Assessing Medication Adherence in Patients with Diabetes and Hypertension: Challenges and Opportunities

Objective: This prospective study aims to assess medication adherence in patients with diabetes and hypertension, identify barriers to adherence, and determine factors influencing adherence to improve patient outcomes and provide insights for effective interventions.Methods: A prospective study was conducted in the outpatient department at Parul Sevashram Hospital PSH.Patients with confirmed diagnoses of diabetes and hypertension were enrolled.Medication adherence was assessed using the MMAS -8 questionnaire.Interventions were implemented to address barriers and improve adherence.Statistical analysis was performed to evaluate the impact of interventions on medication adherence.Result: 545 Patients having history and confirmed diagnosis of Diabetes & Hypertension were enrolled.Among them 32.1 % were Diabetic, 34.9 % were Hypertensive and 33 % were Diabetes + Hypertensive.Majority of the patients were male (67.7%), the mean age was 52.8 years ± 5.2 years.All the patients were analyzed based on MMAS -8 score questioner along with medical and medication history assessment.Patients were intervened, counselled along with life style modification which was significantly and statistically enhanced the extent medication adherence.Female and urban patients showed higher rates of adherence.Adherence was influenced by various factors, including cost of treatment, asymptomatic nature of the disease, age, educational status, socio -economic background, and residency. The study highlights the importance of multifarious interventions in improving medication adherence in patients with diabetes and hypertension. Conclusion: A multifarious intervention as well as counselling in a hospital setting escort to encourage refinement in medication adherence for patients current prescribed therapy. This study was significant as it sheds light on the challenges and opportunities related to medication adherence in patients with diabetes and hypertension. Understanding the factors that influence adherence can lead to the development of effective interventions, improve patient outcomes, and enhance the management of these chronic conditions. The intervention had significant impact on blood pressure control and blood glucose outcomes.