Diabetes distress and peripheral neuropathy are associated with medication non-adherence in individuals with type 2 diab
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ORIGINAL ARTICLE
Diabetes distress and peripheral neuropathy are associated with medication non‑adherence in individuals with type 2 diabetes in primary care Zhi Peng Zhang1 · M. Premikha2 · Miyang Luo3 · Kavita Venkataraman3 Received: 11 July 2020 / Accepted: 23 September 2020 © Springer-Verlag Italia S.r.l., part of Springer Nature 2020
Abstract Background Psychosocial factors like diabetes distress and social support, as well as the presence of complications, affect an individual’s self-management ability; however, their role in adherence behaviours is not yet clear. We examined the role of psychosocial factors and complications in non-adherence behaviours in individuals with diabetes in primary care. Methods Baseline survey with nine-month follow up through medical records of patients with type 2 diabetes attending primary care. Medication adherence and diabetes distress were assessed using Morisky Green Levine Medication Adherence Scale and Problem Areas in Diabetes, respectively. Appointment adherence was assessed through medical records. Results Of the 448 participants studied, 59.8% had medication non-adherence and 21.7% were non-adherent to scheduled appointments. PAID score (odds ratio (OR) 1.01, 95% confidence interval 1.00–1.03, p = 0.013), peripheral neuropathy (OR 1.99, 95%CI 1.18–3.37, p = 0.01), home glucose monitoring (OR 0.46, 95%CI 0.30–0.69, p
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