ASSESSMENT OF BARRIERS TO ADHERENCE AMONG NON-COMMUNICABLE CHRONIC DISEASES’ PATIENTS IN QUETTA, PAKISTAN Authors: SADIQ YS , HAQ NU1, RIAZ S2, NASIM A3, SHAHWANI GR1
ABSTRACT
Objective: The present study aims to assess the barriers to adherence in different chronic disease
patients in tertiary care hospitals of Quetta, Pakistan.
Methodology: A cross-sectional, questionnaire-based descriptive study was conducted from
March to August 2018 in two tertiary care hospitals of Quetta city among chronic disease
patients. Drug attitude inventory (DAI-10), a 10-item scale was distributed among chronic
disease patients. A sample size of 443 patient was selected and convenient sampling method was
used to collect data. Descriptive and inferential statistics were used to describe the results.
Statistical package for social sciences (SPSS) V.20 was used to analyze the data.
Results: Out of 443 patients 348 returned the filled questionnaire with a response rate of 76.29%. Most
of the respondents fell in the age group of 51-65 years i.e. 173 (49.7%). Majority of the
respondents to be male with 230 (66.2) and majority of respondents 314 (90.2%) were married.
Most prevalent chronic disease among patients was Diabetes Mellitus as 108 (31%). Overall mean score was 7.02 (S.D 1.88). Which can be classified as adherent. Type of Disease, State of
disease and barrier were significantly affecting the level of adherence (P-value < 0.001).
Conclusion: Current study demonstrated that most of the chronic disease patients were adherent
to the treatment regimen. Further improvement in clinical settings, counseling and patient
perception of medicine can enhance adherence level.
Keywords: Adherence, Barrier, Chronic Disease, DAI-10