- Title
- The relationship between diabetes distress, medication taking, glycaemic control and self-management
- Creator
- Alzubaidi, Hamzah; Sulieman, Hana; Mc Namara, Kevin; Samorinha, Catarina; Browning, Colette
- Date
- 2022
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/187243
- Identifier
- vital:17028
- Identifier
-
https://doi.org/10.1007/s11096-021-01322-2
- Identifier
- ISBN:2210-7703 (ISSN)
- 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. © 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
- Publisher
- Springer Science and Business Media Deutschland GmbH
- Relation
- International Journal of Clinical Pharmacy Vol. 44, no. 1 (2022), p. 127-137
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- Copyright © 2021, The Author(s)
- Subject
- 3214 Pharmacology and pharmaceutical sciences; 4203 Health services and systems; Adherence; Diabetes; Distress; Glycated Hemoglobin A; Self-Management
- Reviewed
- Funder
- This research was supported by an operational Grant from the University of Sharjah and an internal grant from the Centre for Medicine Use and Safety, Monash University.
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