FACTORS ASSOCIATED WITH COMPLIANCE TO TREATMENT AMONG TYPE 2 DIABETES PATIENTS ATTENDING DIABETES OUTPATIENT CLINIC AT MOI TEACHING AND REFERRAL HOSPITAL, ELDORET, KENYA
Kapten, M. Muthoka
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Medication and treatment noncompliance among type 2 diabetes patients has been shown to predict morbidity, disability, immature mortality and general poor health outcome. Given the increased risks associated with poor treatment compliance, the study aimed at assessing the rate of compliance, as well as factors associated with compliance to treatment among type 2 diabetes patients attending the Diabetes Outpatient Clinic at Moi Teaching and Referral Hospital, Eldoret, Kenya. The study adopted a cross-sectional study design, with data collection taking place over duration of 3 months. Data was entered into SPSS version 20.0 and analyzed using stepwise multiple regression and Pearson’s product-moment correlation coefficient to assess for associations of social demographic and social economic factors with compliance to medication and lifestyle modification. Rate of compliance was computed as a percentage on basis of means from indicators of compliance as captured in the questionnaires. Factors associated with compliance were considered to be significant at p < 0.05. The rate of compliance to treatment among type 2 diabetics was 79.9% while health education (p = 0.045), depression (p = 0.001) and duration on medication (p = 0.021) were the only factors found to be significantly associated with treatment compliance. Therefore, from the study it was concluded that compliance to treatment was 79.9% and patients who are not depressed, have taken medication for a longer time, and have received adequate health education are more compliant. The study recommended that health education efforts as well as strategies to diagnose and manage depression among type 2 diabetics should be enhanced among key Ministry of Health stakeholders in charge of diabetes care programs.