Understanding the treatment burden of people with chronic conditions in Kenya

A cross-sectional analysis using the Patient Experience with Treatment and Self-Management (Pets) questionnaire

Bibliographic Data

ID19591971
AuthorsHillary Koros (0000-0003-0888-8174, AMPATH, corresponding author), Ellen Nolte (0000-0002-2289-117X, London School of Hygiene & Tropical Medicine, corresponding author), Jemima Kamano (0000-0003-2179-8202, Moi University, corresponding author), Richard Mugo (0000-0001-6046-7217, AMPATH, corresponding author), Adrianna Murphy (0000-0003-4065-6744, London School of Hygiene & Tropical Medicine, corresponding author), Violet Naanyu (0000-0003-0182-1719, Moi University, corresponding author), Ruth Willis (0000-0001-9570-7436, London School of Hygiene & Tropical Medicine, corresponding author), Triantafyllos Pliakas (0000-0002-7242-6479, London School of Hygiene & Tropical Medicine, corresponding author), David T Eton (0000-0001-8715-1511, Mayo Clinic in Arizona, corresponding author), Edwine Barasa (0000-0001-5793-7177, Kenya Medical Research Institute, corresponding author), Pablo Perel (0000-0002-2342-301X, London School of Hygiene & Tropical Medicine, corresponding author)
EditorsPanniyammakal Jeemon (0000-0003-4172-4307)
Year2023
Volume3
Issue1
Pagese0001407
Publication date2023-01-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0001407
PMID36962994
OpenAlexW4317038908
LanguageEN
Citations received2
References cited40

In Kenya, non-communicable diseases (NCDs) are an increasingly important cause of morbidity and mortality, requiring both better access to health care services and self-care support. Evidence suggests that treatment burdens can negatively affect adherence to treatment and quality of life. In this study, we explored the treatment and self-management burden among people with NCDs in in two counties in Western Kenya. We conducted a cross-sectional survey of people newly diagnosed with diabetes and/or hypertension, using the Patient Experience with Treatment and Self-Management (PETS) instrument. A total of 301 people with diabetes and/or hypertension completed the survey (63% female, mean age = 57 years). They reported the highest treatment burdens in the domains of medical and health care expenses, monitoring health, exhaustion related to self-management, diet and exercise/physical therapy. Treatment burden scores differed by county, age, gender, education, income and number of chronic conditions. Younger respondents (

Chronic condition · Cross-sectional study · Diabetes mellitus · Disease · Environmental health · Family medicine · Health care · Chronic Disease Management Strategies · Health Systems, Economic Evaluations, Quality of Life · Healthcare Systems and Reforms · Medicine · Nursing · Psychology · Gerontology