| Abstrak/Abstract |
Introduction: Effective education and information during diabetes patients’ treatment to enhance their knowledge could impact their medication adherence to improve therapeutic outcomes. This study aims to explore diabetes-related patients’ profiles, including knowledge, adherence, and medication nonadherence factors among diabetic patients. Also, explores the implemented pharmacists' strategies to raise knowledge and adherence. Methods: This study consisted of two phases. The first, focused on diabetic patients, examining their profiles, knowledge about diabetes, medication adherence, and factors contributing to nonadherence. The second phase explored pharmacists' strategies for improving patients' knowledge and medication adherence. This research employed a mixed-methods design with an explanatory sequential approach. This study recruited participants, both diabetic patients and pharmacists, from primary healthcare in Yogyakarta. Medication adherence was measured using a four-item Morisky, Green, and Levine Medication Adherence Scale (MGLS), whereas knowledge using a 10-item questionnaire adapted from the 24-item Diabetes Knowledge Questionnaire (DKQ-24), and factor-related nonadherence using the self-developed questionnaire. The patients completed a self-report questionnaire and face-to-face interview session, while the pharmacists filled out a survey and followed FGD. Results: This study enrolled 104 patients and 24 pharmacists. The majority of patients (40.4%) had low knowledge in disease and medication related to diabetes. A quarter participants (26%) had poor adherence. Almost all of pharmacists have developed strategies to enhance patients’ knowledge and adherence (95.8%), providing drug information services and medication control cards. Conclusion: We conclude, improving patient knowledge, addressing non-adherence, and standardizing pharmacists' strategies are necessary, alongside developing a comprehensive service model to enhance therapeutic outcomes. |
