ABSTRACT

Globally there has been a strong impact of usage of Complementary and Alternative Medicine (CAM) on medication adherence but no data has been reported from Pakistan therefore the study aimed to evaluate the impact of (CAM) on medication adherence in chronic disease patients in Quetta, Pakistan. The chronic disease patients were recruited from outpatient departments of two public hospitals in Quetta city. They were asked to complete a questionnaire on CAM utilization, conventional therapy, demographics and adherence measurement scale. Adherence was measured by self-reported scale named Drug Attitude Inventory DAI-10. Descriptive statistics were used to describe demographics, disease related and CAM related characteristics of the patient. The impact of CAM on medication Adherence was determined by using chi square test. Majority of the patients 132 (41.3%) were categorized in the age group of 46-55 years. A total of 20.6% patients were identified as CAM users. The study found no association of adherence between CAM users and CAM non-users (p=0.06). Among CAM related questions only a type of CAM use associated with adherence (p=0.02). Complementary and Alternative Medicines (CAM) has no impact on adherence. Type of CAM use was the only significant factor found in the study, further evaluation is needed to assess the impact of type of CAM on adherence. Keywords: Complementary and Alternative Medicine; Adherence; chronic diseases; Pakistan

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https://doi.org/10.31032/IJBPAS/2019/8.8.4749