Volume 26, Issue 122, April 2022

Shared decision making and its impact on medications adherence among diabetic patients in Buraidah, Saudi Arabia

Waleed Alresheedi^1♦, Unaib Rabbani²

¹R4 Family Medicine Resident, Family Medicine Academy, Qassim Health Cluster, Buraidah, Saudi Arabia
²Trainer at Family Medicine Academy, Qassim Health Cluster, Buraidah, Saudi Arabia

^♦Corresponding author
Senior R4 Resident, Family Medicine, Family Medicine Academy, Qassim Health Cluster, Buraidah, Saudi Arabia

ABSTRACT

Background: Shared Decision Making (SDM) is a method in which patients and doctors share knowledge about patient needs, care choices, and tradeoffs in order to reach treatment decisions. Objective: To assess the medication adherence and SDM and association between them among diabetic patients visiting primary health care in Buraidah, KSA. Methods: Cross sectional study was carried out between diabetic patients visiting primary healthcare centers in Buraidah, Al-Qassim, Saudi Arabia. Data were collected by structured interview conducted by trained researcher assistant using two valid questionnaires; 9-item Shared Decision-Making Questionnaire (SDM-Q-Doc-patient version), and General Medication Adherence Scale (GMAS). Logistic regression is being used to evaluate the association of medication adherence with SDM. Results: A total of 377 participants were included. We found that (79.5%) of diabetic patients were conscientious about taking their medications. The rate of shared decision making on scale of 100 was 71.8. We found a significant negative association between score of SDM and risk of non-adherence adjusted OR 0.97 (95% CI: 0.96 -0.98). Conclusion: Overall about 20% of the diabetics were non-adherent which may lead to complications and burden on health system. SDM was positively in regard to medication adherence. Therefore, SDM should be implemented in the primary medical services and physicians should be provided with required training in order to improve the outcome of diabetic care. We also recommend further large-scale studies to see effects of SDM on adherence among patients of other chronic diseases and quality of life.

Keywords: Adherence, Diabetes, Medication, Shared decision making, Saudi Arabia

Medical Science, 2022, 26, ms134e2130

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DOI: https://doi.org/10.54905/disssi/v26i122/ms134e2130

Published: 18 April 2022