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Research Article
22 November 2021

Factors impacting self-management ability in patients with chronic diseases in the United Arab Emirates, 2019

Authors: Joel Ladner https://orcid.org/0000-0003-2090-8457 [email protected], Sawsan Alshurafa, Farah Madi, Anas Nofal, Roshel Jayasundera, Joseph Saba, and Etienne AudureauAuthor Info & Affiliations
Volume 11, Number 3
https://doi.org/10.2217/cer-2021-0177
PDFFormats

Abstract

Aim: Poor adherence to chronic disease therapy is a critical global problem that negatively effects the long-term therapy for chronic diseases, resulting in negative population health and economic effects. The WHO multidimensional model proposed a systems-based approach for improving adherence to chronic disease therapy. Patients & methods: In the current study, the WHO five-dimension framework was used to evaluate factors among, chronic-disease patients in the United Arab Emirates. Results: We show that patient’s understanding of disease, involvement in treatment decision, age more than 40 years, time spent with physician and fear of how patients were perceived by others were the most predictive factors associated with a high ability to self-manage a chronic disease. Conclusion: Sociocultural factors have an indirect impact on disease self-management.

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References

1.
Sabate E. Adherence to Long Term Therapies: Evidence for Action. World Health Organization, Switzerland (2003).
Google Scholar
2.
GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 396, 1204–1222 (2020).
PubMed
Google Scholar
3.
Schulman-Green D, Jaser S, Martin F et al. Process of self-management in chronic illness. J. Nurs. Scholarsh. 44(20), 136–144 (2012).
PubMed
Google Scholar
4.
Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ. Couns. 48(2), 177–187 (2002).
PubMed
Google Scholar
5.
Corbin JM, Strauss AL. Unending Work and Care. Managing Chronic Illness at Home. Jossey-Bass Publisher, CA, USA (1988).
Google Scholar
6.
Packer T, Kephart G, Audulv A et al. Protocol for development, calibration and validation of the Patient-Reported Inventory of Self-Management of Chronic Conditions (PRISM-CC). BMJ Open 10(9), e036776 (2020).
PubMed
Google Scholar
7.
Schulman-Green D, Jaser SS, Park C, Whittemore R. A metasynthesis of factors affecting self-management of chronic illness. J. Adv. Nurs. 72(7), 1469–1489 (2016).
PubMed
Google Scholar
8.
Alshaikh MK, Filippidis FT, Al-Omar HA, Rawaf S, Majeed A, Salmasi A-M. The ticking time bomb in lifestyle-related diseases among women in the Gulf Cooperation Council countries; review of systematic reviews. BMC Public Health 17, 536 (2017).
PubMed
Google Scholar
9.
Morgan SA, Ali MM, Channon AA et al. Prevalence and correlates of diabetes and its comorbidities in four Gulf Cooperation Council countries: evidence from the World Health Survey Plus. J. Epidemiol. Commun. Health 73(7), 630–636 (2019).
PubMed
Google Scholar
10.
Noibi S, Mohy A, Gouhar R, Shaker F, Lukic T, Al-Jahdali H. Asthma control factors in the Gulf Cooperation Council (GCC) countries and the effectiveness of ICS/LABA fixed dose combinations: a dual rapid literature review. BMC Public Health 20(1), 1211 (2020).
PubMed
Google Scholar
11.
Simoens S, Sinnaeve PR. Patient co-payment and adherence to statins: a review and case studies. Cardiovasc. Drugs Ther. 28, 99–109 (2014).
PubMed
Google Scholar
12.
Lewey J, Shrank WH, Avorn J, Liu J, Choudhry NK. Medication adherence and healthcare disparities: impact of statin co-payment reduction. Am. J. Manag. Care 21, 696–704 (2015).
PubMed
Google Scholar
13.
Likert R. A technique for the measurement of attitudes. Arch. Psychol. 22(140), 55 (1932).
Google Scholar
14.
Sullivan GM, Artino AR. Analyzing and interpreting data from Likert-Type scales. J. Grad. Med. Educ. 5, 541–542 (2013).
PubMed
Google Scholar
15.
Self-organizing maps. In: Springer Series in Information Sciences (3rd Edition). Kohonen T, Huang ST, Schroeder RM (Eds). Springer, NY, USA (2001).
Google Scholar
16.
Gao S, Mutter S, Casey A, Makinen VP. Numero: a statistical framework to define multivariable subgroups in complex population-based datasets. Int. J. Epidemiol. 48(2), 369–374 (2019).
PubMed
Google Scholar
17.
Fernandez-Lazaro CI, Garcia-Gonzalez JM, Adams DP et al. Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study. BMC Family Pract. 20, 132 (2019).
PubMed
Google Scholar
18.
Fernandez-Lazaro CI, Adams DP, Fernandez-Lazaro D, Garcia-Gonzalez JM, Garcia-Caballero A, Miron-Canelo JA. Medication adherence and barriers among low-income, uninsured patients with multiple chronic conditions. Res. Soc. Admin. Pharm. 15, 744–753 (2019).
PubMed
Google Scholar
19.
Horne R, Chapman SCE, Parham R, Freemantle N, Forbes S, Cooper V. Understanding patients’ adherence-related beliefs about medicines prescribed for long-term conditions: a meta-analytic review of the necessity-concerns framework. PLoS ONE 8(12), e80633 (2013).
PubMed
Google Scholar
20.
Al-Haj Mohd MMM, Phung H, Sun J, Morisky DE. The predictors to medication adherence among adults with diabetes in the United Arab Emirates. J. Diabetes Metabol. Disord. 15, 30 (2016).
PubMed
Google Scholar
21.
Stopford R, Winkley K, Ismail K. Social support and glycemic control in type 2 diabetes: a systematic review of observational studies. Patient Educ. Couns. 93(3), 549–558 (2013).
PubMed
Google Scholar
22.
Cramm JM, Nieboer AP. Acculturation is associated with older Turkish immigrants’ self-management abilities. BMC Public Health 19, 1228 (2019).
PubMed
Google Scholar
23.
Audulv A. The overtime development of chronic illness self-management patterns: a longitudinal qualitative study. BMC Public Health 13, 452 (2013).
PubMed
Google Scholar
24.
Van Houtum L, Rijken M, Heijmans M, Groenewegen P. Self-management support needs of patients with chronic illness: do needs for support differ according to the course of illness? Patient Educ. Couns. 93, 626–632 (2013).
PubMed
Google Scholar
25.
Cramm JM, Nieboer AP. Chronically ill patients’ self-management abilities to maintain overall well-being: what is needed to take the next step in the primary care setting? BMC Family Pract. 16, 123 (2015).
PubMed
Google Scholar
26.
Al-Haj Mohd MMM, Phung H, Sun J, Morisky DE. Improving adherence to medication in adults with diabetes in the United Arab Emirates. BMC Public Health 16, 857 (2016).
PubMed
Google Scholar
27.
Anderson LJ, Nuckols TK, Coles C et al. A systematic overview of systematic reviews evaluating medication adherence interventions. Am. J. Health Syst. Pharm. 77, 138–147 (2020).
PubMed
Google Scholar
|