in the MENA Region.\",\"authors\":\"Nasser Al-Salmi, Joshua K Muliira, Eilean Rathinasamy Lazarus\",\"doi\":\"10.2147/PPA.S526844\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Medication adherence is a critical factor in the management of Type 2 Diabetes (T2D) and plays a vital role in slowing disease progression, preventing complications and improving health outcomes. This study fills this gap by systematically integrating findings from qualitative studies to provide a comprehensive understanding of the multilevel determinants of adherence unique to the MENA sociocultural context.</p><p><strong>Methods: </strong>A metasynthesis was conducted using a thematic synthesis approach, incorporating data from nine qualitative studies. The search was limited to research articles published in English between 2014 and 2024.</p><p><strong>Results: </strong>The metasynthesis identified four key themes: (1) personal factors and perceptions related to the disease and medications are fundamental to adherence, (2) healthcare provider attitudes and practices can improve adherence to medications, (3) the healthcare system is a key factor for optimal adherence, and (4) sociocultural, alternative medicine, and religious practices affect adherence in the MENA region.</p><p><strong>Conclusion: </strong>Medication adherence among adults with T2D in the MENA region is influenced by factors related to the individual patients, healthcare providers, healthcare system, and sociocultural practices. There is a need for more qualitative studies to address existing knowledge gaps about the agency of the above factors in regard to initiation and control of actions that lead to medication adherence.</p>\",\"PeriodicalId\":19972,\"journal\":{\"name\":\"Patient preference and adherence\",\"volume\":\"19 \",\"pages\":\"2263-2281\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-07-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12323785/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Patient preference and adherence\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/PPA.S526844\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patient preference and adherence","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/PPA.S526844","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Medication Adherence in Adults with Type 2 Diabetes: A Comprehensive Qualitative Meta-Synthesis of Factors in the MENA Region.
Purpose: Medication adherence is a critical factor in the management of Type 2 Diabetes (T2D) and plays a vital role in slowing disease progression, preventing complications and improving health outcomes. This study fills this gap by systematically integrating findings from qualitative studies to provide a comprehensive understanding of the multilevel determinants of adherence unique to the MENA sociocultural context.
Methods: A metasynthesis was conducted using a thematic synthesis approach, incorporating data from nine qualitative studies. The search was limited to research articles published in English between 2014 and 2024.
Results: The metasynthesis identified four key themes: (1) personal factors and perceptions related to the disease and medications are fundamental to adherence, (2) healthcare provider attitudes and practices can improve adherence to medications, (3) the healthcare system is a key factor for optimal adherence, and (4) sociocultural, alternative medicine, and religious practices affect adherence in the MENA region.
Conclusion: Medication adherence among adults with T2D in the MENA region is influenced by factors related to the individual patients, healthcare providers, healthcare system, and sociocultural practices. There is a need for more qualitative studies to address existing knowledge gaps about the agency of the above factors in regard to initiation and control of actions that lead to medication adherence.
期刊介绍：
Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal.
As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.
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