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• W1967336061 abstract "AbstractObjectives. To explore perspectives of Turkish migrants with type 2 diabetes mellitus (T2DM) on adherence to oral hypoglycaemic agents (OHA).Design. In-depth interviews with 21 T2DM patients of Turkish descent recruited from primary care and community sources in Ghent, Belgium, using a theoretical sampling procedure. Analysis was guided by a grounded theory approach, using Nvivo 8.Results. Respondents reported a multitude of barriers and facilitators of adherence to OHA. Some of these barriers are distinctive for T2DM patients of Turkish descent. Respondents' causal beliefs about stress and the Belgian climate often led to non-adherence during less stressful periods, like summer holidays in Turkey. Some respondents adjusted their medication use to food intake or during Ramadan fasting. Concerns about OHA were the main reason for the widespread use of herbal medicine in this sample. The religious framework used to interpret diabetes led, in combination with feelings of depression, to non-adherence in some respondents while it facilitated medication adherence in others. A potential gender effect with respect to the self-management of OHA was observed. Non-distinctive factors include: beliefs about OHA, polypharmacy, beliefs about the course of diabetes, forgetfulness, the perception of the doctor's medical expertise, feelings of depression and social support.Conclusion. Health care providers should explore in detail and regularly patients' perspectives on illness beliefs, medication beliefs and their trust in doctors' medical expertise as this will provide useful starting points for promoting medication adherence. Whenever possible health care workers should engage with their patients in therapeutic alliances.Keywords: type 2 diabetesmedication adherenceimmigrantTurkish ethnic minorityoral hypoglycaemic agentsqualitative research AcknowledgementsThe authors would like to thank the patients who participated in this research and openly shared their views. Many thanks are extended to all recruiters, interpreters and students who contributed to this study.Key messages Distinctive factors influencing adherence to OHA among people of Turkish descent are the causal beliefs about stress and climate, the adjustment of OHA to food intake and during Ramadan fasting, the widespread use of herbal medicine and the potential gender difference in patterns of influencing factors.Religion can be a barrier or a facilitator to medication adherence depending on the psychological profile of the patient.Health care workers should be aware of influencing factors, explore patients' perspectives and engage in therapeutic alliances whenever possible." @default.
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• W1967336061 date "2014-03-03" @default.
• W1967336061 modified "2023-10-17" @default.
• W1967336061 title "Understanding medication adherence among patients of Turkish descent with type 2 diabetes: a qualitative study" @default.
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• W1967336061 doi "https://doi.org/10.1080/13557858.2014.890174" @default.
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