Improving Treatment Adherence in Type 2 Diabetes: What Kind of Intervention Could be Offered?

Abstract

Treatment adherence is a key factor to achieve stable glucose level in type 2 diabetes. Treatment adherence is defined as changes in lifestyle associated with self-care behaviors, like diet and exercise. The purpose of the study was to identify potentially modifiable factors based on patient illness perception associated with treatment adherence among people with type 2 diabetes and to develop intervention based on the result to increase the adherence. 152 respondents (males 37,5%, females 62,5%) were recruited from several public health institutions in Jakarta. The mean age of the study group was 57,9 years, and the mean duration of diabetes was 6,9 years. Measurements used were Self-Care Inventory Revised (SCI-R), Brief Illness Perception Questionnaire (B-IPQ), Self-Efficacy for Diabetes, and Social Support Questionnaire 6 (SSQ-6). Significant predictors of treatment adherence were self-efficacy, subscale treatment control and concern of illness perception. Based on that result, we developed 4 -session group therapy focusing on illness perception aspect, and also developed the intervention module and booklet for respondents.