scholarly journals Barriers to Antidiabetic Medication Adherence among Patients with Diabetes Mellitus in Saudi Arabia: A Systematic Review

2021 ◽  
pp. 1-12
Author(s):  
Mukhtar Ansari
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Saudi Arabia ◽  
Medication Adherence ◽  
Cochrane Library ◽  
Original Research ◽  
Antidiabetic Medication ◽  
Patients With Diabetes ◽  
Related Quality ◽  
Health Related

This systematic review was conducted with aim of determining different types of barriers that interfere with the adherence to antidiabetic medications among diabetes mellitus patients in Saudi Arabia. A comprehensive systematic literature exploration was performed via databases and search engines as Science Direct, PubMed, Medline, Google Scholar, Scopus, Cochrane Library, and EBSCO. The review includes 20 original research studies on adherence to antidiabetic medications and their associated factors. The review of the studies reveals that the most prominent barriers to antidiabetic medication adherence were forgetfulness, polypharmacy and complexity of regimen, side effects, low perceived self-efficacy of the medications, and feeling better. Likewise, frequent dosing, long history of diabetes, comorbidities, cost of medication or financial issue, disruption of normal routine, carelessness, busy schedule, God centered locus of control, and food habits were among the others. The identified multifaceted barriers can serve as a potential target for interventions to improve adherence to antidiabetic medications and health related quality of life.

scholarly journals The impact of diabetes mellitus on health-related quality of life in Saudi Arabia

2020 ◽  
Vol 28 (12) ◽  
pp. 1514-1519
Author(s):  
Diena M. Almasri ◽  
Ahmad O. Noor ◽  
Ragia H. Ghoneim ◽  
Alaa A. Bagalagel ◽  
Mansour Almetwazi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Saudi Arabia ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact

scholarly journals A Systematic Review of Effects of Concurrent Strength and Endurance Training on the Health-Related Quality of Life and Cardiopulmonary Status in Patients with HIV/AIDS

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Mansueto Gomes Neto ◽  
Cecília Ogalha ◽  
Antônio Marcos Andrade ◽  
Carlos Brites
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Endurance Training ◽  
Cochrane Library ◽  
Concurrent Training ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Living With Hiv

Purpose. To determine the effects of concurrent strength and endurance training (concurrent training) on the Health-Related Quality of Life (HRQOL) and cardiopulmonary status among HIV-infected patients, using a systematic search strategy of randomized, controlled trials (RCTs).Methods. A systematic review was performed by two independent reviewers using Cochrane Collaboration protocol. The sources used in this review were Cochrane Library, EMBASE, LILACS, MEDLINE, PEDro and Web of Science from 1950 to August 2012. The PEDro score was used to evaluate methodological quality.Result. Individual studies suggested that concurrent training contributed to improved HRQOL and cardiovascular status. Concurrent training appears to be safe and may be beneficial for medically stable adults living with HIV. The rates of nonadherence were of 16%.Conclusion. Concurrent training improves the HRQOL and cardiopulmonary status. It may be an important intervention in the care and treatment of adults living with HIV. Further research is needed to determine the minimal and optimal duration, frequency, and intensity of exercise needed to produce beneficial changes in the HIV-infected population subgroups.

scholarly journals Pharmacist-Led Interventions on Improving Outcomes in Patients with Diabetes Mellitus: Evidence from the Literature

2020 ◽  
Vol 10 (4) ◽  
pp. 49-58
Author(s):  
Sini T Inasu ◽  
MV Kumudavalli
Keyword(s):  
Diabetes Mellitus ◽  
Self Management ◽  
Diabetic Patients ◽  
Health Related Quality ◽  
Randomized Controlled ◽  
Chd Risk ◽  
Patients With Diabetes ◽  
Related Quality ◽  
Health Related

Diabetes mellitus is a rapidly growing major health problem world-wide. The management of type 2 diabetes mellitus is complex, requiring continuous medical care by health care professionals and considerable self-care efforts by patients. A collaborative and integrated team approach in which pharmacists can play a pivotal role should be sought when managing patients with diabetes. Pharmacist-led care programs have been shown to help patients with diabetes succeed in achieving treatment goals and improving outcomes. Hence, the aim of this narrative review is to address and summarize the effectiveness of pharmacist interventions in the management of diabetic patients. A comprehensive literature search was conducted in PubMed/Medline, Scopus, web of Science and the Cochrane Library were searched from the date of database inception to June 2019. All randomized controlled trials evaluating the effectiveness of pharmacist-based interventions on diabetic patients in comparison with usual care were included in study. Outcomes of interest included short-term and long-term measures such as glycated haemoglobin (HbA1c), and secondary outcomes were blood glucose level, blood pressure (BP), lipid profile, body mass index (BMI), 10-year coronary heart disease (CHD) risk, medication adherence, health related quality of life (HRQoL), and economic outcomes. Twenty-five studies were included in this systematic study. They were heterogeneous in terms of interventions, participants, settings and outcomes. Pharmacist-led self-management interventions included education on diabetes and its complications, medication adherence, lifestyle and education of self-management skills. Few studies even focussed on patients need through a tailored intervention. We found that those who received the pharmacist care had a statistically significant improvement in HbA1C, blood pressure, lipid profile, health-related quality of life, and CHD risk. These results underline the added value of pharmacists in patient-related care.  Hence this review supports the involvement of pharmacists as a member of health- care teams in managing diabetic patients at diverse settings worldwide. Keywords: diabetes, self-management, HbA1C, pharmaceutical care, randomized controlled trial

scholarly journals Effects of Virtual Reality Therapy on the Balance and Health-Related Quality of Life of Patients With Stroke: A Systematic Review

2020 ◽  
Vol 14 (1) ◽  
pp. 1-10
Author(s):  
Hajra Ameer Shaikh ◽  
Fouzia Hussain ◽  
Darshan Kumar
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Virtual Reality ◽  
Cochrane Library ◽  
Reality Therapy ◽  
Health Related Quality ◽  
Virtual Reality Therapy ◽  
Related Quality ◽  
Health Related

Introduction: Stroke is one of the leading causes of death worldwide. Despite the glowing advancement of Virtual Reality Therapy (VRT), clear evidence about its effectiveness in stroke is still scarce. Hence it is essential to review the current information to provide up-to-date insight. Therefore the aim of this review is to evaluate the effects of VRT on the balance and Health-related Quality of Life (HRQoL) in patients with stroke.Data Sources: A literature search was done in Google Scholar, PEDro, Cochrane Library, Medline, Web of Science, and PubMed databases.Eligibility Criteria: We performed a systematic review of randomized controlled trials published from June 2014 to January 2020, evaluating the effects of VRT on the balance and/or HRQoL in stroke. Fourteen eligible trials were analyzed, of which, 7 studies focused on balance and 7 on HRQoL.Quality Appraisal: Methodological quality and risk of bias were assessed using the Cochrane tool.Results: Most of the trials supported the effectiveness of VRT in improving balance and HRQoL. However, few trials reported similar improvements in HRQoL using VRT via Nintendo WiiTM games and conventional physiotherapy.Conclusions: High to moderate evidence supports the effectiveness of VRT use in improving balance and HRQoL in stroke survivors.

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