{"title":"印度比哈尔邦农村地区非传染性疾病患者的服药依从性及其决定因素:改善治疗结果的见解","authors":"Shibajee Debbarma, Akanksha Yadav, Bijaya Nanda Naik, Sanjay Pandey, Mohit Bhardwaj, Sarita Kumari, Rangnath Singh, Ratnadeep Biswas","doi":"10.4103/jfmpc.jfmpc_222_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Non-communicable diseases (NCDs) are a major public health challenge globally, particularly in low- and middle-income countries (LMICs) like India. Effective management of NCDs requires strict adherence to prescribed medications, yet non-adherence remains a significant barrier. Understanding the factors that influence medication adherence is, therefore, crucial for developing effective interventions to improve health outcomes.</p><p><strong>Objectives: </strong>To determine the prevalence of medication adherence and identify factors influencing adherence among NCD patients.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 241 NCD patients in rural areas in the state of Bihar, India, using a semi-structured questionnaire comprise of Morisky Medication Adherence Scale (MMAS-8) to assess adherence, Family APGAR scale to assess family support scale, and Barthel's Index to assess functional independence. Chi-square and Fischer's exact tests were employed on IBM SPSS Statistics for Windows, Version 20.0. (Armonk, NY: IBM Corp.) to determine association.</p><p><strong>Results: </strong>Only 13% of participants were adherent to prescribed medications. Significant associations of medication adherence were observed with age (<i>P</i> = 0.007), type of family (<i>P</i> < 0.01), and family support (<i>P</i> = 0.003). Participants over 60 years of age and from joint or extended families were more likely to adhere to their medication.</p><p><strong>Conclusion: </strong>Developing and implementing community-based strategies involving family members and caregivers, especially in LMIC, are important for improving medication adherence among NCD patients and, thereby, treatment outcome.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 8","pages":"3338-3344"},"PeriodicalIF":1.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488106/pdf/","citationCount":"0","resultStr":"{\"title\":\"Medication adherence and its determinants among non-communicable disease patients in rural area of Bihar, India: Insights for improving treatment outcomes.\",\"authors\":\"Shibajee Debbarma, Akanksha Yadav, Bijaya Nanda Naik, Sanjay Pandey, Mohit Bhardwaj, Sarita Kumari, Rangnath Singh, Ratnadeep Biswas\",\"doi\":\"10.4103/jfmpc.jfmpc_222_25\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Non-communicable diseases (NCDs) are a major public health challenge globally, particularly in low- and middle-income countries (LMICs) like India. Effective management of NCDs requires strict adherence to prescribed medications, yet non-adherence remains a significant barrier. Understanding the factors that influence medication adherence is, therefore, crucial for developing effective interventions to improve health outcomes.</p><p><strong>Objectives: </strong>To determine the prevalence of medication adherence and identify factors influencing adherence among NCD patients.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 241 NCD patients in rural areas in the state of Bihar, India, using a semi-structured questionnaire comprise of Morisky Medication Adherence Scale (MMAS-8) to assess adherence, Family APGAR scale to assess family support scale, and Barthel's Index to assess functional independence. Chi-square and Fischer's exact tests were employed on IBM SPSS Statistics for Windows, Version 20.0. (Armonk, NY: IBM Corp.) to determine association.</p><p><strong>Results: </strong>Only 13% of participants were adherent to prescribed medications. Significant associations of medication adherence were observed with age (<i>P</i> = 0.007), type of family (<i>P</i> < 0.01), and family support (<i>P</i> = 0.003). Participants over 60 years of age and from joint or extended families were more likely to adhere to their medication.</p><p><strong>Conclusion: </strong>Developing and implementing community-based strategies involving family members and caregivers, especially in LMIC, are important for improving medication adherence among NCD patients and, thereby, treatment outcome.</p>\",\"PeriodicalId\":15856,\"journal\":{\"name\":\"Journal of Family Medicine and Primary Care\",\"volume\":\"14 8\",\"pages\":\"3338-3344\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488106/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Family Medicine and Primary Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jfmpc.jfmpc_222_25\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/24 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family Medicine and Primary Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jfmpc.jfmpc_222_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0
摘要
背景:非传染性疾病是全球公共卫生面临的重大挑战,特别是在印度等低收入和中等收入国家。非传染性疾病的有效管理需要严格遵守处方药物,但不遵守处方药物仍然是一个重大障碍。因此,了解影响药物依从性的因素对于制定有效的干预措施以改善健康结果至关重要。目的:了解非传染性疾病患者的药物依从性,并确定影响药物依从性的因素。方法:采用Morisky药物依从性量表(MMAS-8)评估依从性,家庭APGAR量表评估家庭支持量表,Barthel指数评估功能独立性的半结构化问卷,对印度比哈尔邦农村地区241例非传染性疾病患者进行横断面研究。采用IBM SPSS Statistics for Windows, Version 20.0进行卡方检验和Fischer精确检验。(纽约州阿蒙克市:IBM Corp.)决定关联。结果:只有13%的参与者坚持服用处方药。患者服药依从性与年龄(P = 0.007)、家庭类型(P < 0.01)、家庭支持(P = 0.003)有显著相关。60岁以上的参与者和来自联合或大家庭的参与者更有可能坚持他们的药物治疗。结论:制定和实施涉及家庭成员和照顾者的社区战略,特别是在低收入和中等收入国家,对于改善非传染性疾病患者的药物依从性,从而改善治疗结果非常重要。
Medication adherence and its determinants among non-communicable disease patients in rural area of Bihar, India: Insights for improving treatment outcomes.
Background: Non-communicable diseases (NCDs) are a major public health challenge globally, particularly in low- and middle-income countries (LMICs) like India. Effective management of NCDs requires strict adherence to prescribed medications, yet non-adherence remains a significant barrier. Understanding the factors that influence medication adherence is, therefore, crucial for developing effective interventions to improve health outcomes.
Objectives: To determine the prevalence of medication adherence and identify factors influencing adherence among NCD patients.
Methods: A cross-sectional study was conducted among 241 NCD patients in rural areas in the state of Bihar, India, using a semi-structured questionnaire comprise of Morisky Medication Adherence Scale (MMAS-8) to assess adherence, Family APGAR scale to assess family support scale, and Barthel's Index to assess functional independence. Chi-square and Fischer's exact tests were employed on IBM SPSS Statistics for Windows, Version 20.0. (Armonk, NY: IBM Corp.) to determine association.
Results: Only 13% of participants were adherent to prescribed medications. Significant associations of medication adherence were observed with age (P = 0.007), type of family (P < 0.01), and family support (P = 0.003). Participants over 60 years of age and from joint or extended families were more likely to adhere to their medication.
Conclusion: Developing and implementing community-based strategies involving family members and caregivers, especially in LMIC, are important for improving medication adherence among NCD patients and, thereby, treatment outcome.