Adherence to antidiabetic therapy: a concept analysis

Abstract

Many diabetic patients do not adhere to their medication regimen. This may be due to patients
and healthcare staff having different understanding on what constitutes adherence to antidiabetic
therapy. Consequently patients and healthcare staff have not been able to achieve the desired
health outcomes.
Objectives
The aim of this concept analysis is to clarify and define the concept of adherence to antidiabetic
therapy. This analysis will provide a common basis for those pursuing a better understanding of
patient decision making, reduction of complications and improved long-term adherence to
antidiabetic therapy.
Methods
A concept analysis, utilizing the eight steps Walker and Avant method was done. Eleven articles
were reviewed to produce a definition of adherence to antidiabetic therapy.
Results
Attributes of adherence to antidiabetic therapy includes knowledge of optimal level of blood
glucose and home blood glucose monitoring, knowledge of complications from poor glycaemic
control, use of daily medication reminders, knowing and agreeing to the medication, active
continuous collaboration between patient and health care provider in communicating and
negotiating the treatment regimen, and ability to meet outcome targets
Conclusion
Adherence to antidiabetic therapy is defined as knowing and agreeing to antidiabetic therapy
(medication, diet and exercises), active continuous patient participation in negotiation and
appraisal of therapy, and consistence in performing desired health behaviours to meet outcome
targets. The concept analysis will assist health professionals in standardising treatment guidelines
which enables them to continually measure and improve adherence to antidiabetic therapy.