Is self-reported adherence a valid measure of glycaemic control among people living with diabetes in rural India? A cross-sectional analysis.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: England NLM ID: 101463825 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-0210 (Electronic) Linking ISSN: 18780210 NLM ISO Abbreviation: Prim Care Diabetes Subsets: MEDLINE
    • Publication Information:
      Original Publication: Kidlington, Oxford : Elsevier
    • Subject Terms:
      Glycemic Control* ; Diabetes Mellitus*; Humans ; Self Report ; Cross-Sectional Studies ; Rural Population ; India/epidemiology
    • Abstract:
      Background: Visual analogue scale (VAS) is one of the simplest to measure medication adherence. It has neither been widely used for Non communicable diseases (NCD) nor validated for in the Indian setting. We examined the validity of self-reported medication adherence measures in relation to HbA1C in a rural population with diabetes mellitus (DM).
      Methods: Participants with DM was administered VAS, Diabetes Self-Management Questionnaire (DMSQ) and assessed for missed pills. Descriptive statistics and logistic regression analysis were done.
      Results: We recruited 1347 participants and 84% of them reported being 100% adherent as per VAS and 83.8% stated that they did not miss any pills. However, 58.2% of participants who reported having 100% adherence had poor glycaemic control, as did 58.1% of those who did not miss any pills. None of the diabetic self-care measures was significantly associated with glycaemic control.
      Conclusion: We found a lack of association between self-reported adherence measures and glycaemic control in participants with DM suggesting that self-reported adherence scales may not be valid in this population.
      Competing Interests: Conflict of Interests None of the authors declare any conflict of interest.
      (Copyright © 2022 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.)
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    • Grant Information:
      R01 MH100311 United States MH NIMH NIH HHS
    • Contributed Indexing:
      Keywords: Diabetes; Medication adherence; NCDs; Rural India; Self-reported adherence
    • Publication Date:
      Date Created: 20221106 Date Completed: 20221122 Latest Revision: 20231202
    • Publication Date:
      20240829
    • Accession Number:
      PMC9675721
    • Accession Number:
      10.1016/j.pcd.2022.10.009
    • Accession Number:
      36336604